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UI Carver College of Medicine



   

 

Enrique C. Leira MD, MS

Assistant Professor
Division of Cerebrovascular Diseases
University of Iowa Stroke Center

Education
Medical School (MD): Universidad de Santiago de Compostela, Galicia (Spain)

Graduate School (Masters Science in Epidemiology): University of Iowa, Iowa City, Iowa (USA)

Internship (Internal Medicine)
Saint Louis University, St. Louis (Missouri) 

Residency (Neurology)
Saint Louis University, St. Louis (Missouri) 

Fellowship (Cerebrovascular Diseases)
University of Iowa, Iowa City, (Iowa)

Certifications

  • Diplomate in Vascular Neurology, American Board of Psychiatry and Neurology (2005)
  • Diplomate in Neurology, American Board of Psychiatry and Neurology (1998)
  • Certified in Neurosonology (TCD), American Society of Neuroimaging (2004)

Awards

  • NIH K12 Award "Scholar in Clinical Investigation," 2006-2008
  • Nominated for "Best Staff of the Year 2006" by the M4 Class, College of Medicine University of Iowa
  • Selected "Best Doctors in America" (2007)

Other Activities

  • Member of the Operator Performance Laboratory (OPL), Center for Computer Aided Design  (CCAD), College of Engineering, University of Iowa
  • Part II (oral) examiner. American Board of Psychiatry and Neurology
  • Ad Hoc Journal Reviewer: Circulation, Stroke, Neurology, Neurocritical Care, Neuroepidemiology, Mayo Clinic Proceedings, Journal of the American Geriatrics Society, European Journal of Neurology, Clinical Neurology and Neurosurgery

Professional Affiliations

  • Stroke Council, American Heart Association, Fellow
  • American Academy of Neurology
  • American Board of Psychiatry and Neurology, Diplomate and Part II examiner
  • Sociedad Espanola de Neurologia

Clinical Interests

  • Cerebrovascular Diseases
  • Acute Stroke Treatment
  • Critical Care Neurology
  • Stroke Prevention

Research Interests

  • Strategies to improve Acute Stroke Trials in Rural Areas
  • Clinimerics (Scales) in Acute Stroke
  • Ancillary management acute stroke
  • Strategies to accelerate acute stroke care
  • Stroke and aviation

Selected Peer-reviewed Publications

Leira EC, Hess DC, Torner JC, Adams Jr. HP: “Rural-Urban Differences in Acute Stroke Practices: a modifiable disparity” Archives of Neurology (in press)

Leira EC, Davis PH, Martin CO, Yoo B, Torner JC, Weeks J, Hindman B, Todd M: “Subtle focal signs are frequently missed in “good grade” subarachnoid hemorrhages and convey a poorer outcome” Neurosurgery 61:470-474; 2007

Leira EC, Pary JK, Davis PH, Grimsman KJ, Adams HP Jr.: “Slow progressive acceptance of rtPA by rural primary care physicians” Archives of Neurology, 64:518-521;2007.

Leira EC, Lamb DL, Nugent AS, Ahmed A, Grimsman KJ, Clark WR, Adams HP Jr: “Feasibility of acute clinical trials during aerial inter-hospital transfer”. Stroke,  37:2504-2507; 2006.

Swenson AJ, Leira EC: “Paroxysmal sneezing at the onset of lateral medullary syndrome, cause or consequence?” European Journal of Neurology, 14: 461-463; 2007

Leira EC, Cruz-Flores S, Acharya AB, Pan Y: “Treatment with tissue plasminogen activator is not associated with increased use of neurosurgery”. Journal of Stroke and Cerebrovascular Diseases, 14:278-280; 2005.

Leira EC, Condoor SS, Germani MP, Vogler GA: A novel pressure safety valve for lumbar puncture. Neurocritical Care, 3:68-70;2005.

Leira EC, Cruz-Flores S, Wyrwich KW, Northam GJ, Acharya AB, Pan Y, Holzemer EM, Womack SB: “Improving pilot response to in-flight strokes: a randomized controlled trial.” Cerebrovasc Dis,19:317-322; 2005.

Leira EC, Acharya AB, Cruz-Flores S, Albaker OJ, Rao VC, Abdulrauf S: “Blood pressure surge precedes intracerebral hemorrhage: a monitored case.” Neurocritical Care, 2:43-46; 2005.

Leira EC, Bertrand ME, Hogan RE, Cruz-Flores S, Wyrwich KW, Albaker OJ, Holzemer EM: “Emergent and continuous EEG monitoring: can bedside caregiversrecognize epileptiform discharges?” Intensive Care Med, 30:207-212. 2004.

Leira EC, Chang KC, Davis PH, Clarke WR, Woolson RF, Hansen MD, Adams HP Jr : “Can we predict early recurrence in acute stroke?” Cerebrovasc Dis, 18:135-138; 2004.

Cruz-Flores S, Gondim FAA, Leira EC: “Brainstem involvement in hypertensive encephalopathy: clinical and radiological findings.” Neurology, 62:1417-1419; 2004.

Johnston SC, Leira EC, Hansen MD, Adams HP Jr: “Early Recovery After Cerebral Ischemia Is Associated with Risk of Subsequent Neurological Deterioration”. Ann Neurol, 54: 439-444. 2003.

Gondim FAA, Leira EC, Bertrand ME: ”Video-EEG monitoring during paroxysmal upside down reversal of vision”. J Neuro-Ophthalmology, 23(2):180; 2003.

Leira EC: “Treatment of Acute Stroke”. Rev Neurol 36:86-92; 2003.

Kaiboriboon K, Oliveira G, Leira EC: “Apraxia of eyelid opening secondary to a dominant hemispheric infarction”. J Neurol, 249:341-342; 2002.

Leira EC, Cruz-Flores S, Leacock RO, Abdulrauf SI: "Sumatripran can alleviate headaches due to a carotid artery dissection". Headache June 2001:590-591;2001.

Selhorst JB, Kulkantrakorn K, Corbett JJ, Leira EC, Chung SM: Retinol-Binding Protein in Idiopathic Intracranial Hypertension. J Neuro-Ophthalmology, 20:250-252; 2000.

Adams HP Jr., Davis PH, Leira EC, Chang KC, Bendixen BH, Clarke WR, Woolson RF, Hansen MD: Antithrombotic treatment of stroke with occlusion or stenosis of the internal carotid artery. Neurology, 53:122-125; 1999.

Adams HP Jr., Bendixen BH, Leira E, Chang KC, Davis PH, Woolson RF, Clarke WR, Hansen MD: Baseline NIH Stroke Scale Score strongly predicts outcome after stroke. Neurology, 53:126-131; 1999.

Leira EC, Bendixen BH, Kardon RH, Adams HP Jr:  Brief, transient Horner’s syndrome can be the hallmark of a carotid artery dissection.  Neurology, 50:289-290, 1998.

Torner JC., Davis P., Leira E: Epidemiology of stroke in requiring intensive care. New Horiz, 5:422-432, 1997.

Leira EC, Ajax T, Adams HP Jr.: Limb shaking TIAs successfully managed by reducing the antihypertensive regimen.  Arch Neuro, 54:904-5, 1997.


Patents
Leira EC, Condoor SS, Germani MP, Peso D: "Safety pressure device for body fluid extraction". US patent US 2005/0101882, May 12 2005. PCT (international) number PCT/US2004/037874 filed.


Selected Book Chapters

Leira EC, Adams HP Jr. “Acute stroke”. Conn's Current Therapy. Philadelphia: W. B. Saunders Company. 2006

Leira EC, Adams HP Jr. “New Therapies in Acute stroke”. In NSA Stroke Clinical updates HP  S. Levine (Ed). Feb 2005.

Leira EC, Al-Baker OJ, Abdulrauf SI. Diagnosis and Management of Vascular Disease of the Spinal Cord. In Handbook of Cerebrovascular Diseases, Second Edition, Revised and expanded  Adams HP Jr. (Ed). Marcel Dekker 2004, pp 637-652.

Leira EC, Adams HP Jr. “Cerebrovascular disease”. In Current Geriatric Diagnosis & Treatment. Landfeld, Palmer, Johnson, Johnston and Lyons (Ed). McGraw-Hill 2004, pp 147-155.

Leira EC, Adams HP Jr. Etiologies & mechanisms of ischemia. InBlue Books of Practical Neurology: Prevention and Treatment of Ischemic Stroke. Kasner SE and Gorelick PB (Ed). Butterworth & Heinemann 2003, pp 55-66.

Leira EC. “Hyperacute localization.” In Neuroanatomy in the Acute Setting 1KP 009.  Syllabus American Academy of Neurology 2003.

Leira EC, Adams HP Jr. Management of Acute Ischemic Stroke. Clinics in Geriatric Medicine.  P. Duncan (Ed.) Philadelphia:  W.B. Saunders Company, 1999, Vol 15, pp 701-720.

Leira EC, Love BB, Adams HP Jr.  Stroke in young adults.  In:  Management of Acute Stroke.  A Shuaib and L Goldstein (Eds.) New York: Marcel-Dekker,1999 pp:173-192.

Leira, EC, Adams, HP, Jr., Which patients are inappropriate for surgery and what is the “best” medical management of non-surgical patients?  In:  Textbook of Carotid Artery Disease.  C Loftus & T Kresowik (Ed.) New York:  Thiene Publishing Company  2000, pp 113-120. 

Adams HP Jr., Leira EC.  Acute therapeutic intervention.  Antithrombotic and antiplatelet aggregating drugs.  In:  Neurosurgery Clinics of North America.  WR Selman (Ed.) Philadelphia:  W.B. Saunders Company, 1997, pp. 207-217.

Leira, EC.  Vascular disorders of the spinal cord.  For Neurobase CD ROM. S Demeter (Ed.), San Diego:  Arbor Publishing Corporation, 1996, yearly updated.

Enrique Leira

Neurology, 2147-RCP

University of Iowa College of Medicine

200 Hawkins Dr. 

Iowa City, IA 52246
Phone: 319-356-8755

Fax: 319-384-7199
E-mail: enrique-leira@uiowa.edu

Operator Performance Laboratory

 

 

 

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