I am currently the Associate Surgeon-in-Chief at Cincinnati Children’s. In my subspecialty, I hold the Mary Jane and Bob Tritsch Chair of Neurological Surgery and Pediatrics.
After graduating from the Philadelphia College of Osteopathic Medicine and completing my neurosurgical residency at Long Island Jewish Medical Center in 2004, I completed my training at St. Louis Children's Hospital in St. Louis, Missouri as a fellow in pediatric neurosurgery. Since joining the faculty at Cincinnati Children's, I have been instrumental in developing our nationally renowned Pediatric Epilepsy Program and serve as the Director of the Pediatric Epilepsy Surgery Program.
I am currently the Janszen Scholar in Neurosurgery at Cincinnati Children’s. My work has been awarded NIH/NINDS funding for several research studies. We investigated advanced MRI imaging techniques in children with congenital hydrocephalus and established DTI as a non-invasive biomarker for white matter injury in this condition. I also head a basic science lab (Mangano/Goto) primarily focused on studying new models of hydrocephalus and currently have active projects and pending patents for novel ways to perform intraventricular lavage and the use of AAV vectors to achieve choroid plexus ablation with minimally invasive approaches.
My academic endeavors have resulted in >180 publications and numerous book chapters. I have presented my work nationally and internationally and continue to teach and educate locally as the site PI in pediatric neurosurgery for the University of Cincinnati and the Henry Ford Medical Center residency programs. In 2025, I founded the Cincinnati Gap Year Program in Neurosurgery which funds yearlong research projects for medical students who want to pursue a career in neurosurgery.
I am the fellowship director for the Cincinnati Children’s Pediatric Neurosurgery Fellowship programs, which have graduated >26 fellows and continue to recruit nationally and internationally every year. I am a member of the American Society of Pediatric Neurosurgeons, the AANS/CNS Section of Pediatric Neurosurgery, and the International Society of Pediatric Neurosurgery. I have been board certified in Neurological Surgery by the American Osteopathic Board of Surgery since 2008. I have had the honor to serve in several leadership roles in national organizations such as the American College of Osteopathic Surgeons (98th President) and I’m a current member of the ACGME Review Committee for Neurological Surgery.
DO: Philadelphia College of Osteopathic Medicine, Philadelphia, PA.
Residency: Neurosurgery, NYCOM-Long Island Jewish Medical Center/North Shore University Hospital Health System, New Hyde Park, NY.
Fellowship: Pediatric Neurosurgery, Washington University School of Medicine-St. Louis Children's Hospital, St. Louis, MO.
Board Certification: Neurological Surgery, American Osteopathic Board of Surgery, 2008.
Pediatric Epilepsy Program; Pediatric Epilepsy Surgery Program; imaging and monitoring of seizures; surgical intervention; vagal nerve stimulator implantation; brain resection; brain and spinal cord tumors; chiari malformations; tethered cord syndromes in patients with anorectal malformations.
Advanced MRI imaging techniques in children with congenital hydrocephalus.
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High Preoperative Body Mass Index Is Associated With Implant Breakage in Patients Treated With Magnetically Controlled Growing Rods for Early-onset Scoliosis. Journal of Pediatric Orthopaedics. 2025; 45:492-498.
How Does the Vertical Expandable Prosthetic Titanium Rib Lengthening Intervals Affect the Clinical Outcome in Early Onset Scoliosis Patients? A Five-Year Follow-Up Study. Journal of Pediatric Orthopaedics. 2025; 45:370-375.
Diffusion Tensor Imaging of Fetuses With Congenital Diaphragmatic Hernia. Prenatal Diagnosis. 2025; 45:1045-1052.
Prognostic application of lesion network mapping to epilepsy surgery outcomes in pediatric tuberous sclerosis complex. Epilepsia. 2025; 66:1854-1864.
Chronobiological Spatial Clusters of Cortical Regions in the Human Brain. Journal of Clinical Neurophysiology. 2025; 42:323-330.
User-defined virtual sensors: A new solution to the problem of temporal plus epilepsy sources. Epilepsia. 2025; 66:1071-1083.
Outcomes of Growth-Friendly Surgical Treatment of Early Onset Scoliosis in Children With Prune Belly Syndrome: A Preliminary Report. Journal of Pediatric Orthopaedics. 2025; 45:212-219.
Altered cortical excitability in tuberous sclerosis and the effect of mTOR inhibitors: An intracranial electrical stimulation study. Clinical Neurophysiology. 2025; 172:1-9.
A novel minimally invasive neurosurgical cranial fixation device for improved accuracy of intraventricular catheter placement: an experimental animal study. Patient Safety in Surgery. 2024; 18:36.
Antibiotic impregnated catheters and intrathecal antibiotics for CSF shunt infection prevention in children undergoing low-risk CSF shunt surgery. BMC Pediatrics. 2024; 24:325.
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