Neuroanesthesia/ENT Anesthesia Division

The Division of Neuroanesthesia/ENT Anesthesia comprises eight full-time faculty members. We care for over 1500 patients per year in the neuro-operating rooms and the neuro-interventional suite. Our Mission is to provide world class perioperative care to patients presenting for neurological surgery, cerebrovascular intervention and ENT surgery while developing faculty research, education, and continuous quality improvement.

Stony Brook Medical Center is the only tertiary center for neurosurgery and interventional neuroradiology in Suffolk County. Dr. Raphael P. Davis is the Chairman of the Department of Neurological and Co-Director of the Neurosciences Institute. His surgical expertise includes the treatment of skull base tumors (pituitary tumors and acoustic neuromas), brain tumors, as well as complex spinal surgery.

Dr. Fiorella, a Board–Certified neuroradiologist, is highly regarded as a pioneer in the introduction of novel devices for neurointerventional treatment of brain aneurysms and intracranial atherosclerosis. Dr. Fiorella has expertise in neurointerventional treatment of cerebral aneurysms, neurointerventional management of acute stroke, embolization of CNS tumors, and neurointerventional treatment of cerebral and spinal arteriovenous malformations, dural arteriovenous fistulas, and carotid and intracranial atherosclerosis.

Our Neuroanesthesia division provides 24/7 specialty coverage for stroke and sub-arachnoid hemorrhage.

We recently welcomed Dr. Charles Mikell, a Columbia University-trained neurosurgeon who specializes in the treatment of Parkinson’s disease, essential tremor, and epilepsy.

Dr. David Schessel, a world renowned expert on audiology and Director of the Division of Otolaryngology in the Department of Surgery. The Division of Neuroanesthesia/ENT Anesthesia provides care during more than 500 procedures per year performed by this surgical service.

Division Members

Sofia Geralemou, MD
Chief of Neuroanesthesia/ENT Anesthesia

  • Sofia Geralemou, MD is the Chief of the Division. She is a graduate of Stony Brook Medical School and our Residency Program.
  • Sergio Bergese, MD is the Chairman (Interim) of the Department and is the Director of Outcomes and Clinical Research in Perioperative Medicine.
  • Thomas Corrado, MD serves on the departmental Resident Education Committee, CCC and is an Operating room coordinator.
  • Lauren Fleischer, MD has been a member of our department since 1994. She did her residency and fellowship training at Columbia Presbyterian Medical Center.
  • Adrian Fischl, MD graduated from our residency program and joined our department in 2019 after doing a fellowship in Cardiothoracic Anesthesia at Penn State.
  • Stephen Probst, MD is Vice Chair for Clinical Affairs and Associate Medical Director of Perioperative Services.
  • William Vuong, MD is an alumni of our Residency Program. He became an Attending in 2013.
Residency Training
The Division provides three 1 month rotations in neuroanesthesia/ENT anesthesia. During the first month, the resident is exposed to the basics of both neuro and ENT anesthesia, with a focus on cases such as spine surgery, ventricular shunts, cranioplasty, tonsillectomy, functional endoscopic procedures, thyroidectomy, parathyroidectomy and tympanoplasty. During the second month, the resident provides anesthetic care for more involved cases, such cerebral aneurysms, craniotomies, trans-sphenoidal surgery and complex head and neck dissections. The third month focuses on interventional cerebrovascular cases as well as surgery for movement disorders and epilepsy, including awake craniotomy and deep brain stimulator placement. A written syllabus is given to each resident and a series of intraoperative lectures and problem based learning discussions is provided. Residents prepare a brief presentation on a relevant topic of interest for the division faculty which is given during the last week of the rotation.

Recent Division Activity

Resident Drs. Ashley Mathew presenting at the 2021 ASA meeting

Recent Publications
Resident authors denoted by bold type
  • Fiorella D, Fargen KM, Leslie-Mazwi TM, Levitt M, Probst S, Bergese S, Hirsch JA, Albuquerque FC. Neurointervention for emergent large vessel occlusion during the covid-19 pandemic. J Neurointerv Surg. 2020 Apr 20.
  • Probst S, Corrado T, Bergese SD, Fiorella D. A dedicated cerebrovascular anesthesia team is a critical component of a comprehensive stroke center. J Neurointerv Surg. 2020 Mar;12(3):227-228.
  • Humeidan ML, Reyes JC, Mavarez-Martinez A, Roeth C, Nguyen CM, Sheridan E, Zuleta-Alarcon A, Otey A, Abdel-Rasoul M, Bergese SD. Effect of Cognitive Prehabilitation on the Incidence of Postoperative Delirium Among Older Adults Undergoing Major Noncardiac Surgery: The Neurobics Randomized Clinical Trial. JAMA Surg. 2020 Nov 11.
  • Todeschini AB, Uribe AA, Echeverria-Villalobos M, Fiorda-Diaz J, Abdel-Rasoul M, McGahan BG, Grossbach AJ, Viljoen S, Bergese SD. Efficacy of Intravenous Tranexamic Acid in Reducing Perioperative Blood Loss and Blood Product Transfusion Requirements in Patients Undergoing Multilevel Thoracic and Lumbar Spinal Surgeries: A Retrospective Study. Front Pharmacol. 2020 Nov 30;11:566956.
  • Ongaigui C, Fiorda-Diaz J, Dada O, Mavarez-Martinez A, Echeverria-Villalobos M, Bergese SD. Intraoperative Fluid Management in Patients Undergoing Spine Surgery: A Narrative Review. Front. Surg., 29 July 2020.
  • Page CR, Perez CA, Mavarez-Martinez A, Khan S, Bergese SD. Levorphanol in the Perioperative Setting: Decreasing Opioid Requirements While Improving Pain Management. J Pain Res. 2020 Oct 29;13:2721-2727.
  • Maloney LM, Yang AH, Princi RA, Eichert AJ, Hébert DR, Kupec TV, Mertz AE, Vasyltsiv R, Vijaya Kumar TM, Walker GJ, Peralta EJ, Hoffman JL, Yin W, Page CR. A COVID-19 Airway Management Innovation with Pragmatic Efficacy Evaluation: The Patient Particle Containment Chamber. Ann Biomed Eng. 2020 Aug 27.
  • Tsui P, Gupta A, Cervoni C, Page CR, Sonty N. Pain psychology and perioperative pain management. In: Svider PF, Pashkova AA, Johnson AP (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. 2021.
  • Chowdhury T, Gray K, Sharma M, Mau C, McNutt S, Ryan C, Farou N, Bergquist P, Caldwell C, Uribe AA, Todeschini AB, Bergese SD, Bucher O, Musto G, Azazi EA, Zadeh G, Tsang DS, Mansouri SA, Kakumanu S, Venkatraghavan L. Brain Cancer Progression: A Retrospective Multicenter Comparison of Awake Craniotomy Versus General Anesthesia in High-grade Glioma Resection. J Neurosurg Anesthesiol. 2021 May 18.
  • Soghomonyan S, Stoicea N, Bergese SD. New Trends and Approaches in Perioperative Pharmacotherapy: An Update. Front Pharmacol. 2021 Aug 6;12:721075.
  • Gupta AK, Mena S, Jin Z, Gan TJ, Bergese SD. Postoperative pain: a review of emerging therapeutic options. Expert Rev Neurother. 2021 Aug 31.
  • Jin Z, Zhu M, Gupta A, Page C, Gan TJ, Bergese SD. Evaluating oliceridine as a treatment option for moderate to severe acute post-operative pain in adults. Expert Opin Pharmacother. 2021 Sep 17.
  • Daksla N, Nguyen V, Jin Z, Bergese SD. Brain Prehabilitation for Oncologic Surgery. Curr Oncol Rep. 2022 Jul 28.
Recent Presentations
  • Humeidan M, Reyes J-P, Mavarez-Martinez A, Roeth C, Nguyen C, Sheridan E, Zuleta-Alarcon A, Otey A, Abdel-Rasoul M, Bergese SD. Impact of Cognitive Exercise on Postoperative Delirium in Older Adults: the Neurobics Trial. ASA 2020
  • Kang RS, Beg T, Mavarez-Martinez A, Punta C, Bergese SD. Clinical Features of COVID-19 Patients Requiring Endotracheal Tube Exchange. PGA 2020
  • Alam S, Bracero LA, Costa AC, Schabel JE, Bergese SD. Subdural Hematoma Following Dural Puncture Epidural in a Patient with a Chronic Right Parietal Hemangioma. ASA 2020
  • Lee A, Guthrie D, Brar C, Fischl AM. Anesthetic Management of Patient with a Large Retropharyngeal Abscess Extending Into the Mediastinum. ASA 2020
  • Mathew A, Christophides AH, Basishvili G, McLarty AJ, Gross ER, Fischl AM. Anesthetic Management of Patient with Anterior Mediastinal Mass. ASA 2021
  • Fiorda-Diaz J, Esparza Gutierrez AG, Dada O, Stoicea N, Ackermann W, Abdel-Rasoul M, Heard JA, Uribe AA, Bergese SD. Sugammadex versus Neostigmine for Neuromuscular Blockade Reversal in Outpatient Surgeries: An Evaluation of Efficacy and Associated Health Care Cost in an Academic Center. IARS 2022
  • Stoicea N, Uribe A, Ackermann W, Soghomonyan G, Bergese SD, Rogers B. QTc Interval Evaluation in Naive Methylphenidate Users: A Double-Blind Placebo-Controlled Analysis. IARS 2022
  • Mavarez-Martinez A, Stafford K, Rosenfeld J, Romeiser J, Bergese SD, Gan TJ. Efficacy of Amisulpride for Treatment of Postoperative Nausea and Vomiting in Post Anesthesia Care Unit. ASA 2022
  • Rogers B, Stoicea N, Ackermann WA, Uribe A, Abdel-Rasoul M, Brown EN, Bergese SD. Active Emergence from Isoflurane General Anesthesia Induced by Methylphenidate: A Randomized Placebo Controlled Pilot Trial. ASA 2022