Raymond F. Sekula Jr., MD, MBAAssociate Professor
Director, Cranial Nerve Disorders Program
Raymond Sekula, Jr., MD, joined the Department of Neurological Surgery on March 1, 2013 as an associate professor and director of the department’s Cranial Nerve Disorders program.
Dr. Sekula is known internationally and nationally for his development of microvascular techniques, which provide patients with improved outcomes, reduced complications, and easier recoveries. He has been recognized with numerous honors, including The American Association of Neurological Surgeon’s Young Investigator Award, The Trigeminal Neuralgia Association Fellowship Award, and Pittsburgh Magazine’s “40 Under 40” and “Best Doctor’s” Award.
Dr. Sekula has performed more than 1,000 procedures for patients with trigeminal neuralgia, hemifacial spasm, and other cranial neuralgias. He has also developed a novel procedure for Chiari malformation performed through a one-inch incision affording patients a minimal one- or two-day hospital stay after the procedure.
Dr. Sekula received his undergraduate degree from the University of Virginia and his medical degree from Georgetown University School of Medicine. Following a surgical internship and residency in neurological surgery, he completed advanced training in minimally invasive neurosurgery and a fellowship with neurosurgical pioneer, and former University of Pittsburgh neurosurgery chairman, Peter Jannetta, MD. Following his training, he became assistant, and then co-director, of the Cranial Nerve Disorders Center with Dr. Jannetta in Pittsburgh.
Dr. Sekula is also a renowned teacher of neurological surgery and is a frequent lecturer nationally and internationally. He has authored or co-authored many original journal articles and book chapters, and is coeditor of the textbook Microvascular Decompression Surgery, a comprehensive look at MVD surgery, widely accepted as an effective remedy for cranial nerve hyperexcitability disorders including hemifacial spasm, trigeminal neuralgia, and glossopharyngeal neuralgia.
Specialized Areas of Interest
Trigeminal neuralgia, hemifacial spasm, skull base tumors, minimally invasive brain surgery.
American Board of Neurological Surgery
Professional Organization Membership
Allegheny County Medical Society
American Association of Neurological Surgeons
Congress of Neurological Surgeons
Facial Pain Association
Medical Advisory Board of TNA
Pennsylvania Neurosurgical Society
Education & Training
BA, Classics, University of Virginia, 1994
MD, Georgetown, 2000
Residency, Pediatric Neurosurgery, Children's Hospital of Pittsburgh 2004
Residency, Neurosurgery, Allegheny General Hospital, 2006
Fellowship, Microvascular & Skull Base Surgery, 2006
MBA, Carnegie Mellon University, 2009
Honors & Awards
Pittsburgh Magazine “Best Doctors” Award, 2014-15
Department of Neurological Surgery Faculty Teaching Award, 2015.
Foster KA, Shin SS, Prabhu B, Fredrickson A, Sekula RF Jr. Calcium phosphate cement cranioplasty decreases the rate of CSF leak and wound infection compared to titanium mesh cranioplasty: retrospective study of 672 patients. World Neurosurg [Epub ahead of print], 2016.
Hughes MA, Frederickson AM, Branstetter BF, Zhu X, Sekula RF Jr. MRI of the Trigeminal Nerve in Patients With Trigeminal Neuralgia Secondary to Vascular Compression. AJR Am J Roentgenol 206(3):595-600, 2016.
Panczykowski DM, Frederickson AM, Hughes MA, Oskin JE, Stevens DR, Sekula RF Jr. A Blinded, Case-Control Trial Assessing the Value of SSFP MRI in the Diagnosis of Trigeminal Neuralgia. World Neurosurg [Epub ahead of print], 2015.
Thirumala P, Frederickson AM, Balzer J, Crammond D, Habeych ME, Chang YF, Sekula RF Jr. Reduction in high-frequency hearing loss following technical modifications to microvascular decompression for hemifacial spasm. J Neurosurg 123(4):1059-64, 2015.
Hughes MA, Branstetter BF, Taylor CT, Fakhran S, Delfyett WT, Frederickson AM, Sekula RF Jr. MRI findings in patients with a history of failed prior microvascular decompression for hemifacial spasm: how to image and where to look. AJNR Am J Neuroradiol 36(4):768-73, 2015.
Thomas KL, Hughes MA, Frederickson AM, Branstetter BF 4th, Vilensky JA, Sekula RF. Hemifacial spasm caused by an aberrant jugular branch of the ascending pharyngeal artery. Br J Neurosurg [Epub ahead of print], 2014.
Sekula RF Jr, Frederickson AM, Branstetter BF 4th, Oskin JE, Stevens DR, Zwagerman NT, Grandhi R, Hughes MA. Thin-slice T2 MRI imaging predicts vascular pathology in hemifacial spasm: a case-control study. Mov Disord 29(10):1299-303, 2014.
Sekula RF Jr, Frederickson AM, Arnone GD, Quigley MR, Hallett M. Microvascular decompression for hemifacial spasm in patients >65 years of age: an analysis of outcomes and complications. Muscle Nerve 48(5):770-6, 2013.
Frederickson AM, Sekula RF Jr. The utility of calcium phosphate cement in cranioplasty following retromastoid craniectomy for cranial neuralgias.
Br J Neurosurg 27(6):808-11, 2013.
Sekula RF Jr, Arnone GD, Crocker C, Aziz KM, Alperin N. The pathogenesis of Chiari I malformation and syringomyelia. Neurol Res 33(3):232-9, 2011.
A complete list of Dr. Sekula's publications can be reviewed through the National Library of Medicine's publication database.
The Cranial Nerve Disorders team continues to investigate the etiopathogenesis of cranial neuralgias with assistance from collaborators from the Departments of Anesthesia (PI, Michael Gold, PhD), Clinical Neurophysiology (PI, Jeff Balzer, PhD, and Partha Thirumala, MD), and Radiology (PI, Marion Hughes, MD, JD; Char Branstetter, MD; Lea Alhilali, MD; Saeed Fakhran, MD; and Tanya Rath, MD). The team has also formed productive collaborations with groups at Carnegie Mellon University, Indiana University, University of Miami, and Yale University.
Chapter Profile: Pitt Neurosurgery Interest Group
Young Neurosurgeons News
UPMC OnTopic Videos
Microvascular Decompression in the Treatment of Cranial Nerve Disorders
Dr. Sekula discusses the recent improvements and refinements made to the microvascular decompression procedure.
Dr. Sekula speaks about microvascular decompression treatment for hemifacial spasm.
Dr. Sekula speaks about microvascular decompression treatment for trigeminal neuralgia.