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Dr. Robert Replogle

Neurosurgery
Rochester, NY
30 years experience male

Locations

Rochester Neurosurgery Partners

Rochester, NY

Address

601 Elmwood Avenue, Box 670, Rochester, NY
Directions

My office hours

Wednesday: 8:00am - 4:00pm
Show more

Fax

5852762663

Insurances accepted

Aetna

About

Bio

Stanford University A.B. 1988 University of Chicago M.D. 1992 Neurosurgery Residency at University of Virginia 1992-99 Cerebrovascular/Endovascular Fellowship at the University of Texas/Southwestern Medical School 1999-2002 Specialize in Cerebrovascular Disease and Minimally Invasive Spine Surgery

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Neurosurgery

Doctor Q&A

90 Answers
50 Agrees
The number of answers this doctor has agreed with.
A member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Brain blood vessels: A stroke occurs from either occlusion of a blood vessel in the brain (most common)or bleeding in the brain from a blood vessel. Prevention involves c... Read More
A 34-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Bleeding: Bleeding on or inside the brain. Locations can be either intraparenchymal, subarachnoid, sub dural, or epidural. Can be related to trauma or spontan... Read More
A 31-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Call MD asap: People with sudden onset of weakness and numbness on one side of the body raise a strong concern for possible stroke, particularly when associated wit... Read More
A 46-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Hemorrhage : Several types: intraparenchymal, epidural, sub dural, and subarachnoid. These can be caused either by trauma (most common) or can be spontaneous. Tre... Read More
A 47-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Yes: Although clipping is the most definitive procedure we have for treating aneurysms, there is a small risk of recurrence and rebleeding.
A 40-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Depends: Transsphenoidal approach has been standard for years as it avoids brain retraction and optic nerve manipulation. In larger tumors with more of a supr... Read More
A 26-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Low: Most surgeons will perform a blood vessel study called a catheter angiogram to confirm complete avm removal after surgery. As long as this is negative... Read More
A 34-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Low: Most surgeons will perform a blood vessel study called a catheter angiogram to confirm complete avm removal after surgery. As long as this is negative... Read More
A 33-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Yes sometimes: When a stroke occurs, there can be brain which has a relatively low blood supply but is still alive and salvageable along with already dead brain. We... Read More
A 23-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Stress: It might help reduce stress. It otherwise won't have any effect on the aneurysm, .
A 27-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Possibly: Many causes for back pain. Best exercises would be core strengthening, stretching and flexibility exercises. A good physical therapist can be invalu... Read More
A 25-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Not seen: These are not well visualized on conventional imaging studies. Usually only if there is an existing abnormality of spinal blood vessels-such in an av... Read More
A 23-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Normal dose: That is the standard dose of Aspirin given to most patients.
A 22-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Decrease the meds: Post operative meds for spine surgery generally include narcotics which frequently cause constipation/nausea/vomiting. Decreasing the narcotic meds a... Read More
A 29-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Treating MD: You need to discuss this with the doctor who performed the procedure on you. There are many things this could be. Frequently a follow-up angiogram i... Read More
A 17-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Brain Aneurysm: I assume you mean brain aneurysm, in which case the answer is no. A 2cm aneurysm is very large and will be easily detected by contrasted ( or non/cont... Read More
A 28-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Similar: Those two terms often are used interchangeably. Ddd refers to degenerative disc disease specifically. Spondylosis refers to degeneration in the spine ... Read More
A 44-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Infection: Either direct spread of an infection directly adjacent to the brain such as from air sinuses, or hematogenous spread through the bloodstream such as f... Read More
A 36-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Brain Blood Vessels: In the brain , an avm is typically a twisted tangle of blood vessels where is an abnormal connection between arteries and veins. These can also be pr... Read More
A 31-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Varies widely: Size, symptoms and location are determinants of the behavior of these lesions. Most concern is bleeding risk which varies widely. Most doctors monit... Read More
A 19-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Body Weight Exercise: To gain weight in a healthy manner you need to exercise with progressive resistance to build muscle. It's a bit slower without weights, but can be don... Read More
A 34-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Yoga: Yoga is great for improving posture, flexibility, balance, and strengthening of the core musculature. All of these can help back pain significantly。.
A 42-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Size of stroke: The amount of swelling, or edema, around a stroke is related to the volume of tissue infarcted. For a small stroke, swelling shouldn't be a problem. ... Read More
A 45-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
No relationship: Varicose veins have no relationship to cerebral aneurysms. Aneurysms are present in 3-5% of the populace and are more common in smokers and women.
A 25-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Possible : The resolution of an mra is limited to about 2-3 mm in most scanners. It will pick up most significant lesions. In cases where there is a high index ... Read More
A 48-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Interpretation : Radiologist interpretation can vary between doctors. For persistent symptoms of back and/or leg pain, consider referral to a spine specialist who can ... Read More
A 39-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Failed Conservative: The majority of patients with spine pain improve spontaneously given time and/or conservative treatment with exercise, weight loss, physical therapy, ... Read More
A 31-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Brain Blood Vessels: In the brain , an avm is typically a twisted tangle of blood vessels where is an abnormal connection between arteries and veins. These can also be pr... Read More
A 40-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Occasionally: Most aneurysms are sporadic and not familial. If two or more first degree relatives in a family carry aneurysms, it is considered genetic and aneurysm... Read More
A 24-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
If surgery is needed: There has been significant evolution of minimally invasive techniques in spine surgery over the past 15 years. The vast majority of spine disorders c... Read More
A 44-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Last resort: Generally, spine surgery is performed in patients with definite abnormalities on imaging which cause persistent symptoms not helped by conservative t... Read More
A 21-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the ... Read More
A 37-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Instability: For patients with instability of their spine refractory to conservative management, fusion can be a good surgical option.
A 41-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Most asymptomatic: Rupture with bleeding is most common symptom with severe headache. Other side- effects, include possible milder headaches, and/or less commonly sympt... Read More
A 68-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Not usually: Mri tends to be much better than plain ct. Sedation during the MRI often makes it more tolerable. If none of this works, a ct myelogram is possible ... Read More
A 36-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Ignore: Get a free app is the easiest way to get started and to continue. Try "simply yoga" on ios.
A 37-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Unlikely: Unless you have severe persistent pain in the region, it most likely represents only soft tissue trauma.
A 31-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Muscle strain: When someone hits their head, it often strains the neck muscles which support the head on the shoulders.
A 41-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Endovascular: For endovascular trans-arterial approaches, we generally enter the common femoral artery, navigate the catheter through the aorta across the aortic ar... Read More
A 42-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Bleed risk: The overall risks of bleeding are 3-4% yearly. Each bleed episode carries a 25% risk of mortality. Overall risk of dying is therefore 1% yearly.
A 42-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Interbody Fusion: Removal of the interbody disc and replacement with a bone graft. This allows bony healing across the interspace between vertebral bodies. Often a fu... Read More
A 32-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Bleeding most common: Other side- effects, along with bleeding risk, include possible milder headaches, and/or less commonly symptoms of mass effect from some larger and gi... Read More
A 54-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Dont be worried: That is a tiny dose of aspirin. Unless you have pre-existing problems with GI bleeding i wouldn't worry about the risk of stomach bleeding. There al... Read More
A 45-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
VP Shunt: Most common procedure is a ventriculoperitoneal shunt where cerebrospinal fluid from the ventricles in the brain are drained with a tube attached to a... Read More
A 43-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Can be normal : About 20% of people have unequal pupils with no underlying cause.
A 28-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Not usually. See MD: A cervical disc on the left can cause pain in to left shoulder/scapula and in to the arm. The pain can give a patient fatigue if sleep is impaired. T... Read More
A 28-year-old male asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Conservative: 70 % of patients have improvement and /or resolution of symptoms within 6 weeks with a herniated disc. If sx persist beyond that time, discuss treatme... Read More
A 33-year-old member asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Massage: Symptoms you described most likely from muscle spasm, often due to stress and overwork. Initial therapy would be massage, yoga, gentle exercise. Phy... Read More
A 38-year-old female asked:
Dr. Robert Replogle
Neurosurgery 30 years experience
Similar: Different backgrounds, but what really matters is how well trained and experienced a surgeon is. Meet with both and see how comfortable you feel with ... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
90
Thank you notes
Jan 4, 2014
I am grateful to you for the sake of both the patients and doctors alike. Thank you for bringing your expertise to the Health Tap community!
Dr. Dave Burns
Apr 16, 2014
Dr. Robert Replogle enjoys helping his patients thru education-Dave
HealthTap member
Mar 31, 2015
Dr. Replogle is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Current Rx was to stop an allergic reaction...epi was for L&D.
HealthTap member
Thank you, your answer was very helpful! Thanq you sir, please tell me the treatment .
HealthTap member
Thank you, your answer was very helpful! Thanks so much!!

Education & Training

Medical/Graduate school

University of Chicago Pritzker School of Medicine, IL
Graduated 1992MD

Residency

UNIVERSITY OF VIRGINIA MEDICAL CENTER

Awards

University of Rochester
HealthTap Founding Doctor

Affiliations

AANS
American Association of Neurological Surgeons / Congress of Neurological Surgeons, Cerebrovascular Section
Society of Lateral Access Surgery (SOLAS)
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less