Biography
Dr. Buch is a board certified neurosurgeon with fellowship training in pediatric and adult epilepsy, functional, and minimally invasive neurosurgery. He is an Assistant Professor of Neurosurgery and Bioengineering, and the Christina and Hamid Moghadam Endowed Faculty Scholar at Stanford University.
Dr. Buch focuses his expertise on the open and minimally invasive treatment of epilepsy, low grade brain tumors, movement and neuropsychiatric disorders, facial and body pain syndromes, and other complex neurological conditions. He uses advanced and innovative techniques to treat both pediatric and adult patients. For each patient, he develops a personalized care plan that is designed to be both comprehensive and compassionate.
Dr. Buch has conducted extensive research. His academic career goal is to develop restorative bioengineering approaches for complex neurocognitive, neurodevelopmental, and neuropsychiatric disorders. He is creating network-neuroprosthetics and precision molecular therapies to restore abnormal brain circuit function in these vulnerable patient populations. He is further pioneering novel intraoperative technologies including personalized network-based targeting, holographic mixed reality, and artificial intelligence platforms for minimally invasive cranial surgery. He has presented this work at numerous professional conferences at the national and international level.
He has co-authored articles on his research discoveries in Science, Nature, Nature Medicine, Nature Neuroscience, Nature Communications, Neuron, Brain, Annals of Surgery, New England Journal of Medicine, ACS Nano, and many other journals. Articles focus on developing novel network control theory applications to human brain functions and new techniques and technologies to enhance neurosurgical effectiveness and patient outcomes.
He is the AI/Data Science Section Editor for NEUROSURGERY, and a guest editor for Surgical Innovation and Brain Sciences. He also has co-authored chapters in the books Neurosurgical Atlas, Operative Techniques in Epilepsy Surgery, Deep Brain Stimulation, and The Encyclopedia of Medical Robotics.
For his clinical, research, and academic achievements. Dr. Buch has earned many honors. He has won awards from the American Association of Neurological Surgeons, American Roentgen Ray Society, Congress of Neurological Surgeons, and National Institutes of Health, including twice earning the honor of national Young Neurosurgeon award from the Congress of Neurological Surgeons in his first 5 years of practice.
Dr. Buch is a national leader in epilepsy surgery, functional neurosurgery, and surgical AI. He is a member of the Wu Tsai Neuroscience Institute, Human Performance Alliance, Stanford BioX, and Human Centered AI Institute. He is also a member of the American Association of Neurological Surgeons, Congress of Neurological Surgeons, World Society for Stereotactic and Functional Neurosurgery, American Association of Stereotactic and Functional Neurosurgery, American Epeilepsy Soeciety, and Alpha Omega Alpha Medical Honor Society.
He has designed and holds patents on artificial intelligence systems for surgical guidance, neural control signals for closed-loop stimulation therapy, novel arrays for bioelectrical sensing and stimulation, and surgical devices including percutaneous anchoring mechanisms and digital neurological assessment tools.
Essential tremor patient story: https://www.youtube.com/watch?v=fV6BzyU9b3c
Parkinson's disease patient story: https://www.youtube.com/watch?v=vAKP7SRKs08
Epilepsy patient story: https://www.youtube.com/watch?v=HXy-gXg0t94&t=3s
Deep brain stimulation treatment: https://www.youtube.com/watch?v=xLgEcb447gA&t=1s
Laser interstitial thermal therapy treatment: https://www.youtube.com/watch?v=z-nRUMbs2kY&t=2s
MR-guided focused ultrasound treatment: https://www.youtube.com/watch?v=3Bwq2YxD9eU
Dr. Buch focuses his expertise on the open and minimally invasive treatment of epilepsy, low grade brain tumors, movement and neuropsychiatric disorders, facial and body pain syndromes, and other complex neurological conditions. He uses advanced and innovative techniques to treat both pediatric and adult patients. For each patient, he develops a personalized care plan that is designed to be both comprehensive and compassionate.
Dr. Buch has conducted extensive research. His academic career goal is to develop restorative bioengineering approaches for complex neurocognitive, neurodevelopmental, and neuropsychiatric disorders. He is creating network-neuroprosthetics and precision molecular therapies to restore abnormal brain circuit function in these vulnerable patient populations. He is further pioneering novel intraoperative technologies including personalized network-based targeting, holographic mixed reality, and artificial intelligence platforms for minimally invasive cranial surgery. He has presented this work at numerous professional conferences at the national and international level.
He has co-authored articles on his research discoveries in Science, Nature, Nature Medicine, Nature Neuroscience, Nature Communications, Neuron, Brain, Annals of Surgery, New England Journal of Medicine, ACS Nano, and many other journals. Articles focus on developing novel network control theory applications to human brain functions and new techniques and technologies to enhance neurosurgical effectiveness and patient outcomes.
He is the AI/Data Science Section Editor for NEUROSURGERY, and a guest editor for Surgical Innovation and Brain Sciences. He also has co-authored chapters in the books Neurosurgical Atlas, Operative Techniques in Epilepsy Surgery, Deep Brain Stimulation, and The Encyclopedia of Medical Robotics.
For his clinical, research, and academic achievements. Dr. Buch has earned many honors. He has won awards from the American Association of Neurological Surgeons, American Roentgen Ray Society, Congress of Neurological Surgeons, and National Institutes of Health, including twice earning the honor of national Young Neurosurgeon award from the Congress of Neurological Surgeons in his first 5 years of practice.
Dr. Buch is a national leader in epilepsy surgery, functional neurosurgery, and surgical AI. He is a member of the Wu Tsai Neuroscience Institute, Human Performance Alliance, Stanford BioX, and Human Centered AI Institute. He is also a member of the American Association of Neurological Surgeons, Congress of Neurological Surgeons, World Society for Stereotactic and Functional Neurosurgery, American Association of Stereotactic and Functional Neurosurgery, American Epeilepsy Soeciety, and Alpha Omega Alpha Medical Honor Society.
He has designed and holds patents on artificial intelligence systems for surgical guidance, neural control signals for closed-loop stimulation therapy, novel arrays for bioelectrical sensing and stimulation, and surgical devices including percutaneous anchoring mechanisms and digital neurological assessment tools.
Essential tremor patient story: https://www.youtube.com/watch?v=fV6BzyU9b3c
Parkinson's disease patient story: https://www.youtube.com/watch?v=vAKP7SRKs08
Epilepsy patient story: https://www.youtube.com/watch?v=HXy-gXg0t94&t=3s
Deep brain stimulation treatment: https://www.youtube.com/watch?v=xLgEcb447gA&t=1s
Laser interstitial thermal therapy treatment: https://www.youtube.com/watch?v=z-nRUMbs2kY&t=2s
MR-guided focused ultrasound treatment: https://www.youtube.com/watch?v=3Bwq2YxD9eU
View Full Biography
Professional Summary
Education & Certifications
- Board Certification: American Board of Neurological Surgery, Neurological Surgery (2024)
- Fellowship: Stanford University Dept of Neurosurgery (2021) CA
- Fellowship: University of Pennsylvania Dept of Neurology PA
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- Instructor, Stanford University, Epilepsy, Restorative, and Functional Neurosurgery, Department of Neurosurgery (2021)
- Fellowship, University of Pennsylvania, Epilepsy and Minimally Invasive Neurosurgery, Department of Neurosurgery (2020)
- Residency: University of Pennsylvania Dept of GME (2020) PA
- Medical Education: Warren Alpert Medical School Brown University (2013) RI
- Research Scholar, Howard Hughes Medical Institute - National Institutes of Health, Complex Network Science (2012)
Honors & Awards
- “Rookie of the Year” Influencers of Healthcare Nomination, Philadelphia Inquirer
- 2nd Place Overall Abstract Award, North American Neuromodulation Society
- Alpha Omega Alpha Selection, Medical National Honor Society
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- Annual Meeting Best Oral Presentation, Pennsylvania Neurosurgical State Society
- Award, Who’s Who in America
- Best Poster Award, Movement Disorders, American Society for Stereotactic and Functional Neurosurgery
- Cover Article Selection, Epilepsia
- Dr. Stanley M. Aronson Award -- Most Outstanding Student in Neurosciences in MD Class of 2013, The Warren Alpert Medical School of Brown University (2013)
- Editor’s Choice, World Neurosurgery Best Papers
- Editor’s Choice: Best Papers, Journal of Neurosurgery Peds
- Invited Speaker, PennHealthX Medical Innovation Symposium
- National Innovation Cohort Selection, Best Team, Lead Inventor, FedTech
- National Innovation Pre-Accelerator Advancement Selection, FedTech
- National Institutes of Health Research Scholar Selection, Howard Hughes Medical Institute
- New Investigator Award Finalist, Rhode Island Hospital Research Celebration
- Nomination, STAT Wunderkinds
- Nomination for TV Documentary Series, “New Frontiers in Neurosurgery”
- Pilot Award, Penn Health-Tech Medical Device Competition
- Podium Presentation Selection, American Society for Stereotactic and Functional Neurosurgery
- Podium Presentation Selection Functional Scientific Session, American Association of Neurological Surgeons
- Podium Presentation Selections, American Association of Neurological Surgeons
- Presidential Scholar, United States Department of Education
- Resident Award, American Roentgen Ray Society
- Sigma Xi Research Award -- Most Outstanding Student Researcher in MD Class of 2013, The Warren Alpert Medical School of Brown University (2013)
- Young Neurosurgeon of the Year Award - Functional & Restorative Neurosurgery, Congress of Neurological Surgeons
Administrative Appointments
- Christina and Hamid Moghadam Faculty Scholar, School of Medicine (2024 - Present)
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Publications
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Network Brain-Computer Interface (nBCI): An Alternative Approach for Cognitive Prosthetics
Buch, V. P., Richardson, A. G., Brandon, C., Stiso, J., Khattak, M. N., Bassett, D. S., & Lucas, T. H. (2018). Network Brain-Computer Interface (nBCI): An Alternative Approach for Cognitive Prosthetics. FRONTIERS IN NEUROSCIENCE, 12, 790. -
Development of an Intraoperative Pipeline for Holographic Mixed Reality Visualization During Spinal Fusion Surgery
Buch, V. P., Mensah-Brown, K. G., Germi, J. W., Park, B. J., Madsen, P. J., Borja, A. J., … Chen, H.-C. I. (2020). Development of an Intraoperative Pipeline for Holographic Mixed Reality Visualization During Spinal Fusion Surgery. SURGICAL INNOVATION, 1553350620984339. -
Refocusing neurosurgical resident education amidst the COVID-19 crisis: A mental imagery-based transfer learning approach for virtual teaching of operative fundamentals.
Sinha, S., Howard, S. D., & Buch, V. P. (2020). Refocusing neurosurgical resident education amidst the COVID-19 crisis: A mental imagery-based transfer learning approach for virtual teaching of operative fundamentals. Annals of Surgical Education. Retrieved from http://www.medtextpublications.com/open-access/refocusing-surgical-resident-education-amidst-the-covid-19-crisis-a-mental-648.pdf -
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Do-It-Yourself Augmented Reality Heads-Up Display (DIY AR-HUD): A Technical Note.
Yoon, J. W., Spadola, M., Blue, R., Saylany, A., Sharma, N., Ahmad, H. S., … Malhotra, N. R. (2021). Do-It-Yourself Augmented Reality Heads-Up Display (DIY AR-HUD): A Technical Note. International Journal of Spine Surgery. -
Policies Restricting Overlapping Surgeries Negatively Impact Access to Care, Clinical Efficiency and Hospital Revenue: A Forecasting Model for Surgical Scheduling.
Brandon, C., Ghenbot, Y., Buch, V., Contreras-Hernandez, E., Tooker, J., Dimentberg, R., … Lucas, T. H. (2020). Policies Restricting Overlapping Surgeries Negatively Impact Access to Care, Clinical Efficiency and Hospital Revenue: A Forecasting Model for Surgical Scheduling. Annals of Surgery. -
Theta Synchrony Is Increased near Neural Populations That Are Active When Initiating Instructed Movement
Ramayya, A. G., Yang, A., Buch, V. P., Burke, J. F., Richardson, A. G., Brandon, C., … Lucas, T. H. (2021). Theta Synchrony Is Increased near Neural Populations That Are Active When Initiating Instructed Movement. ENEURO, 8(1). -
Aventricular hemispherotomy: technical note
Brimley, C., Buch, V. P., Pisapia, J. M., & Kennedy, B. C. (2020). Aventricular hemispherotomy: technical note. JOURNAL OF NEUROSURGERY-PEDIATRICS, 26(6), 642–647. -
Focused Ultrasound Thalamotomy with Dentato-Rubro-Thalamic Tractography in Patients with Spinal Cord Stimulators and Cardiac Pacemakers
Buch, V. P., McShane, B. J., Beatson, N., Yang, A., Blanke, A., Tilden, D., … Baltuch, G. H. (2020). Focused Ultrasound Thalamotomy with Dentato-Rubro-Thalamic Tractography in Patients with Spinal Cord Stimulators and Cardiac Pacemakers. STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 98(4), 263–269. -
How technology is driving the landscape of epilepsy surgery
Dorfer, C., Rydenhag, B., Baltuch, G., Buch, V., Blount, J., Bollo, R., … Cukiert, A. (2020). How technology is driving the landscape of epilepsy surgery. EPILEPSIA, 61(5), 841–855. -
Near-Infrared Fluorescence with Second-Window Indocyanine Green as an Adjunct to Localize the Pituitary Stalk During Skull Base Surgery
Cho, S. S., Buch, V. P., Teng, C. W., De Ravin, E., & Lee, J. Y. K. (2020). Near-Infrared Fluorescence with Second-Window Indocyanine Green as an Adjunct to Localize the Pituitary Stalk During Skull Base Surgery. WORLD NEUROSURGERY, 136, 326. -
Thalamic Deep Brain Stimulation for Essential Tremor: Relation of the Dentatorubrothalamic Tract with Stimulation Parameters
Yang, A., Buch, V. P., Heman-Ackah, S. M., Ramayya, A. G., Hitti, F. L., Beatson, N., … Baltuch, G. H. (2020). Thalamic Deep Brain Stimulation for Essential Tremor: Relation of the Dentatorubrothalamic Tract with Stimulation Parameters. WORLD NEUROSURGERY, 137, E89–E97. -
F-18-Fluciclovine PET to distinguish treatment-related effects from disease progression in recurrent glioblastoma: PET fusion with MRI guides neurosurgical sampling
Henderson, F., Brem, S., O'Rourke, D. M., Nasrallah, M. L., Buch, V. P., Young, A. J., … Nabavizadeh, S. A. (2020). F-18-Fluciclovine PET to distinguish treatment-related effects from disease progression in recurrent glioblastoma: PET fusion with MRI guides neurosurgical sampling. NEURO-ONCOLOGY PRACTICE, 7(2), 152–157. -
Second Window Indocyanine Green (SWIG) Near Infrared Fluorescent Transventricular Biopsy of Pineal Tumor
Cho, A., Cho, S. S., Buch, V. P., Buch, L. Y., & Lee, J. Y. K. (2020). Second Window Indocyanine Green (SWIG) Near Infrared Fluorescent Transventricular Biopsy of Pineal Tumor. WORLD NEUROSURGERY, 134, 196–200. -
Stereoelectroencephalography in Pediatric Epilepsy Surgery
Tomlinson, S. B., Buch, V. P., Armstrong, D., & Kennedy, B. C. (2019). Stereoelectroencephalography in Pediatric Epilepsy Surgery. JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 62(3), 302–312. -
Novel Inter-Trial Resting State Network Analysis can Reliably Predict Learning and Performance of a Cognitive Reaction Time Task
Buch, V. P., Cameron, B., Archer, R., Stiso, J., Ramayya, A., Yang, A., … Lucas, T. (2019). Novel Inter-Trial Resting State Network Analysis can Reliably Predict Learning and Performance of a Cognitive Reaction Time Task. JOURNAL OF NEUROSURGERY. Retrieved from https://www.centerforautismresearch.org/novel-inter-trial-resting-state-network-analysis-can-reliably-predict-learning-and-performance -
Endoscopic endonasal resection versus open surgery for pediatric craniopharyngioma: comparison of outcomes and complications
Madsen, P. J., Buch, V. P., Douglas, J. E., Parasher, A. K., Lerner, D. K., Alexander, E., … Storm, P. B. (2019). Endoscopic endonasal resection versus open surgery for pediatric craniopharyngioma: comparison of outcomes and complications. JOURNAL OF NEUROSURGERY-PEDIATRICS, 24(3), 236–245. -
Increased dynamic modularity of the fronto-temporo-limbic network precedes enhanced task performance
Buch, V., Brandon, C., Khambhati, A., Richardson, A., Bassett, D., & Lucas, T. (2018). Increased dynamic modularity of the fronto-temporo-limbic network precedes enhanced task performance. Journal of Neurosurgery. -
Factors Predicting Ventriculostomy Revision at a Large Academic Medical Center
Ramayya, A. G., Glauser, G., Mcshane, B., Branche, M., Sinha, S., Kvint, S., … Ozturk, A. (2019). Factors Predicting Ventriculostomy Revision at a Large Academic Medical Center. WORLD NEUROSURGERY, 123, E509–E514. -
Detailed Analysis of Hydrocephalus and Hindbrain Herniation After Prenatal and Postnatal Myelomeningocele Closure: Report From a Single Institution
Flanders, T. M., Heuer, G. G., Madsen, P. J., Buch, V. P., Mackell, C. M., Alexander, E. E., … Adzick, N. S. (2020). Detailed Analysis of Hydrocephalus and Hindbrain Herniation After Prenatal and Postnatal Myelomeningocele Closure: Report From a Single Institution. NEUROSURGERY, 86(5), 637–645. -
An estimation of global volume of surgically treatable epilepsy based on a systematic review and meta-analysis of epilepsy
Vaughan, K. A., Ramos, C. L., Buch, V. P., Mekary, R. A., Amundson, J. R., Shah, M., … Park, K. B. (2019). An estimation of global volume of surgically treatable epilepsy based on a systematic review and meta-analysis of epilepsy. JOURNAL OF NEUROSURGERY, 130(4), 1127–1141. -
Lumbar decompression for dorsiflexion palsy
Buch, V. P., & Ozturk, A. K. (2016). Lumbar decompression for dorsiflexion palsy. JOURNAL OF THE NEUROLOGICAL SCIENCES, 362, 64–65. -
Rotational vertebrobasilar insufficiency due to compression of a persistent first intersegmental vertebral artery variant: case report
Buch, V. P., Madsen, P. J., Vaughan, K. A., Koch, P. F., Kung, D. K., & Ozturk, A. K. (2017). Rotational vertebrobasilar insufficiency due to compression of a persistent first intersegmental vertebral artery variant: case report. JOURNAL OF NEUROSURGERY-SPINE, 26(2), 199–202. -
Resident simulation training in endoscopic endonasal surgery utilizing haptic feedback technology
Thawani, J. P., Ramayya, A. G., Abdullah, K. G., Hudgins, E., Vaughan, K., Piazza, M., … Grady, M. S. (2016). Resident simulation training in endoscopic endonasal surgery utilizing haptic feedback technology. JOURNAL OF CLINICAL NEUROSCIENCE, 34, 112–116. -
Varicella zoster-induced magnetic resonance imaging abnormalities of the trigeminal nucleus
Douglas, J. E., Buch, V. P., & Mamourian, A. C. (2015). Varicella zoster-induced magnetic resonance imaging abnormalities of the trigeminal nucleus. JOURNAL OF THE NEUROLOGICAL SCIENCES, 359(1-2), 57–58. -
210 Human Sensorimotor Electrocorticography: Spectral Dynamics and Network Connectivity During a Simple Motor Task
Buch, V. P., Burke, J. F., Ramayya, A. G., Brandon, C., Hudgins, E., Richardson, A., & Lucas, T. H. (2016). 210 Human Sensorimotor Electrocorticography: Spectral Dynamics and Network Connectivity During a Simple Motor Task. Neurosurgery, 63(CN_suppl_1). -
Focused ultrasound for functional neurosurgery.
Lev-Tov, L., Barbosa, D. A., Ghanouni, P., Halpern, C. H., & Buch, V. P. (2021). Focused ultrasound for functional neurosurgery. Journal of Neuro-Oncology. -
Conversion to Hybrid Deep Brain Stimulation System to Enable Multi-Contact Fractionation Can be Therapeutic.
Ojukwu, D. I., Wang, A. R., Hornbeck, T. S., Lim, E. A., Sharrard, J., Dhall, R., … Halpern, C. H. (2022). Conversion to Hybrid Deep Brain Stimulation System to Enable Multi-Contact Fractionation Can be Therapeutic. Movement Disorders : Official Journal of the Movement Disorder Society. -
Magnetic resonance imaging-guided laser interstitial thermal therapy for refractory focal epilepsy in a patient with a fully implanted RNS system: illustrative case.
Buch, V. P., Mirro, E. A., Purger, D. A., Zeineh, M., Wilmer-Fierro, K., Razavi, B., & Halpern, C. H. (2022). Magnetic resonance imaging-guided laser interstitial thermal therapy for refractory focal epilepsy in a patient with a fully implanted RNS system: illustrative case. Journal of Neurosurgery. Case Lessons, 3(21), CASE22117. -
Pilot study of responsive nucleus accumbens deep brain stimulation for loss-of-control eating.
Shivacharan, R. S., Rolle, C. E., Barbosa, D. A., Cunningham, T. N., Feng, A., Johnson, N. D., … Halpern, C. H. (2022). Pilot study of responsive nucleus accumbens deep brain stimulation for loss-of-control eating. Nature Medicine. -
Methods and Impact for Using Federated Learning to Collaborate on Clinical Research.
Cheung, A. T., Nasir-Moin, M., Fred Kwon, Y. J., Guan, J., Liu, C., Jiang, L., … Oermann, E. K. (2022). Methods and Impact for Using Federated Learning to Collaborate on Clinical Research. Neurosurgery. -
Taking modern psychiatry into the metaverse: Integrating augmented, virtual, and mixed reality technologies into psychiatric care.
Ford, T. J., Buchanan, D. M., Azeez, A., Benrimoh, D. A., Kaloiani, I., Bandeira, I. D., … Williams, N. R. (2023). Taking modern psychiatry into the metaverse: Integrating augmented, virtual, and mixed reality technologies into psychiatric care. Frontiers in Digital Health, 5, 1146806. -
Multisite thalamic recordings to characterize seizure propagation in the human brain.
Wu, T. Q., Kaboodvand, N., McGinn, R. J., Veit, M., Davey, Z., Datta, A., … Parvizi, J. (2023). Multisite thalamic recordings to characterize seizure propagation in the human brain. Brain : a Journal of Neurology. -
Causal evidence for the processing of bodily self in the anterior precuneus.
Lyu, D., Stieger, J. R., Xin, C., Ma, E., Lusk, Z., Aparicio, M. K., … Parvizi, J. (2023). Causal evidence for the processing of bodily self in the anterior precuneus. Neuron. -
Long-term outcomes of mesial temporal laser interstitial thermal therapy for drug-resistant epilepsy and subsequent surgery for seizure recurrence: a multi-centre cohort study.
Youngerman, B. E., Banu, M. A., Khan, F., McKhann, G. M., Schevon, C. A., Jagid, J. R., … Wu, C. (2023). Long-term outcomes of mesial temporal laser interstitial thermal therapy for drug-resistant epilepsy and subsequent surgery for seizure recurrence: a multi-centre cohort study. Journal of Neurology, Neurosurgery, and Psychiatry. -
Accumbens connectivity during deep-brain stimulation differentiates loss of control from physiologic behavioral states.
Rolle, C. E., Ng, G. Y., Nho, Y.-H. H., Barbosa, D. A., Shivacharan, R. S., Gold, J. I., … Buch, V. (2023). Accumbens connectivity during deep-brain stimulation differentiates loss of control from physiologic behavioral states. Brain Stimulation. -
Predicting Sedation Level using Surface and Intracranial EEG with Convolutional Neural Networks during Emergence from Anesthesia
Han, L., Purger, D., Eagleman, S., Halpern, C., Buch, V., Razavi, B., … Drover, D. (2023). Predicting Sedation Level using Surface and Intracranial EEG with Convolutional Neural Networks during Emergence from Anesthesia. ANESTHESIA AND ANALGESIA. LIPPINCOTT WILLIAMS & WILKINS. -
An Individualized Tractography Pipeline for the Nucleus Basalis of Meynert Lateral Tract.
Crockett, R. A., Wilkins, K. B., Zeineh, M. M., McNab, J. A., Henderson, J. M., Buch, V. P., & Brontë-Stewart, H. M. (2023). An Individualized Tractography Pipeline for the Nucleus Basalis of Meynert Lateral Tract. MedRxiv : the Preprint Server for Health Sciences. -
Developing the surgeon-machine interface: using a novel instance-segmentation framework for intraoperative landmark labelling.
Park, J. J., Doiphode, N., Zhang, X., Pan, L., Blue, R., Shi, J., & Buch, V. P. (2023). Developing the surgeon-machine interface: using a novel instance-segmentation framework for intraoperative landmark labelling. Frontiers in Surgery, 10, 1259756. -
Subjective states induced by intracranial electrical stimulation matches the cytoarchitectonic organization of the human insula.
Duong, A., Quabs, J., Kucyi, A., Lusk, Z., Buch, V., Caspers, S., & Parvizi, J. (2023). Subjective states induced by intracranial electrical stimulation matches the cytoarchitectonic organization of the human insula. Brain Stimulation. -
Beyond mAP: Towards better evaluation of instance segmentation
Jena, R., Zhornyak, L., Doiphode, N., Chaudhari, P., Buch, V., Gee, J., & Shi, J. (2023). Beyond mAP: Towards better evaluation of instance segmentation. 2023 IEEE/CVF CONFERENCE ON COMPUTER VISION AND PATTERN RECOGNITION (CVPR). IEEE COMPUTER SOC. -
Evolution of SEEG Strategy: Stanford Experience.
Buch, V. P., & Parvizi, J. (2024). Evolution of SEEG Strategy: Stanford Experience. Neurosurgery Clinics of North America, 35(1), 83–85. -
Ultrasound-Induced Cascade Amplification in a Mechanoluminescent Nanotransducer for Enhanced Sono-Optogenetic Deep Brain Stimulation.
Wang, W., Kevin Tang, K. W., Pyatnitskiy, I., Liu, X., Shi, X., Huo, D., … Wang, H. (2023). Ultrasound-Induced Cascade Amplification in a Mechanoluminescent Nanotransducer for Enhanced Sono-Optogenetic Deep Brain Stimulation. ACS Nano. -
How the Brain Anticipates: From Neurons to Networks
Ramayya, A. G., Buch, V., Richardson, A., Lucas, T., & Gold, J. (2022). How the Brain Anticipates: From Neurons to Networks. JOURNAL OF NEUROSURGERY. AMER ASSOC NEUROLOGICAL SURGEONS. -
Navigated peel-away sheath assisted placement of fully pre-assembled Ommaya reservoir systems: Technical note.
Wathen, C. A., Punchak, M., Madsen, P., Vaughan, K., Buch, V., & Marcotte, P. J. (2024). Navigated peel-away sheath assisted placement of fully pre-assembled Ommaya reservoir systems: Technical note. World Neurosurgery: X, 23, 100295. -
The fasciola cinereum of the hippocampal tail as an interventional target in epilepsy.
Jamiolkowski, R. M., Nguyen, Q.-A. A., Farrell, J. S., McGinn, R. J., Hartmann, D. A., Nirschl, J. J., … Soltesz, I. (2024). The fasciola cinereum of the hippocampal tail as an interventional target in epilepsy. Nature Medicine. -
Emerging Outlook on Personalized Neuromodulation for Depression: Insights from Tractography-Based Targeting.
Sadeghzadeh, S., Swaminathan, A., Bhanot, P., Steeman, S., Xu, A., Shah, V., … Buch, V. P. (2024). Emerging Outlook on Personalized Neuromodulation for Depression: Insights from Tractography-Based Targeting. Biological Psychiatry. Cognitive Neuroscience and Neuroimaging. -
Dosimetric Comparison of Dedicated Radiosurgery Platforms for the Treatment of Essential Tremor: Technical Report.
Marianayagam, N. J., Paddick, I., Persad, A. R., Hori, Y. S., Maslowski, A., Thirunarayanan, I., … Adler, J. R. (2024). Dosimetric Comparison of Dedicated Radiosurgery Platforms for the Treatment of Essential Tremor: Technical Report. Cureus, 16(4), e57452. -
Dichotomous frequency-dependent phase synchrony in the sensorimotor network characterizes simplistic movement.
Buch, V. P., Brandon, C., Ramayya, A. G., Lucas, T. H., & Richardson, A. G. (2024). Dichotomous frequency-dependent phase synchrony in the sensorimotor network characterizes simplistic movement. Scientific Reports, 14(1), 11933. -
Naturalistic acute pain states decoded from neural and facial dynamics.
Huang, Y., Gopal, J., Kakusa, B., Li, A. H., Huang, W., Wang, J. B., … Keller, C. (2024). Naturalistic acute pain states decoded from neural and facial dynamics. BioRxiv : the Preprint Server for Biology. -
Rates and Predictors of Pain Reduction With Intracranial Stimulation for Intractable Pain Disorders.
Huang, Y., Sadeghzadeh, S., Li, A. H.-Y., Schonfeld, E., Ramayya, A. G., & Buch, V. P. (2024). Rates and Predictors of Pain Reduction With Intracranial Stimulation for Intractable Pain Disorders. Neurosurgery. -
Causal Cortical and Thalamic Connections in the Human Brain.
Parvizi, J., Lyu, D., Stieger, J., Lusk, Z., & Buch, V. (2024). Causal Cortical and Thalamic Connections in the Human Brain. Research Square. -
An individualized tractography pipeline for the nucleus basalis of Meynert lateral tract
Crockett, R. A., Wilkins, K. B., Zeineh, M. M., McNab, J. A., Henderson, J. M., Buch, V. P., & Brontë-Stewart, H. M. (2024). An individualized tractography pipeline for the nucleus basalis of Meynert lateral tract . Imaging Neuroscience, (2). -
Causal Cortical and Thalamic Connections in the Human Brain.
Lyu, D., Stiger, J., Lusk, Z., Buch, V., & Parvizi, J. (2024). Causal Cortical and Thalamic Connections in the Human Brain. BioRxiv : the Preprint Server for Biology. -
Safety and Efficacy of Staged, Bilateral Focused Ultrasound Thalamotomy in Essential Tremor: An Open-Label Clinical Trial.
Kaplitt, M. G., Krishna, V., Eisenberg, H. M., Elias, W. J., Ghanouni, P., Baltuch, G. H., … Murray, A. M. (2024). Safety and Efficacy of Staged, Bilateral Focused Ultrasound Thalamotomy in Essential Tremor: An Open-Label Clinical Trial. JAMA Neurology. -
Translating Molecular Approaches to Oligodendrocyte-Mediated Neurological Circuit Modulation.
Song, J., Saglam, A., Zuchero, J. B., & Buch, V. P. (2024). Translating Molecular Approaches to Oligodendrocyte-Mediated Neurological Circuit Modulation. Brain Sciences, 14(7). -
Cross-regional coordination of activity in the human brain during autobiographical self-referential processing.
Stieger, J. R., Pinheiro-Chagas, P., Fang, Y., Li, J., Lusk, Z., Perry, C. M., … Parvizi, J. (2024). Cross-regional coordination of activity in the human brain during autobiographical self-referential processing. Proceedings of the National Academy of Sciences of the United States of America, 121(32), e2316021121. -
Ictal Involvement of the Pulvinar and the Anterior Nucleus of the Thalamus in Patients With Refractory Epilepsy.
McGinn, R., Von Stein, E. L., Datta, A., Wu, T., Lusk, Z., Nam, S., … Parvizi, J. (2024). Ictal Involvement of the Pulvinar and the Anterior Nucleus of the Thalamus in Patients With Refractory Epilepsy. Neurology, 103(11), e210039. -
Multinuclear thalamic targeting with human stereotactic electroencephalography: surgical technique and nuances.
Jamiolkowski, R. M., Datta, A., Willsey, M. S., Parvizi, J., & Buch, V. P. (2024). Multinuclear thalamic targeting with human stereotactic electroencephalography: surgical technique and nuances. Journal of Neurosurgery, 1–9. -
"Quality over quantity:" smaller, targeted lesions optimize quality of life outcomes after MR-guided focused ultrasound thalamotomy for essential tremor.
Buch, V. P., Purger, D., Datta, A., Wang, A., Barbosa, D., Chodakiewitz, Y., … Ghanouni, P. (2024). "Quality over quantity:" smaller, targeted lesions optimize quality of life outcomes after MR-guided focused ultrasound thalamotomy for essential tremor. Frontiers in Neurology, 15, 1450699. -
Applying normative atlases in deep brain stimulation: a comprehensive review
Chang, B., Park, J. J., & Buch, V. P. (2024). Applying normative atlases in deep brain stimulation: a comprehensive review. INTERNATIONAL JOURNAL OF SURGERY, 110(12), 8037–8044. -
Applying normative atlases in deep brain stimulation: a comprehensive review.
Chang, B., Park, J. J., & Buch, V. P. (2024). Applying normative atlases in deep brain stimulation: a comprehensive review. International Journal of Surgery (London, England), 110(12), 8037–8044. -
Human response times are governed by dual anticipatory processes with distinct neural signatures.
Ramayya, A. G., Buch, V., Richardson, A., Lucas, T., & Gold, J. I. (2025). Human response times are governed by dual anticipatory processes with distinct neural signatures. Communications Biology, 8(1), 124. -
Deep learning models using intracranial and scalp EEG for predicting sedation level during emergence from anaesthesia.
Han, L., Purger, D. A., Eagleman, S. L., Halpern, C. H., Buch, V., Gaston, S. M., … Drover, D. R. (2024). Deep learning models using intracranial and scalp EEG for predicting sedation level during emergence from anaesthesia. BJA Open, 12, 100347. -
Editorial for Brain Sciences Special Issue "Advances in Restorative Neurotherapeutic Technologies".
Line, T. A., Elkinbard, I. S., Purger, D. A., & Buch, V. P. (2025). Editorial for Brain Sciences Special Issue "Advances in Restorative Neurotherapeutic Technologies". Brain Sciences, 15(3). -
Intracranial neuromodulation for pediatric drug-resistant epilepsy: early institutional experience.
Uchitel, J., Lui, A., Knowles, J., Parker, J. J., Phillips, H. W., Halpern, C. H., … Kumar, K. K. (2025). Intracranial neuromodulation for pediatric drug-resistant epilepsy: early institutional experience. Frontiers in Surgery, 12, 1569360. -
Topographical map of subjective states evoked by focal seizures and electrical stimulation of the human insula.
Duong, A., Daliri, A., Montavont, A., Von Stein, E. L., van Staalduinen, E. K., Pantis, S., … Parvizi, J. (2025). Topographical map of subjective states evoked by focal seizures and electrical stimulation of the human insula. Epilepsia. -
Naturalistic acute pain states decoded from neural and facial dynamics.
Huang, Y., Gopal, J., Kakusa, B., Li, A. H., Huang, W., Wang, J. B., … Keller, C. J. (2025). Naturalistic acute pain states decoded from neural and facial dynamics. Nature Communications, 16(1), 4371. -
Combining Clinical Evaluations and Neuroscience Research in the Human Intracranial Electroencephalography Practice: 15-Year Cohort Study.
Lusk, Z., Kwon, A. Y., Pantis, S., Nam, S., Lyu, D., Fisher, R., … Parvizi, J. (2025). Combining Clinical Evaluations and Neuroscience Research in the Human Intracranial Electroencephalography Practice: 15-Year Cohort Study. Journal of Cognitive Neuroscience, 1–18. -
Ketamine Increases Theta Oscillations and Cortical Connectivity of the Human Hippocampus
Solomon, E., Liu, T., Kauvar, I., Vesuna, S., Chibukhchyan, A., Yamada, L., … Deisseroth, K. (2025). Ketamine Increases Theta Oscillations and Cortical Connectivity of the Human Hippocampus. BIOLOGICAL PSYCHIATRY. ELSEVIER SCIENCE INC. -
Conserved brain-wide emergence of emotional response from sensory experience in humans and mice.
Kauvar, I., Richman, E. B., Liu, T. X., Li, C., Vesuna, S., Chibukhchyan, A., … Deisseroth, K. (2025). Conserved brain-wide emergence of emotional response from sensory experience in humans and mice. Science (New York, N.Y.), 388(6750), eadt3971. -
An individualized tractography pipeline for the nucleus basalis of Meynert lateral tract.
Crockett, R. A., Wilkins, K. B., Zeineh, M. M., McNab, J. A., Henderson, J. M., Buch, V. P., & Brontë-Stewart, H. M. (2024). An individualized tractography pipeline for the nucleus basalis of Meynert lateral tract. Imaging Neuroscience (Cambridge, Mass.), 2. -
Mapping human thalamocortical connectivity with electrical stimulation and recording.
Lyu, D., Stiger, J. R., Lusk, Z., Buch, V., & Parvizi, J. (2025). Mapping human thalamocortical connectivity with electrical stimulation and recording. Nature Neuroscience. -
Direct interactions between the human insula and hippocampus during memory encoding.
Huang, W., Lyu, D., Stieger, J. R., Gotlib, I. H., Buch, V., Wagner, A. D., & Parvizi, J. (2025). Direct interactions between the human insula and hippocampus during memory encoding. Nature Neuroscience. -
Targeted multinodal thalamic deep brain stimulation for epilepsy: A retrospective case series.
Chang, R., Reid, B., McGeoch, P., Lusk, Z., Graber, K., Fisher, R., … Buch, V. (2025). Targeted multinodal thalamic deep brain stimulation for epilepsy: A retrospective case series. Epileptic Disorders : International Epilepsy Journal with Videotape. -
Optimal stimulation of the thalamic centromedian nucleus in children with Lennox-Gastaut syndrome: patient series.
Warren, A. E., Xu, A., Barros Guinle, M. I., Johnstone, T., Teeyagura, P., Solidum, R., … Knowles, J. K. (2025). Optimal stimulation of the thalamic centromedian nucleus in children with Lennox-Gastaut syndrome: patient series. Journal of Neurosurgery. Case Lessons, 10(12). -
Electrophysiological connections linking medial pulvinar, anterior nuclei of the thalamus and the hippocampus.
Togo, M., Lyu, D., Huang, W., Pantis, S., Fisher, R., Matsumoto, R., … Parvizi, J. (2025). Electrophysiological connections linking medial pulvinar, anterior nuclei of the thalamus and the hippocampus. Brain : a Journal of Neurology. -
Seizure outcomes of laser interstitial thermal therapy (LITT) for drug-resistant extratemporal epilepsy.
Touponse, G. C., Wang, A. R., Buch, V. P., Purger, D. A., Halpern, C. H., Henderson, J. M., … Le, S. (2025). Seizure outcomes of laser interstitial thermal therapy (LITT) for drug-resistant extratemporal epilepsy. Epileptic Disorders : International Epilepsy Journal with Videotape. -
sEEG-guided responsive neurostimulation to treat neocortical epilepsy: A multicenter retrospective study of the efficacy and safety of depth electrode-mediated neuromodulation.
Sadeghzadeh, S., Purger, D. A., Bhanot, P., Johnson, N., Barbosa, D. A., Huang, Y., … Parker, J. J. (2025). sEEG-guided responsive neurostimulation to treat neocortical epilepsy: A multicenter retrospective study of the efficacy and safety of depth electrode-mediated neuromodulation. Epilepsia Open. -
ConvNeXt-Driven Detection of Alzheimer's Disease: A Benchmark Study on Expert-Annotated AlzaSet MRI Dataset Across Anatomical Planes.
Basereh, M., Abikenari, M. A., Sadeghzadeh, S., Dunn, T., Freichel, R., Siddarth, P., … Buch, V. P. (2025). ConvNeXt-Driven Detection of Alzheimer's Disease: A Benchmark Study on Expert-Annotated AlzaSet MRI Dataset Across Anatomical Planes. Diagnostics (Basel, Switzerland), 15(23). -
Evaluation of temperature elevation associated with low-intensity focused ultrasound (LIFU) stimulation with or without a deep brain electrode
Rao, V., Coetzee, J., Adamson, M., Buch, V., Perez, L., & Yoon, B. C. (2025). Evaluation of temperature elevation associated with low-intensity focused ultrasound (LIFU) stimulation with or without a deep brain electrode. JOURNAL OF NEUROTRAUMA. MARY ANN LIEBERT, INC. -
Distinct neural temporal architectures encode rapid social expressions and sustained internal mood states.
Kakusa, B., Gopal, J. R., Forman, L., Hartford, J. W., Brennan, T., Pantis, S., … Keller, C. J. (2025). Distinct neural temporal architectures encode rapid social expressions and sustained internal mood states. BioRxiv : the Preprint Server for Biology. -
Safety, feasibility, and technique of stereo-electroencephalography in children younger than 3 years.
Uchitel, J., Fariyike, O. A., Rockwood, S. J., Steeman, S., Kim, L. H., Choi, J., … Phillips, H. W. (2026). Safety, feasibility, and technique of stereo-electroencephalography in children younger than 3 years. Journal of Neurosurgery. Pediatrics, 1–10. -
Stereo-encephalography-guided multi-lead deep brain stimulation for treatment-refractory obsessive compulsive disorder - Study design and individualized surgical targeting approach.
Seilheimer, R. L., Qiu, L., Rocchio, G., Nho, Y.-H. H., Campos, G., Horn, A., … Scangos, K. W. (2026). Stereo-encephalography-guided multi-lead deep brain stimulation for treatment-refractory obsessive compulsive disorder - Study design and individualized surgical targeting approach. Journal of Affective Disorders, 121349. -
Neural decoding from stereotactic EEG: accounting for electrode variability across subjects
Mentzelopoulos, G., Chatzipantazis, E., Ramayya, A. G., Hedlund, M. J., Buch, V. P., Daniilidis, K., … Vitale, F. (2024). Neural decoding from stereotactic EEG: accounting for electrode variability across subjects. ADVANCES IN NEURAL INFORMATION PROCESSING SYSTEMS 37 (NEURIPS 2024). NEURAL INFORMATION PROCESSING SYSTEMS (NIPS). -
Functional Architecture of the Human Insula Revealed by Causal Intracranial Mapping.
Parvizi, J., Quabs, J., Pantis, S., Chen, G., Huang, W., Ma, E., … Vogel, H. (2026). Functional Architecture of the Human Insula Revealed by Causal Intracranial Mapping. Research Square. -
Arachnoid Membrane Segmentation in Intraoperative Microscopic MVD Surgery Scenes
Lee, J., Lee, H., Park, J. J., Ahn, J. W., Kwon, J. Y., McMahon, C., … Buch, V. P. (2026). Arachnoid Membrane Segmentation in Intraoperative Microscopic MVD Surgery Scenes. COLLABORATIVE INTELLIGENCE AND AUTONOMY IN IMAGE-GUIDED SURGERY, COLAS 2025. SPRINGER INTERNATIONAL PUBLISHING AG.
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Do-It-Yourself Augmented Reality Heads-Up Display (DIY AR-HUD): A Technical Note.
Practice Locations
Comprehensive Epilepsy Program in Palo Alto Palo Alto, CA
Palo Alto, CA
Comprehensive Epilepsy Program in Palo Alto
213 Quarry Rd
Palo Alto , CA 94304
Make An Appointment More Clinic Information Getting HereMovement Disorders Program in Palo Alto Palo Alto, CA
Palo Alto, CA
Movement Disorders Program in Palo Alto
213 Quarry Rd
Palo Alto , CA 94304
Make An Appointment More Clinic Information Getting HereNeurosurgery Program Palo Alto, CA
Palo Alto, CA
Neurosurgery Program
213 Quarry Rd
Palo Alto , CA 94304
Make An Appointment More Clinic Information Getting HereImportant Information about Our Organizations and Physician Affiliation
Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Medicine Partners are each independent nonprofit organizations that are affiliated with but separate from each other and from Stanford University. The physicians who provide care at facilities operated by Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Medicine Partners are faculty, foundation, or community physicians who are not employees, representatives, or agents of Stanford Health Care, Stanford Health Care Tri- Valley, or Stanford Medicine Partners. Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Medicine Partners do not exercise control over the care provided by such faculty, foundation, and community physicians and are not responsible for their actions.
Review Summary
Dr. Buch is described as thorough, informative, and helpful in answering questions. Many found that he takes the time to explain procedures and options clearly, demonstrating concern and offering detailed information. Some appreciate his personable manner and the time he dedicates to ensuring understanding.
The summary was created by AI, based on recent patient reviews. Learn more
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Patient Reviews
(58 reviews)
Would prefer to see him over the previous doctor. Other doctor was rude, instantly interrupted and seemed to have little to no knowledge of my medical history
He is great
So is Dr Donaldson
Both he and Dr. Chris McDonaldson were very thorough in explaining and addressing my health issue. Excellent video appointment!
Dr. Buch’s team is amazing. So thankful I’m their patient.
Appreciate the consideration and extended courtesy staff and medical doctors showed due to my extenuating circumstances with transportation over to the facility. Also appreciate the thorough explanation provided about different medical treatments shortcomings of current meds as well as previous medical providers.
excellent informative
Great explanations.
Takes time to answer any and all questions and happy to explain things
Caring, Professional, Knowledgeable.
Very informative and very helpful. Easy to talk to.
Thank you for spending your time to explain my test results. Thank you so very much.
Great staff and they were so helpful with the patients needs. Physician was excellent in explaining everything we needed to know and helped us to understand the options for treatment.
We only talked with Dr. Buch's assistant.
Communicated well, very concerned. I like him.
DR. VIVEK AND HIS PA SPENT AN INORDINATE AMOUNT OF TIME IN TESTING AND CLEARLY EXPLAINING THE PROCESS AND RISK BENEFIT ASPECT OF THE ET PROGRAM
I appreciate your excellent care and expertise.
The perfect balance of knowledge, experience, empathy, frankness, and confidence!
It was my first time meeting Dr. Buch. He was a great listener. He was very comprehensive in explaining the different procedures and my options. He went way beyond my allotted 30 min. consul
Excellent video visit. Dr Buch took extra time to help me understand exactly what would happen.
I appreciate all the time he spent with me. He was very professional and kind.
EXCELLENT 😃
Very informative & explained clearly.
A+
We had a good discussion about my procedure and condition.
He is thorough and took his time. We felt truly taken care of. Thank you,
Very good at giving us the information that we needed to know. Very helpful in answering our questions.
Appreciate Dr. Vivek Buch medical care.
He was very personable and understanding. I appreciate that.
Great staff
Very thoughtful, informative, curtius, seemed genuinely concerned and extremely knowledgeable.
He is the epitome of what a medical professional should be. He was not rushed in giving me the information I was looking for and answered many questions about my specific case. His knowledge base and how he tied my issues together gave me a lot of confidence in him.
Dr. Buch takes time with his patients like few doctors these days!
I could not be more pleased with this visit!
Very empathetic
Dr. Buch is a good doctor and cares about his patients. He comes across sincere and takes time to explain the procedure.
Seemed very knowledgeable about the procedure and thoroughly answered all our questions. Highly recommend him and his staff.
Dr Buch, Erica, and Jeff Solomon were very helpful.
Was very pleased with my Dr and his team
I thought he was very friendly compassionate knowledgeable.
I think your team performed a miracle for me.
Dr. Buch seems an extremely well-informed doctor, and very personable too. He was a pleasure to converse with, while remaining completely connected to the facts. He put me at ease because of this. Putting one's wellness in another's hands literally is an exchange of trust, and I came out of this visit with a positive impression. I appreciated his taking my every query seriously. Thank you.
The appointment was well organised. I asked all questions and got the professional answers. The software worked without delays. The software is simple and convenient.
Excellent
Super fantastic!
Dr bush has excellent bedside manner and brings all conversations to a level that I can understand.
Grateful for his expertise and knowledge.
Dr. Buch helped my wife and I to understand what phase 3 entailed and explained what would be happening during the procedure in great detail.
This is the third time I have been admitted to Stanford and all three times represent the best medical experiences that I have ever had in my life. During this Epilepsy study, my doctors were absolutely phenomenal, my nurses had excellent bedside manner and were always attentive to my needs. Also, the research trial team that I worked with were extremely professional and made the process easy to understand. This is by far the best medical institution in California, if not the entire country.
He is very kind, caring and explains things well. This was my first visit with Dr. Buch and I look forward to meeting him in person soon.
very professional, friendly
Ms Erika Lim was thorough and professional as well as kind and understanding in the initial interview. I felt briefed and prepared to meet with Dr Buch.
Dr Buch explained the procedure and realistic expectations for the outcome. He is personable and exudes confidence. I felt like I was meeting with my long term primary care Dr.
He is empathetic and knowledgeable!
Traci Hornbeck, PA and Vivek Buch, MD were thorough in their explanations. Very professional and empathetic.
Great staff! Thank you for everything you do!
Great people
Dr. Buch was very informative,patient, he took great time to discuss our concerns and my husbands symptoms. We are actually looking forward to the process and feel hopeful.
Dr Buch is incredibly knowledgeable and patiently answered all of our questions. The whole neurology team is attentive with good communication
Great surgeon! He provided me a clear explanation of the surgeries that have been planned for me, the high-level plan for the surgery and the 'why' behind the plan. He also explained the side-effects of the surgery during and post-surgery. The consultation with Dr. Buch gave me a lot of confidence ahead of my surgeries.
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