R Shane Tubbs


Affiliation: University of Alabama at Birmingham
Country: USA


  1. Shoja M, Tubbs R, Shokouhi G, Loukas M. Wang Qingren and the 19th century Chinese doctrine of the bloodless heart. Int J Cardiol. 2010;145:305-306 pubmed publisher
    ..His textbook of anatomy was based on cadaveric dissections only and this resulted in many of his observations being erroneous. Nevertheless, Wang made steps forward in reversing past misconceptions based on Chinese mysticism. ..
  2. Tubbs R, Bailey M, Barrow W, Loukas M, Shoja M, Oakes W. Morphometric analysis of the craniocervical juncture in children with Chiari I malformation and concomitant syringobulbia. Childs Nerv Syst. 2009;25:689-92 pubmed publisher
    ..Perhaps, future testing aimed at identifying pressure gradients across the foramen magnum in patients with and without syringobulbia and concomitant CIM may be useful. ..
  3. Tubbs R, El Zammar D, Rogers M, Kelly D, Lott R, Chua G, et al. The existence of hypoglossal root ganglion cells in adult humans: potential clinical implications. Surg Radiol Anat. 2009;31:173-6 pubmed publisher
    ..Additionally, pathology involving HN such as paragangliomas, are supported by our findings of the presence of autonomic ganglion cells in some HN specimens. ..
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    Tubbs R, Shoja M, Loukas M, Oakes W. Abubakr Muhammad Ibn Zakaria Razi, Rhazes (865-925 AD: ). Childs Nerv Syst. 2007;23:1225-6 pubmed
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    Tubbs R, Salter E, Oakes W. Anomaly of the supraclavicular nerve: case report and review of the literature. Clin Anat. 2006;19:599-601 pubmed
    ..Symptoms may be alleviated with surgical decompression of the entrapped nerve. Although rare, the clinician should include entrapment of the supraclavicular nerve within the clavicle in their differential diagnosis of shoulder pain. ..
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    Tubbs R, Wellons J, Blount J, Salter E, Oakes W. Forces necessary for the disruption of the cisternal segments of cranial nerves II through XII. Clin Anat. 2007;20:252-5 pubmed
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    Tubbs R, Barnhart D, Acakpo Satchivi L. Transfemoral vein placement of a ventriculoatrial shunt. Technical note. J Neurosurg. 2007;106:68-9 pubmed
    ..Eight months postoperatively, the patient's condition was at baseline and there were no signs of shunt malfunction. This technique may prove useful when other measures have failed. ..
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    Tubbs R, Loukas M, Shahid K, Judge T, Pinyard J, Shoja M, et al. Anatomy and quantitation of the subscapular nerves. Clin Anat. 2007;20:656-9 pubmed
    ..7 cm. The mean diameter of this nerve was 2.6 mm. Our hopes are that these data will prove useful to the surgeon in surgical planning for potential neurotization procedures of the brachial plexus. ..
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    Tubbs R, Hansasuta A, Loukas M, Louis R, Shoja M, Salter E, et al. The basilar venous plexus. Clin Anat. 2007;20:755-9 pubmed
    ..The basilar plexus is a highly variable posterior fossa venous structure. Clinicians and radiologists should take into account this variability when managing cerebral venous disorders or interpreting imaging studies of the skull base. ..

More Information


  1. Tubbs R, Gribben W, Loukas M, Shoja M, Tubbs K, Oakes W. Franz Kaspar Hesselbach (1759--1816): anatomist and surgeon. World J Surg. 2008;32:2527-9 pubmed publisher
    ..The present paper reviews the life of the German Franz Kaspar Hesselbach (1759--1816) and his contributions to the anatomical sciences and practice of surgery. ..
  2. Tubbs R, Menendez J, Loukas M, Shoja M, Shokouhi G, Salter E, et al. The petrosal nerves: anatomy, pathology, and surgical considerations. Clin Anat. 2009;22:537-44 pubmed publisher
    ..Information regarding the petrosal nerves may assist those who observe or operate at or near the skull base. To our knowledge, this is the first comprehensive review of these structures. ..
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    Tubbs R, Shoja M, Salter E, Oakes W. Cadaveric findings of persistent fetal trigeminal arteries. Clin Anat. 2007;20:367-70 pubmed
    ..Additionally, the relationships between such an artery and other structures within the cavernous sinus should be understood by the neurosurgeon who operates in this region, e.g., transsphenoidal approaches to the skull base. ..
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    Tubbs R, Stetler W, Shoja M, Loukas M, Salter E, Oakes W. An unusual muscular variation of the infratemporal fossa. Folia Morphol (Warsz). 2007;66:200-2 pubmed
    ..The clinician may contemplate the wide array of muscular anomalies within the infratemporal fossa when considering unexplained neurological symptoms attributed to branches of V3 and pursue appropriate diagnostic testing. ..
  5. Tubbs R, Louis R, Wartmann C, Loukas M, Shoja M, Ardalan M, et al. Suprascapular nerve as a donor for extracranial facial nerve reanimation procedures: a cadaveric feasibility study. J Neurosurg. 2008;108:145-8 pubmed publisher
    ..Based on the results of this cadaveric study, the authors believe that use of the suprascapular nerve may be considered for surgical maneuvers. ..
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    Tubbs R, Louis R, Wartmann C, Loukas M, Shoja M, Apaydin N, et al. The velum interpositum revisited and redefined. Surg Radiol Anat. 2008;30:131-5 pubmed
    ..Clear planes exist between the VI and surrounding structures such as the pineal gland. Such data may be useful to neurosurgeons who operate in this region and to clinicians who interpret imaging in the area of the VI. ..
  7. Tubbs R, Loukas M, Shoja M, Cohen Gadol A, Wellons J, Oakes W. Roots of neuroanatomy, neurology, and neurosurgery as found in the Bible and Talmud. Neurosurgery. 2008;63:156-62; discussion 162-3 pubmed publisher
    ..These historic writings provide a glimpse into the early understanding, description, and treatment of pathologies of the nervous system. ..
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    Tubbs R, Acakpo Satchivi L, Blount J, Oakes W, Wellons J. Pericallosal artery pseudoaneurysm secondary to endoscopic-assisted ventriculoperitoneal shunt placement. Case report. J Neurosurg. 2006;105:140-2 pubmed
    ..This case underlines a rare but serious risk involved with the routine placement of CSF shunts. ..
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    Tubbs R, Hansasuta A, Stetler W, Kelly D, Blevins D, Humphrey R, et al. Human spinal arachnoid villi revisited: immunohistological study and review of the literature. J Neurosurg Spine. 2007;7:328-31 pubmed
    ..These data support the theory that CSF absorption occurs not only intracranially but also along the spinal axis. Further animal studies are necessary to prove that CSF traverses these villi and is absorbed into the spinal venous system. ..
  10. Tubbs R, Shoja M, Loukas M, Oakes W, Cohen Gadol A. William Henry Battle and Battle's sign: mastoid ecchymosis as an indicator of basilar skull fracture. J Neurosurg. 2010;112:186-8 pubmed publisher
    ..The following is a review of Battle's background and his contributions to medicine, specifically his observations associated with basilar skull fractures...
  11. Tubbs R, Marshall T, Loukas M, Shoja M, Cohen Gadol A. The sublime bridge: anatomy and implications in median nerve entrapment. J Neurosurg. 2010;113:110-2 pubmed publisher
    ..To the authors' knowledge, this structure and its relationship to the median nerve have not been studied. The aim of the present study was to quantitate this structure and elucidate its relationship to the median nerve...
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    Tubbs R, Webb D, Smyth M, Oakes W. Magnetic resonance imaging evidence of posterior pharynx denervation in pediatric patients with Chiari I malformation and absent gag reflex. J Neurosurg. 2004;101:21-4 pubmed
    ..The authors hypothesized that children with preoperative Chiari I malformation and an absent gag reflex may harbor pharyngeal musculature atrophy identifiable on magnetic resonance (MR) imaging...
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    Tubbs R, Webb D, Abdullatif H, Conklin M, Doyle S, Oakes W. Posterior cranial fossa volume in patients with rickets: insights into the increased occurrence of Chiari I malformation in metabolic bone disease. Neurosurgery. 2004;55:380-3; discussion 383-4 pubmed
    ..The present study measures the posterior fossa volume in children with rickets to verify previous case reports indicting a small posterior fossa as the cause for an increased rate of CIM in children with rickets...
  14. Tubbs R, Hill M, Loukas M, Shoja M, Oakes W. Volumetric analysis of the posterior cranial fossa in a family with four generations of the Chiari malformation Type I. J Neurosurg Pediatr. 2008;1:21-4 pubmed publisher
    ..In order to establish this smaller geometry as the cause of hindbrain herniation in a family, the authors of this paper performed volumetric analysis in a family found to have this malformation documented in 4 generations...
  15. Tubbs R, Louis R, Wartmann C, Lott R, Chua G, Kelly D, et al. Histopathological basis for neurogenic thoracic outlet syndrome. Laboratory investigation. J Neurosurg Spine. 2008;8:347-51 pubmed publisher
    ..To the best of the authors' knowledge, no report exists that has demonstrated the histopathological changes of neural elements within the brachial plexus as a result of cervical rib compression...
  16. Tubbs R, Pearson B, Loukas M, Shokouhi G, Shoja M, Oakes W. Phrenic nerve neurotization utilizing the spinal accessory nerve: technical note with potential application in patients with high cervical quadriplegia. Childs Nerv Syst. 2008;24:1341-4 pubmed publisher
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    Tubbs R, Bui C, Loukas M, Shoja M, Oakes W. The horizontal sacrum as an indicator of the tethered spinal cord in spina bifida aperta and occulta. Neurosurg Focus. 2007;23:E11 pubmed
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    Tubbs R, Bui C, Rice W, Loukas M, Naftel R, Holcombe M, et al. Critical analysis of the Chiari malformation Type I found in children with lipomyelomeningocele. J Neurosurg. 2007;106:196-200 pubmed
    ..Occasional comments are found in the literature regarding patients with lipomyelomeningocele and concomitant Chiari malformation Type I (CM-I). The object of this study was to explore the association between these two conditions...
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    Tubbs R, Salter E, Wellons J, Blount J, Oakes W. The sphenoparietal sinus. Neurosurgery. 2007;60:ONS9-12; discussion ONS12 pubmed
    ..The sphenoparietal sinus can potentially be encountered with cranial base approaches near the lesser wing of the sphenoid bone and may be found as one surgically traverses the superior orbital fissure...
  20. Tubbs R, Griessenauer C, Loukas M, Shoja M, Cohen Gadol A. Morphometric analysis of the foramen magnum: an anatomic study. Neurosurgery. 2010;66:385-8; discussion 388 pubmed publisher
    ..To further elucidate the importance of anatomic variations in morphology of the foramen magnum and associated clinical implications, we conducted a morphometric study...
  21. Tubbs R, Rogers J, Loukas M, Comert A, Shoja M, Cohen Gadol A. Anatomy of the palmar branch of the ulnar nerve: application to ulnar and median nerve decompressive surgery. J Neurosurg. 2011;114:263-7 pubmed publisher
    ..The present study was performed to help the surgeon minimize postoperative complications of nerve decompression at the wrist...
  22. Tubbs R, Bauer D, Chambers M, Loukas M, Shoja M, Cohen Gadol A. A novel method for cerebrospinal fluid diversion: a cadaveric and animal study. Neurosurgery. 2011;68:491-4; discussion 495 pubmed publisher
    ..Cerebrospinal fluid (CSF) diversionary methods are fraught with complications (eg, infection, obstruction, and CSF malabsorption at the distal site)...