Dr. Bryniarski in the Operating Room

Throughout the years, Dr. Bryniarski has undergone extensive training and has acquired great experience in treating various neurosurgical conditions, including facial pain, especially trigeminal neuralgia, and other neurovascular conflicts in the posterior fossa. This experience allows him to approach patients with these ailments in different ways, depending on a particular clinical scenario, a patient's comorbidities, a patient's confort with a particular approach, and different risks related to procedures. 

His initial training in neurology, here at the University of New Mexico, allowed him to be cognizant of conservative approaches using various medical treatments with medications for trigeminal neuralgia and other facial pains. These may be suitable for certain patients, especially in initial phases of these conditions, or some individuals not appropriate for surgical treatment.

Neurovascular conflicts in the posterior fossa are conditions related to the presence, or even pressure, of vessels (arteries or veins) at the immediate contact of certain cranial nerves between the cerebellum (posterior part of the brain) and the brain stem or surrounding bony confinements of the skull. When this conflict has existed for a long period of time (usually since a patient birth) it exerts a continual impact on a nerve with subsequent changes in the myelin (outside sheath of a nerve) which serves to properly propagate a signal along the nerve. These nerves leave the brain stem (and, most of them, subsequently the skull) to subserve various functions throughout the body. These include: facial sensation, facial movement, hearing and balance, sensation around the ear, throat sensation and its motor function (voice production and swallowing), certain movements of the neck, among others.

Therefore, patients may suffer from a variety of conditions, including: facial pain (like trigeminal neuralgia), other facial and throat pains (glossopharyngeal neuralgia), ear pain only (geniculate neuralgia), intractable vertigo, facial muscle contractions (hemifacial spasm), neck muscle contractions (torticollis), or even hypertention (possibly from pressure on the brain stem itself by a vessel). Pathophysiology of many of those conditions is not very well understood, however, many treatment methods have been developed throughout the years.

Education & Training

1985-1991

MD, Jagiellonian University

(founded in 1364)

Cracow, Poland

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1995-1998

Residency, Neurology, University of New Mexico

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1999-2005

Residency, Neurosurgery, University of Kansas

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2005-2006

Fellowship, Skull Base and Neurovascular Surgery,

Indianapolis Neurosurgical Group

(now: Goodman Campbell Brain and Spine)

Research Publications

and Lectures

2018 - Gamma Knife Stereotactic Radiosurgery for Trigeminal neuralgia

Roswell, New Mexico

2018 - Subarachnoid Hemorrhage

EMS Conference,

Albuquerque, New Mexico

2012 - Vascular Compression Syndromes

Oklahoma City, Oklahoma

2017 - Acute Stroke Treatment

STEMI/Stroke Conference,

Albuquerque, New Mexico

2009 - Facial Pain - Vascular Compression Syndromes,

Neuromedicine Conference,

Aurora, Colorado

2012 - Management of Intracranial Aneurysms

Oklahoma City, Oklahoma

2007 - Trigeminal Neuralgia

The Aurora Medical Center,

Aurora, Colorado

2003 - Fatal Cerebral Venous Thrombosis due to Combine Heterozygous Factor V Leiden and Protein S Deficiency - Poster (Stephan, Bryniarski, et al)

Kansas City, Kansas

2009 - Traumatic Brain Injury,

Trauma Conference,

Aurora, colorado

2007 - Malignant Brain Tumors

Aurora, Colorado

2006 - Bryniarski, Payner - "Prevention of Cerebrospinal Fluid Leak after Posterior Transpetrosal Approaches", 74th AANS meeting, San Francisco, CA

2005 - Posterior Stabilization of Subaxial Cervical Spine, Injury - International Journal of the Care of the Injured (Arnold, Bryniarski, McMahon)

2004 - Emergency Thoracic Discectomy for the Acute Onset of Paraplegia - Journal of Spinal Cord Medicine (Arnold, Bryniarski)

Awards

2017

Honor Recognition by Lovelace Medical Group

2016

National Doctors' Day Honor

Guardian Angel Recognition by St. Anthony Hospital (2012, 2014, 1016)

2012

Top Doc Recognition by St. Anthony Hospital