Department of  Neurosurgery
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Joshua L. Dowling, MD

Joshua L. Dowling, MDProfessor of Neurological Surgery

Washington University School of Medicine
Department of Neurological Surgery
660 S. Euclid Avenue
Campus Box 8057
St. Louis, Missouri 63110

Administration Office: 314-747-6143
Patient Appointments: 314-362-3577
Fax: 314-362-2107

Clinical Interests
Neurosurgical procedures for pain; trigeminal neuralgia; brain tumors; epilepsy surgery; stereotactic treatment of movement disorders.

Research Interests
Outcomes of surgical treatments for pain, movement disorders, and epilepsy.

Education
BA, Yale University
New Haven, Connecticut
1982-1985

MD, Tulane University School of Medicine
New Orleans, Louisiana
1985-1989

Residency
Intern, General Surgery
Barnes-Jewish Hospital & Washington University School of Medicine
St. Louis, Missouri
1989-1990

Resident, Neurological Surgery
Barnes-Jewish Hospital & Washington University School of Medicine
St. Louis, Missouri
1990-1995

Chief Resident, Neurological Surgery
Barnes-Jewish Hospital & Washington University School of Medicine
St. Louis, Missouri
1995-1996

Fellowship
Fellow, Stereotactic & Functional Neurological Surgery
Department of Neurological Surgery
Oregon Health Sciences University
Portland, Oregon
1996-1997

Hospital Appointments
Barnes-Jewish Hospital, St. Louis, MO
St. Louis Children's Hospital, St. Louis, MO

Medical Licensure
Missouri, Illinois

Board Certification
American Board of Neurological Surgeons (2002)

Publications

  1. Liu D, Dowling JL, Acosta K, Spence ME, Rovainen CM, Woolsey TA. Vessel patterns over rat barrel cortex. Abstract, Soc Neurosci 1993;19:106.
  2. Dowling JL, Moskalenko Y, Liu D, Rovainen CM, Spence ME, Woolsey TA. Local cerebral blood flow in rat somatosensory cortex during whisker stimulation. Abstract, Soc Neurosci 1993;19:1221.
  3. Woolsey TA, Rovainen CM, Cox SB, Dowling JL, Liang G, Liu D, Moskalenko YE, Sui J. Whisker barrels: A model for studies of cerebral microvessels. Abstract, Microcirculatory Soc 1994;8:A1062.
  4. Moskalenko YE, Rovainen C, Woolsey TA, Dowling JL, Liu D, Semernia VN. Combined methods for monitoring cerebrovascular reactivity. Sechenov Physio J 1994;80(2):144-153.
  5. Moskalenko YE, Dowling JL, Liu D, Rovainen C, Woolsey TA. Dynamic patterns of local cerebral blood flow (LCBF) monitored by pH2 in rat during stimulation of different whiskers. Abstract, Microcirculatory Soc 1994;8:A1052.
  6. Henegar MM, Dowling JL, Liu D, Rovainen C, Woolsey TA, Grubb RL. Intrinsic cortical responses in the rat barrel cortex with prolonged whisker stimulation. Abstract, Soc Neurosci 1994;20:1422.
  7. Liu D, Dowling JL, Spence ME, Rovainen CM, Woolsey TA. Blood flow responses in the rat barrel cortex during whisker stimulation. Abstract, Soc Neurosci 1994;10:1422.
  8. Dowling JL, Liu D, Rovainen C, Woolsey TA. Imaging vascular responses in the rat barrel cortex. Abstract, Microcirculatory Soc 1994;8:A1038.
  9. Woolsey TA, Rovainen C, Liang G, Sui J, Liu D, Henegar MM, Dowling JL, Wei L, Moskalenko Y, Cox SB. Functional modulation of the LCBF: Relationships between neural modules and vascular units. XVII. International Symposium on Cerebral Blood Flow and Metabolism. Cologne, Germany, 1995;15(1):S532
  10. Henegar MM, Dowling JL, Liu D, Rovainen C, Woolsey TA, Grubb RL. Fluctuation in somatosensory optical signal during sustained stimulation. Abstract, Soc of Neurosci 1995;20:1422.
  11. Henegar MM, Dowling JL, Liu D, Rovainen C, Woolsey TA. Near real time continuous optical imaging of the cortical activity in an animal model. Sixty-third Annual Meeting of the American Association of Neurological Surgeons, 1995:93-94.
  12. Henegar MM, Dowling JL, Liu D, Rovainen C, Silbergeld DL, Woolsey TA. Mapping cortical activity with optical imaging. Forty-fifth Annual Meeting of the Congress of Neurological Surgeons 1995:295-296.
  13. Moskalenko Y, Dowling JL, Liu D, Rovainen CM, Semernia V, Woolsey TA. LCBF changes in the rat somatosensory cortex during whisker stimulation monitored by dynamic H2 clearance studies. Int J Psychophysiol 1996;21:45-59.
  14. Henegar MM, Dowling JL, Liu D, Rovainen C, Woolsey TA, Grubb RL. Fluctuation in somatosensory optical signal during sustained stimulation. Seventh Annual Spring Brain Conference. Poco Diablo Resort, Sedona, AZ, 1996;19(8.11).
  15. Henegar MM, Dowling JL, Liu D, Rovainen C, Woolsey TA. Optical responses in rat somatosensory cortex to sustained whisker stimulation. Microcirculatory Society Meeting 1996:2.
  16. Dowling JL, Vollmer DG. Prognosis in head injury. In: Tindall GT, Cooper PR, Barrow DL, eds. The Practice of Neurosurgery. Williams & Wilkins, Baltimore, 1996.
  17. Dowling JL, Henegar MM, Liu D, Rovainen CM, Woolsey TA. Rapid optical imaging of whisker responses in the rat barrel cortex. J Neurosci Methods 1996;66:113-122.
  18. Dowling JL, Dacey Jr., RG. Factors affecting brain injury in subarachnoid hemorrhage. In: Uzzell BP, Stonnington HH, eds. Recovery After Traumatic Brain Injury. Lawrence Erlbaum Associates, New Jersey, 1996.
  19. Dowling JL, Brown AP, Dacey, Jr., RG. Cerebrovascular complications in the head injury patient. In: Narayan RK, Wilberger JE, Polvishock JT, eds. Neurotrauma. McGraw-Hill, New York, 1996.
  20. Shah AR, Misko TP, Rieger JM, Lewis AM, Dowling JL, Park TS, Gidday JM. Nitric oxide donors promote peroxynitrite-mediated cerebrovascular endothelial injury following in vitro ischemia. Abstract, Soc Neurosci 1999.
  21. Revilla FJ, Dowling JL, Rich KM, Loepker A, Perlmutter JS, Mink JW. Clinical Outcome of Bilateral Subthalamic Nucleus Stimulation in Patients with Parkinson’s Disease. Mov Disord. 2001;16(5):2-3.
  22. Racette BA, Dowling JL, Randle J, Mink JW. Thalamic Stimulation for Primary Writing Tremor. Journal of Neurology. 248 (5):380-2, 2001.
  23. Revilla FJ, Dowling JL, Rich KM, Loepker A, Perlmutter JS, Mink JW. Clinical Outcome of Bilateral Subthalamic Nucleus Stimulation in Patients with Parkinson’s Disease. Fifteenth Annual Symposia on Etiology, Pathogenesis and Treatment of Parkinson’s Disease and Other Movement Disorders, 2001 Sept.
  24. Revilla FJ, Mink JW, McGee-Minnich L, Antenor J, Leverich L, Moerlein S, Dowling JL, Perlmutter JS. Radiation-Induced Parkinsonism with good response to Levodopa and Bilateral Subthalamic Nuclei Stimulation. Sixteenth Annual Symposia on Etiology, Pathogenesis, and Treatment of Parkinson’s Disease and Other Movement Disorders, 2002 Oct. (accepted).
  25. Revilla FJ, Dowling JL, Boero J, Loepker A, Perlmutter JS. Bilateral Subthalamic Nuclei Stimulation as an Urgent Procedure in a Hospitalized Patient with Advanced Parkinson’s Disease and Severe Intercurrent Medical Illness. American Neurological Association 127th Annual Meeting, 2002 Oct. (accepted)
  26. Revilla FJ, Mink JW, Rich KM, Dowling JL, Loepker A, Perlmutter JS. Clinical Outcome of Bilateral Subthalamic Nucleus Stimulation in Patients with Parkinson’s Disease and Previous Pallidotomy. The Movement Disorder Society’s 7th International Congress of Parkinson’s Disease and Movement Disorders, 2002 Nov. (accepted)
  27. Kelley WM, Ojemann JG, Wetzel RD, Derdeyn CP, Moran CJ, Cross DT, Dowling JL, Miller JW, Petersen SE: Wada testing reveals frontal lateralization for the memorization of words and faces. Journal of Cognitive Neuroscience 14 (1):116-25, 2002.
  28. Attarian H, Dowling J, Carter J, Gilliam F: Video EEG monitoring prior to vagal nerve stimulator implantation. Neurology 61(3):402-3, 2003.
  29. Hershey T, Revilla FJ, Wernle AR, McGee-Minnich L, Antenor JV, Videen TO, Dowling JL, Mink JW, Perlmutter JS: Cortical and subcortical blood flow effects of subthalamic nucleus stimulation in PD. Neurology 61(6):816-821, 2003.
  30. Hershey T, Revilla FJ, Wernle A, Gibson PS, Dowling JL, Perlmutter JS. Stimulation of STN impairs aspects of cognitive control in PD. Neurology. 2004 Apr 13;62(7):1110-4.
  31. Altay EE, Fessler AJ, Gallagher M, Attarian HP, Dehdashti F, Vahle VJ, Ojemann J, Dowling JL, Gilliam FG. Correlation of severity of FDG-PET hypometabolism and interictal regional delta slowing in temporal lobe epilepsy. Epilepsia. 2005 Apr;46(4):573-6.
  32. Dowling JL. Commentary on Chapter 17: Cerebrospinal Fluid Shunts. In Johnson RE, Virgo KS eds. The Bionic Human: Health Promotion for People with Implanted Devices­. Humana Press, Totowa, New Jersey, in press.
  33. Dryzmala RE, Malyapa RS, Dowling JL, Rich, KM, Simpson, JR, Mansur DB. Gamma Knife Radiosurgery for Trigeminal Neuralgia: The Washington University Initial Experience. Stereotact Funct Neurosurg 2005;83:148-152.
  34. Dowling JL. US Counterpoint: Cerebrospinal Fluid Shunts. In Johnson RE, Virgo KS eds. The Bionic Human: Health Promotion for People with Implanted Devices. Humana Press, New Jersey, 2006.
  35. Leuthardt EC, Miller K, Anderson NR, Schalk G, Dowling J, Miller J, Moran DW, Ojemann JG. Electrocorticographic frequency alteration mapping: a clinical technique for mapping the motor cortex. Neurosurgery. 2007 Apr; 60(4 Suppl 2):260-70; discussion 270-1.
  36. Tabbal SD, Revilla FJ, Mink JW, Schneider-Gibson P, Wernle AR, de Erausquin GA, Perlmutter JS, Rich KM, Dowling JL. Safety and efficacy of subthalamic nucleus deep brain stimulation performed with limited intraoperative mapping for treatment of Parkinson’s disease. Neurosurgery. 2007 Sep; 61(3 Suppl):119-27; discussion 127-9.
  37. Dowling J. Deep brain stimulation: current and emerging indications. [Review] [25 refs]. Missouri Medicine. 2008. Sept-Oct;105(5):424-8.