Joseph H. Piatt, MD

Division Chief

Nemours Children's Hospital, Delaware 1600 Rockland Road Wilmington, DE 19803

My research interests include: 

  • Epidemiology of pediatric neurosurgical conditions
  • Health care outcome disparities in pediatric neurosurgery
  • Quality measurement in the management of hydrocephalus

Fellowship

  • Pediatric Neurosurgery - The Hospital for Sick Children, 1987

Internship

  • Surgery - Hospital of The University of Pennsylvania, 1980

Residency

  • Neurology - Oregon Health and Sciences University, 1983
  • Neurosurgery - Duke University Medical Center, 1986

Medical/Dental School

  • MD - University of Pennsylvania School of Medicine, 1979

Board Certifications

  • American Board of Neurological Surgery

  • Arachnoid Cysts
  • Brachycephaly
  • Brain Tumors
  • Cerebral Cavernous Malformation
  • Chiari Malformation
  • Craniosynosis
  • Dystonia
  • Encephalocele
  • Epilepsy
  • Hematoma
  • Hydrocephalus
  • Hypothalamic Hamartoma
  • Macrocephaly
  • Moyamoya Disease
  • Neurofibromatosis
  • Plagiocephaly Torticollis
  • Sacral Dimple
  • Seizures
  • Skeletal Dysplasia/ Achondroplasia
  • Spasticity
  • Spina Bifida
  • Spine Fractures
  • Tethered Cord

  • Tangential cranial gunshot wound in an infant in historical context: illustrative case; Journal of Neurosurgery: Case Lessons; (2022).

    View Full Publication
  • A taxonomy of childhood pedal cyclist injuries from latent class analysis: associations with factors pertinent to prevention; Injury Epidemiology; (2022).

    View Full Publication
  • Low-pressure CSF shunt malfunction without preceding lumbar puncture treated by epidural blood patch: report of 2 cases; Child's Nervous System; (2021).

    View Full Publication
  • Racial disparities in mortality after severe traumatic brain injury in childhood: mediators identified by Oaxaca-Blinder decomposition of trauma registry data; Injury Epidemiology; (2021).

    View Full Publication
  • Pediatrics; Operative neurosurgery (Hagerstown, Md.); (2019).

    View Full Publication
  • Epidemiology of spinal injury in childhood and adolescence in the United States: 1997-2012; Journal of Neurosurgery: Pediatrics; (2018).

    View Full Publication
  • Penetrating spinal injury in childhood: The influence of mechanism on outcome. An epidemiological study; Journal of Neurosurgery: Pediatrics; (2018).

    View Full Publication
  • Principles of system design not realized for pediatric craniospinal trauma care in the United States; Journal of Neurosurgery: Pediatrics; (2018).

    View Full Publication
  • The Preventable Shunt Revision Rate and the measurement of quality in pediatric hydrocephalus; Journal of Neurosurgery: Pediatrics; (2017).

    View Full Publication
  • Response; Journal of Neurosurgery: Pediatrics; (2017).

    View Full Publication
  • Giant hypothalamic hamartoma; Applied Radiology; (2017).

    View Full Publication
  • Constitutional LZTR1 mutation presenting with a unilateral vestibular schwannoma in a teenager; Clinical Genetics; (2017).

    View Full Publication
  • Macrocephaly in infancy: Benign enlargement of the subarachnoid spaces and subdural collections; Journal of Neurosurgery: Pediatrics; (2016).

    View Full Publication
  • Adults with myelomeningocele and other forms of spinal dysraphism: Hospital care in the United States since the turn of the millennium; Journal of Neurosurgery: Spine; (2016).

    View Full Publication
  • Pediatric Head Injury in the Delaware Trauma System: Toward Improved Calibration of Severity and Resource Utilization; Delaware medical journal; (2016).

    View Full Publication
  • Response; Journal of Neurosurgery: Pediatrics; (2016).

    View Full Publication
  • Beta hairpin peptide hydrogels as an injectable solid vehicle for neurotrophic growth factor delivery; Biomacromolecules; (2015).

    View Full Publication
  • Incidental findings on brain and spine imaging in children; Pediatrics; (2015).

    View Full Publication
  • Spinal cord injury without radiographic abnormality and the chiari malformation: Controlled observations; Pediatric Neurosurgery; (2015).

    View Full Publication
  • Response; Journal of Neurosurgery: Pediatrics; (2015).

    View Full Publication
  • Pediatric spinal injury in the US: Epidemiology and disparities; Journal of Neurosurgery: Pediatrics; (2015).

    View Full Publication
  • Thirty-day outcomes of cerebrospinal fluid shunt surgery: Data from the National Surgical Quality Improvement Program-Pediatrics: Clinical article; Journal of Neurosurgery: Pediatrics; (2014).

    View Full Publication
  • Quality measurement in the shunt treatment of hydrocephalus: Analysis and risk adjustment of the Revision Quotient: Clinical article; Journal of Neurosurgery: Pediatrics; (2014).

    View Full Publication
  • Fracture of the anterior arch of atlas after minor trauma of the immature spine postlaminectomy; Pediatric Emergency Care; (2014).

    View Full Publication
  • Quality measures for the management of hydrocephalus: Concepts, simulations, and preliminary field-testing: Clinical article; Journal of Neurosurgery: Pediatrics; (2013).

    View Full Publication
  • Comments; Neurosurgery; (2013).

    View Full Publication
  • Cerebellar gliomatosis in a toddler: Case report of a challenging condition and review of the literature; Journal of Child Neurology; (2012).

    View Full Publication
  • Response; Journal of Neurosurgery: Pediatrics; (2012).

    View Full Publication
  • Hospital care of childhood traumatic brain injury in the United States, 1997-2009: A neurosurgical perspective: Clinical article; Journal of Neurosurgery: Pediatrics; (2012).

    View Full Publication
  • Developmental anatomy of the atlas and axis in childhood bycomputed tomography: Clinical article; Journal of Neurosurgery: Pediatrics; (2011).

    View Full Publication
  • Conflict of interest; Journal of Neurosurgery; (2011).

    View Full Publication
  • Acute VI nerve palsy in a 4 year-old girl with Chiari I malformation and pontomedullary extension of syringomyelia: Case report and review of the literature; European Journal of Paediatric Neurology; (2011).

    View Full Publication
  • Intracranial localisation of ictal urinary urge epileptogenic zone to the non-dominant temporal lobe; Epileptic Disorders; (2011).

    View Full Publication
  • Prevention and management of positional skull deformities in infants; Pediatrics; (2011).

    View Full Publication
  • Intracranial suppuration complicating sinusitis among children: An epidemiological and clinical study - Clinical article; Journal of Neurosurgery: Pediatrics; (2011).

    View Full Publication
  • "Never events" come to neurosurgery; Journal of Neurosurgery; (2010).

    View Full Publication
  • Cervical spine clearance; Journal of Neurosurgery: Pediatrics; (2010).

    View Full Publication
  • Treatment of myelomeningocele: A review of outcomes and continuing neurosurgical considerations among adults - A review; Journal of Neurosurgery: Pediatrics; (2010).

    View Full Publication
  • Sagittal synostosis and ossified scalp hematoma: Cause or consequence? Report of 2 cases; Journal of Neurosurgery: Pediatrics; (2010).

    View Full Publication
  • Posthemorrhagic ventricular dilation; Journal of Neurosurgery: Pediatrics; (2010).

    View Full Publication
  • Neurosurgical education for pediatricians; Journal of Neurosurgery: Pediatrics; (2009).

    View Full Publication
  • Jefferson fractures of the immature spine: Report of 3 cases; Journal of Neurosurgery: Pediatrics; (2009).

    View Full Publication
  • A multicenter study of factors influencing cerebrospinal fluid shunt survival in infants and children; Neurosurgery; (2009).

    View Full Publication
  • Tethered cord release; Journal of Neurosurgery: Pediatrics; (2009).

    View Full Publication
  • Clinical diagnosis of ventriculoperitoneal shunt failure among children with hydrocephalus; Pediatric Emergency Care; (2008).

    View Full Publication
  • Surgical management of the Chiari malformation Type I - The way forward; Journal of Neurosurgery: Pediatrics; (2008).

    View Full Publication
  • Subdural hygroma associated with axillary cystic hygroma; Journal of Pediatric Neurology; (2008).

    View Full Publication
  • Ultrasound guidance; Journal of Neurosurgery: Pediatrics; (2008).

    View Full Publication
  • The section on neurological surgery of the American academy of pediatrics: Annual report 2006 to 2007; Journal of Neurosurgery: Pediatrics; (2008).

    View Full Publication
  • Cervical spinal cord neurapraxia in the setting of Klippel-Feil anomaly: A diagnostic and therapeutic challenge; Spinal Cord; (2007).

    View Full Publication
  • The section on neurological surgery of the American Academy of Pediatrics: Annual Report 2005 to 2006; Journal of Neurosurgery; (2007).

    View Full Publication
  • Survival of shunts; Journal of Neurosurgery; (2007).

    View Full Publication
  • Monte Carlo simulation of cerebrospinal fluid shunt failure and definition of instability among shunt-treated patients with hydrocephalus; Journal of Neurosurgery; (2007).

    View Full Publication
  • Intrathecal baclofen overdose and withdrawal; Pediatric Emergency Care; (2006).

    View Full Publication
  • Dorsal rhizotomy; Journal of Neurosurgery; (2006).

    View Full Publication
  • Detected and overlooked cervical spine injury in comatose victims of trauma: Report from the Pennsylvania Trauma Outcomes Study; Journal of Neurosurgery: Spine; (2006).

    View Full Publication
  • The Section on Neurological Surgery of the American Academy of Pediatrics Annual Report 2004-2005.; Journal of neurosurgery; (2006).

    View Full Publication
  • Application of computer-assisted design in craniofacial reconstructive surgery using a commercial image guidance system: Technical note; Journal of Neurosurgery; (2006).

    View Full Publication
  • Virtual and medical prototype assisted craniofacial reconstructive surgery; Virtual Modelling and Rapid Manufacturing - Advanced Research in Virtual and Rapid Prototyping; (2005).

    View Full Publication
  • Progressive syringomyelia controlled by treatment of associated hydrocephalus in an infant with birth injury: Case report; Journal of Neurosurgery; (2005).

    View Full Publication
  • Intramedullary spinal tumors; Textbook of Neuro-Oncology; (2005).

    View Full Publication
  • Detected and overlooked cervical spine injury among comatose trauma patients: from the Pennsylvania Trauma Outcomes Study.; Neurosurgical focus; (2005).

    View Full Publication
  • Birth injuries of the brachial plexus; Clinics in Perinatology; (2005).

    View Full Publication
  • Intrathecal baclofen overdose followed by withdrawal: Clinical and EEG features; Pediatric Neurology; (2005).

    View Full Publication
  • Pediatric neurosurgery; Pediatric Clinics of North America; (2004).

    View Full Publication
  • Hydrocephalus; Pediatric Clinics of North America; (2004).

    View Full Publication
  • Birth injuries of the brachial plexus; Pediatric Clinics of North America; (2004).

    View Full Publication
  • A 2-year follow-up of outcomes following orthopedic surgery or selective dorsal rhizotomy in children with spastic diplegia; Journal of Pediatric Orthopaedics Part B; (2004).

    View Full Publication
  • Recognizing neurosurgical conditions in the pediatrician's office; Pediatric Clinics of North America; (2004).

    View Full Publication
  • Skin hemangiomas and occult dysraphism; Journal of Neurosurgery; (2004).

    View Full Publication
  • Peritoneal Cerebrospinal Fluid Shunt Insertion; Journal of Neurosurgery; (2004).

    View Full Publication
  • Selective dorsal rhizotomy versus orthopedic surgery: A multidimensional assessment of outcome efficacy; Archives of Physical Medicine and Rehabilitation; (2004).

    View Full Publication
  • Unexpected findings on brain and spine imaging in children; Pediatric Clinics of North America; (2004).

    View Full Publication
  • Syringomyelia complicating myelomeningocele: Review of the evidence; Journal of Neurosurgery; (2004).

    View Full Publication
  • Spinal deformity after selective dorsal rhizotomy in ambulatory patients with cerebral palsy; Journal of Pediatric Orthopaedics; (2004).

    View Full Publication
  • Ultrasonographic screening in infants with isolated spinal strawberry nevi; Journal of Neurosurgery; (2003).

    View Full Publication
  • Pump implantation for intrathecal baclofen infusion after laparotomy for necrotizing enterocolitis; Pediatric Neurosurgery; (2003).

    View Full Publication
  • A late result of an early operation for unilateral coronal synostosis; Pediatric Neurosurgery; (2003).

    View Full Publication
  • Objective measurement of muscle strength in children with spastic diplegia after selective dorsal rhizotomy; Archives of Physical Medicine and Rehabilitation; (2002).

    View Full Publication
  • Glutaric aciduria type 1 and nonaccidental head injury [1]; Pediatrics; (2002).

    View Full Publication
  • Monozygotic twins discordant for external hydrocephalus; Pediatric Neurosurgery; (2001).

    View Full Publication
  • Insertion of ventriculoperitoneal and ventriculovenous cerebrospinal fluid shunts; Techniques in Neurosurgery; (2001).

    View Full Publication
  • Why is there CSF?; Pediatric Neurosurgery; (2001).

    View Full Publication
  • Receiver-operating characteristic curves [4] (multiple letters); Journal of Neurosurgery; (2001).

    View Full Publication
  • Relationship of cerebral perfusion pressure and survival in pediatric brain-injured patients; Journal of Trauma - Injury, Infection and Critical Care; (2000).

    View Full Publication
  • Long-term follow-up data from the shunt design trial; Pediatric Neurosurgery; (2000).

    View Full Publication
  • A hazard of combining the infratentorial supracerebellar and the cerebellomedullary fissure approaches: Cerebellar venous insufficiency; Pediatric Neurosurgery; (2000).

    View Full Publication
  • The Chiari II malformation: Lesions discovered within the fourth ventricle; Pediatric Neurosurgery; (1999).

    View Full Publication
  • Subdural empyema complicating cerebrospinal fluid shunt infection; Pediatric Neurosurgery; (1999).

    View Full Publication
  • Chiari malformation associated with vitamin D-resistant rickets: Case report; Neurosurgery; (1998).

    View Full Publication
  • A preadolescent with polydipsia and polyuria; Pediatric Neurosurgery; (1998).

    View Full Publication
  • Spontaneous involution of a diencephalic astrocytoma; Pediatric Neurosurgery; (1998).

    View Full Publication
  • Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus; Neurosurgery; (1998).

    View Full Publication
  • Resection of fourth ventricle tumors without splitting the vermis: The cerebellomedullary fissure approach; Pediatric Neurosurgery; (1997).

    View Full Publication
  • Shaving of the scalp may increase the rate of infection in csf shunt surgery; Pediatric Neurosurgery; (1997).

    View Full Publication
  • Does gait continue to improve 2 years after selective dorsal rhizotomy?; Journal of Pediatric Orthopaedics; (1997).

    View Full Publication
  • Developmental skills of children with spastic diplegia: Functional and qualitative changes after selective dorsal rhizotomy; Archives of Physical Medicine and Rehabilitation; (1997).

    View Full Publication
  • Tethered hindbrain: Case report; Journal of Neurosurgery; (1996).

    View Full Publication
  • Pumping the shunt revisited; Pediatric Neurosurgery; (1996).

    View Full Publication
  • Gait changes in children with spastic diplegia after selective dorsal rhizotomy; Journal of Pediatric Orthopaedics; (1996).

    View Full Publication
  • Hydrocephalus and epilepsy: An actuarial analysis; Neurosurgery; (1996).

    View Full Publication
  • Assessment of upper-extremity function in children with spastic diplegia before and after selective dorsal rhizotomy; Developmental Medicine and Child Neurology; (1996).

    View Full Publication
  • Peritoneal cerebrospinal fluid shunt insertion: A technique for protection of the abdominal catheter. Technical note; Journal of Neurosurgery; (1995).

    View Full Publication
  • Isolated spinal cord injury as a presentation of child abuse; Pediatrics; (1995).

    View Full Publication
  • Cerebrospinal fluid shunt failure: Late is different from early; Pediatric Neurosurgery; (1995).

    View Full Publication
  • Agenesis and dysgenesis of the sacrum: Neurosurgical implications; Pediatric Neurosurgery; (1995).

    View Full Publication
  • Craniofacial conodysplasia; Journal of Pediatric Orthopaedics; (1995).

    View Full Publication
  • Subgaleal hematoma: The need for increased awareness of risk; Journal of Family Practice; (1995).

    View Full Publication
  • Sacral agenesis associated with spinal cord syrinx; Pediatric Neurosurgery; (1994).

    View Full Publication
  • The frequency of intradural conjoined lumbosacral dorsal nerve roots found during selective dorsal rhizotomy; Neurosurgery; (1994).

    View Full Publication
  • Preoperative diagnostic evaluation of children with Cushing's syndrome; Journal of Pediatric Surgery; (1994).

    View Full Publication
  • How effective are ventriculopleural shunts?; Pediatric Neurosurgery; (1994).

    View Full Publication
  • Hair and neurosurgery; Neurosurgery; (1994).

    View Full Publication
  • Cerebrospinal fluid shunt infection by Neisseria sicca; Pediatric Neurosurgery; (1994).

    View Full Publication
  • An infant in a car seat on a washing machine: Epidural hematoma; Pediatrics; (1994).

    View Full Publication
  • Management and outcome of low-grade astrocytomas of the midline in children: A retrospective review; Neurosurgery; (1993).

    View Full Publication
  • A search for determinants of cerebrospinal fluid shunt survival: Retrospective analysis of a 14-year institutional experience; Pediatric Neurosurgery; (1993).

    View Full Publication
  • Birth trauma and intracranial aneurysm [2]; Journal of Neurosurgery; (1993).

    View Full Publication
  • Physical examination of patients with cerebrospinal fluid shunts: Is there useful information in pumping the shunt?; Pediatrics; (1992).

    View Full Publication
  • Intracranial arterial aneurysm due to birth trauma. Case report; Journal of Neurosurgery; (1992).

    View Full Publication
  • Mechanical complications in shunts; Pediatric Neurosurgery; (1991).

    View Full Publication
  • Management of axial low-grade astrocytomas in childhood; International Pediatrics; (1991).

    View Full Publication
  • Letter to the editor (I); Military Medicine; (1991).

    View Full Publication
  • Neurosurgical management of birth injuries of the brachial plexus.; Neurosurgery clinics of North America; (1991).

    View Full Publication
  • Reduction cranioplasty for craniocerebral disproportion in infancy: Indications and technique; Pediatric Neurosurgery; (1990).

    View Full Publication
  • Brachial plexus birth injury; Western Journal of Medicine; (1990).

    View Full Publication
  • Cor pulmonale: a lethal complication of ventriculoatrial CSF diversion; Child's Nervous System; (1989).

    View Full Publication
  • Trauma case for diagnosis: Atlantooccipital dislocation; Military Medicine; (1989).

    View Full Publication
  • Multiple subpial transection in treatment of focal epilepsy.; Journal of Neurosurgery; (1989).

    View Full Publication
  • Correction of the prominent occiput in Beckwith-Wiedemann syndrome; Pediatric Neuroscience; (1989).

    View Full Publication
  • Preliminary experiences with brachial plexus exploration in childen: Birth injury and vehicular trauma; Neurosurgery; (1988).

    View Full Publication
  • Chronic Focal Encephalitis (Rasmussen Syndrome): Six Cases; Epilepsia; (1988).

    View Full Publication
  • Papillary meningioma involving the oculomotor nerve in an infant. Case report; Journal of Neurosurgery; (1986).

    View Full Publication
  • Limitation of brain stem auditory evoked potentials for intraoperative monitoring during a posterior fossa operation: Case report and technical note; Neurosurgery; (1985).

    View Full Publication
  • Treatment of tic douloureux and hemifacial spasm by posterior fossa exploration: Therapeutic implications of various neurovascular relationships; Neurosurgery; (1984).

    View Full Publication
  • Microvascular decompression for tic douloureux.; Neurosurgery; (1984).

    View Full Publication
  • Massive intracerebral hemorrhage complicating cardiac catheterization with ergonovine administration; Stroke; (1984).

    View Full Publication
  • High dose barbiturate therapy in neurosurgery and intensive care; Neurosurgery; (1984).

    View Full Publication
  • Pineal region meningioma: Report of two cases and literature review; Neurosurgery; (1983).

    View Full Publication
  • Glioblastoma multiforme after radiotherapy for acromegaly; Neurosurgery; (1983).

    View Full Publication