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Mark A. Mirski

Mark A. Mirski, MD, PhD

Neurocritical Care

Highlights

Languages

  • Spanish
  • Polish
  • English

Gender

Male

Johns Hopkins Affiliations:

  • Johns Hopkins School of Medicine Faculty

About Mark A. Mirski

Professional Titles

  • Vice-Chair, Department of Anesthesiology and Critical Care Medicine
  • Director, Johns Hopkins Neuroscience Critical Care Units
  • Chief, Division of Neuroanesthesiology
  • Co-Director, Johns Hopkins Comprehensive Stroke Center
  • Director of Neuroanesthesia and Critical Care Medicine Division

Primary Academic Title

Professor of Anesthesiology and Critical Care Medicine

Background

Dr. Marek Mirski is a professor of anesthesiology and critical care medicine as well as neurology and neurological surgery at the Johns Hopkins University School of Medicine. He is the inaugural recipient of the Thomas and Dorothy Tung Professorship in the Department of Anesthesiology and Critical Care Medicine.

Dr. Mirski also serves as the vice-chair of the Department of Anesthesiology and Critical Care Medicine, director of Neuroscience Critical Care Units, chief of the Division of Neuroanesthesiology and co-director at Johns Hopkins Comprehensive Stroke Center.

He made several important discoveries in how seizure impulses travel within the brain, leading to publications in the highly regarded journals. In addition to his investigation in seizure mechanisms, he has made seminal laboratory and clinical research contributions in the fields of cerebral edema, osmotic therapy, ICU sedation and the practice of neurological critical care.

Dr. Mirski received his undergraduate degree in biology and chemistry from Massachusetts Institute of Technology and earned his M.D. from Washington University in St. Louis. He completed residencies in neurology and anesthesiology and critical care medicine and performed a fellowship in anesthesiology at Johns Hopkins University School of Medicine. Dr. Mirski joined the Johns Hopkins faculty in 1992.

He has been one of the leaders in the Department of Anesthesiology and Critical Care Medicine''s entry into the international patient care environment. He has been an ambassador for the Department and the Institution, caring for patients from around the world and leading missions in many countries including Bermuda, Saudi Arabia and the United Arab Emirates.

Dr. Mirski has published more than 175 peer-reviewed articles. He serves on the board of directors of the Society of Neurocritical Care and is on the editorial board of several scientific journals, including Tzu Chi Medical Journal, Contemporary Critical Care, Journal of Neurocritical Care and the Journal of Neurosurgical Anesthesiology.

Additional Academic Titles

Professor of Neurological Surgery, Professor of Neurology

Research Interests

Investigation of the subcortical mechanisms of seizure propagation and cortical synchrony

Lab Website

Marek Mirski Lab - Lab Website

Research Summary

Dr. Mirski’s laboratory research involves the investigation of the subcortical mechanisms of seizure propagation and cortical synchrony. The lab directs major effort toward the development of methodologies for seizure inhibition via site-specific subcortical electrical stimulation. The principal finding of his research—identification of synaptically linked subcortical elements important in seizure propagation—has led to FDA-sanctioned Phase III clinical trials of targeted thalamic stimulation in patients with intractable seizures. Dr. Mirski also conducts primary research in the treatment of brain edema, ICU sedation and acute stroke.

Additional research activities include investigation of the proconvulsant action of novel alpha2-receptor agonists and pharmacologic osmolar control of elevated intracranial pressure following acute head injury. Major clinical investigations are focused on the treatment of elevated intracranial pressure, cerebral edema, ICU sedation, and clinical trials for ischemic stroke and head injury.

Selected Publications

    1. Koenig MA, Bryan M, Lewin JJ, Mirski MA, Geocadin RG, Stevens RD. “Reversal of transtentorial herniation with hypertonic saline.” Neurology 70(13):1023–9, 2008.
    2. Hamani C, Hodaie M, Chiang J, del Campo M, Andrade DM, Sherman DL, Mirski MA, Mello LE, Lozano AM. “Deep brain stimulation in the anterior thalamus: Effects of electrical stimulation on pilocarpine-induced seizures and status epilepticus.” Epilepsy Res 78(2–3):117–23, 2008.
    3. Mirski MA, Nyquist P, Toung TJ. “Effect of hypertonic saline concentration on cerebral and visceral organ water in an uninjured rodent model.” Crit Care Med 36(1):256–61, 2008.
    4. Bhatti N, Mirski MA, Tatlipinar A, Koch WM, Goldenberg D. “Reduction of complication rate in percutaneous dilation tracheotomy.” Study of 318 consecutive patients. Otolaryngology 117:172–5, 2007.
    5. Ziai WC, Sherman DL, Zhang N, Bhardwaj A, Mirski MA.” Target-specific catecholamine elevation induced by anticonvulsant thalamic deep brain stimulation.” Epilepsia 46:878–88, 2005.

Honors

  • First Johns Hopkins Medicine Joint Director
  • Most Influential Physician, Queen's Medical Center, 1/1/98
  • Founding Director, Queen's Neuroscience Institute, 1/1/96
  • Co-Winner, Neuroscience Research Prize, Washington University/St. Louis Medical Center, 1/1/86

Memberships

  • American Academy of Neurology
  • American Epilepsy Society
  • American Neurological Association
  • American Society of Anesthesiology
  • Society of Critical Care Medicine
  • Society of Neurosurgical Anesthesia and Critical Care

Professional Activities

  • American Academy of Neurology, Scientific Co-Chair, 1/1/03
  • American Journal of Neuroradiology, Ad-hoc reviewer
  • American Society of Anesthesiology, FAER Awards Committee, 1/1/03 - 1/1/05
  • American Society of Anesthesiology, Scientific Co-Chair, 1/1/02
  • Anesthesia & Analgesia, Ad-hoc reviewer
  • Anesthesiology, Ad-hoc reviewer
  • Annals of Neurology, Ad-hoc reviewer
  • Contemporary Critical Care, Ad-hoc reviewer
  • Contemporary Critical Care, Editorial board
  • Critical Care Medicine, Ad-hoc reviewer
  • Epilepsia, Ad-hoc reviewer
  • Epilepsy Research, Ad-hoc reviewer
  • Journal Neurocritical Care, Editorial board
  • Journal of Experimental Neurology, Ad-hoc reviewer
  • Journal of Neurocritical Care, Ad-hoc reviewer
  • Journal of Neurosurgical Anesthesiology, Editorial board
  • Neurology, Ad-hoc reviewer
  • Society of Neurocritical Care, Board of Directors
  • Society of NeuroCritical Care, Finance Secretary, 1/1/05 - 1/1/07
  • Tzu Chi Medical Journal, International Editor

Locations

  1. The Johns Hopkins Hospital
    • 1800 Orleans Street, Baltimore, MD 21287

    Expertise

    Education

    Johns Hopkins University School of Medicine

    Residency, 1991

    Johns Hopkins University School of Medicine

    Fellowship, Anesthesiology, 1991

    Washington University School of Medicine

    Medical Education, MD PhD, 1986

    Board Certifications

    Neurocritical Care

    United Council for Neurological Subspecialties, 2008

    Anesthesiology

    American Board of Anesthesiology, 1992

    Insurance

    Johns Hopkins providers accept various commercial health insurance plans. However, they may not be included in all of an insurance company's plans or offerings. This may include Exchange, Medicaid, Medicare, and specific limited benefit plans. Exceptions to participation also exist based on your employer’s benefits package and the provider's location or specialty. Please contact your insurer directly to make sure your doctor is covered by your plan. For more details, please review our Insurance Information.
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    • Aetna
    • CareFirst
    • Cigna
    • First Health
    • Geisinger Health Plan
    • HealthSmart/Accel
    • Humana
    • Johns Hopkins Health Plans
    • MultiPlan
    • Pennsylvania's Preferred Health Networks (PPHN)
    • Point Comfort Underwriters
    • Private Healthcare Systems (PHCS)
    • UnitedHealthcare
    • Veteran Affairs Community Care Network (Optum-VACCN)