Scholars@Duke

• Background
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  Education, Training, & Certifications

  • M.D., University of Michigan, Ann Arbor 2006
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  Previous Appointments & Affiliations

  • Associate Professor of Neurology, Neurology, Epilepsy and Sleep, Neurology 2020
  • Assistant Professor in Neurology, Neurology, Epilepsy and Sleep, Neurology 2017 - 2020
  • Assistant Professor in Neurology, Neurology, General & Community Neurology, Neurology 2013 - 2017
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  Leadership & Clinical Positions at Duke

  • Duke Neurology Vice Chair of Inclusion, Diversity, and Empowerment
    
    Duke Neurology Sleep Medicine Fellowship Program Director
    
    Duke Neurology Residency Associate Program Director
• Recognition
• 

  In the News

  • AUG 3, 2021

    School of Medicine

    'I Wanted to Be a Part of a Movement:' School of Medicine's Plan for Change
• Research
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  Selected Grants

  • A MultiCenter, double-blind, randomized study to evaluate the effects of tasimelteon vs placebo in participants with Delayed Sleep-Wake Phase Disorder (DSWPD) awarded by Vanda Pharmaceuticals, Inc 2021 - 2023
  • Duke Racial Disparities in Neurology Scorecard awarded by Harmony Biosciences 2021 - 2023
  • Sleep Medicine Fellow awarded by American Academy of Sleep Medicine Foundation 2022 - 2023
  • The Association of Blood-Brain Barrier Breakdown with Sleep Apnea and Postoperative Delirium awarded by National Institutes of Health 2021 - 2023
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  External Relationships

  • American Academy of Neurology
• Publications & Artistic Works
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  Selected Publications

  • Academic Articles

    • Soltis, Marjorie E., and Andrew R. Spector. “A Concise Review of Polysomnography and Obstructive Sleep Apnea for the Neurophysiologist.” J Clin Neurophysiol 40, no. 3 (March 1, 2023): 191–97. https://doi.org/10.1097/WNP.0000000000000935.
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    • Nandagiri, Vibhav, Siddarth Vannemreddy, and Andrew Spector. “Sleep disparities in Asian Americans: a comprehensive review.” J Clin Sleep Med 19, no. 2 (February 1, 2023): 393–402. https://doi.org/10.5664/jcsm.10330.
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    • Devinney, Michael J., Keith W. VanDusen, Jad M. Kfouri, Pallavi Avasarala, Andrew R. Spector, Joseph P. Mathew, and Miles Berger. “The potential link between obstructive sleep apnea and postoperative neurocognitive disorders: current knowledge and possible mechanisms.” Can J Anaesth 69, no. 10 (October 2022): 1272–87. https://doi.org/10.1007/s12630-022-02302-4.
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    • Ighodaro, Eseosa T., Ima M. Ebong, Kenyon M. Railey, and Andrew R. Spector. “Improving the quality of publications on structural racism in healthcare.” Bmj 378 (July 21, 2022): o1771. https://doi.org/10.1136/bmj.o1771.
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    • Tesson, Alan R., Mir Mustafa Ali, and Andrew R. Spector. “Teaching NeuroImage: Non-24-Hour Sleep-Wake Rhythm Disorder.” Neurology 98, no. 22 (May 31, 2022): 945–46. https://doi.org/10.1212/WNL.0000000000200570.
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    • Spector, Andrew R. “Surviving to 101: Exploring the miracle (and risks) of modern medicine.” J Am Geriatr Soc 70, no. 2 (February 2022): 622–23. https://doi.org/10.1111/jgs.17470.
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    • Railey, Kenyon M., and Andrew R. Spector. “Neurological interest and career exploration among black medical students: Perceptions and solutions for the pipeline.” J Natl Med Assoc 113, no. 6 (January 2022): 654–60. https://doi.org/10.1016/j.jnma.2021.06.004.
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    • Spector, Andrew R., and Onyinye I. Iweala. “Neighborhoods with 25% Minority Residents Are Still Mostly White.” Am J Respir Crit Care Med 204, no. 5 (September 1, 2021): 614–15. https://doi.org/10.1164/rccm.202103-0810LE.
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    • Ighodaro, Eseosa, and Andrew Spector. “End the neglect of Black patients in US health care.” Nature 591, no. 7850 (March 2021): 369. https://doi.org/10.1038/d41586-021-00691-y.
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    • Mohile, Nimish A., Andrew R. Spector, Ima M. Ebong, Charles Flippen, Camilo Gutierrez, Rodney O. Leacock, Erika Marulanda-Londoño, Nicte I. Mejia, Reena Thomas, and Roy H. Hamilton. “Developing the Neurology Diversity Officer: A Roadmap for Academic Neurology Departments.” Neurology, January 5, 2021. https://doi.org/10.1212/WNL.0000000000011460.
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    • Spector, Andrew R., Jacqueline F. Kerkow, and Timothy A. Collins. “Sleep terrors prodromal for migraine headaches responsive to galcanezumab: A case report.” Headache 61, no. 1 (January 2021): 216–17. https://doi.org/10.1111/head.14055.
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    • Gudivada, Shravana Deepthi, Venkat Rajasurya, and Andrew R. Spector. “Qualifying Patients for Noninvasive Positive Pressure Ventilation Devices on Hospital Discharge.” Chest 158, no. 6 (December 2020): 2524–31. https://doi.org/10.1016/j.chest.2020.08.014.
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    • Spector, Andrew R., Shaun O. Smart, Jimmy Berthaud, Ima Ebong, Roy H. Hamilton, Charles C. Flippen, and Charlene E. Gamaldo. “Introducing the Society of Black Neurologists.” Lancet Neurol 19, no. 11 (November 2020): 892–93. https://doi.org/10.1016/S1474-4422(20)30352-5.
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    • Iweala, Onyinye I., and Andrew R. Spector. “Opportunities to enhance the AAAAI Physician Burnout Survey.” J Allergy Clin Immunol Pract 8, no. 8 (September 2020): 2838–39. https://doi.org/10.1016/j.jaip.2020.05.028.
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    • Bhui, Raj, and Andrew R. Spector. “Obstructive sleep apnea in late-onset Pompe disease treated by enzyme replacement therapy.” Neuromuscul Disord 30, no. 4 (April 2020): 329–30. https://doi.org/10.1016/j.nmd.2020.02.004.
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    • Fudim, Marat, Andrew R. Spector, Maria-Rosa Costanzo, Sean D. Pokorney, Robert J. Mentz, Dariusz Jagielski, Ralph Augostini, et al. “Phrenic Nerve Stimulation for the Treatment of Central Sleep Apnea: A Pooled Cohort Analysis.” J Clin Sleep Med 15, no. 12 (December 15, 2019): 1747–55. https://doi.org/10.5664/jcsm.8076.
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    • Earl, Damien E., Sushil S. Lakhani, Daniel B. Loriaux, and Andrew R. Spector. “Predictors of moderate to severe obstructive sleep apnea: identification of sex differences.” Sleep Breath 23, no. 4 (December 2019): 1151–58. https://doi.org/10.1007/s11325-019-01790-x.
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    • Spector, Andrew R. “Reader response: Patient-reported outcomes across cerebrovascular event types: More similar than different.” Neurology 93, no. 20 (November 12, 2019): 905. https://doi.org/10.1212/WNL.0000000000008482.
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    • Fudim, Marat, Andrew R. Spector, Maria-Rosa Costanzo, Sean D. Pokorney, Robert J. Mentz, Dariusz Jagielski, Ralph Augostini, et al. “Phrenic Nerve Stimulation for the Treatment of Central Sleep Apnea: A Pooled Cohort Analysis.” J Clin Sleep Med, November 5, 2019.
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    • Spector, Andrew R., and Kenyon M. Railey. “Reducing Reliance on Test Scores Reduces Racial Bias in Neurology Residency Recruitment.” J Natl Med Assoc 111, no. 5 (October 2019): 471–74. https://doi.org/10.1016/j.jnma.2019.03.004.
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    • Spector, Andrew R. “Reader response: A sleep medicine medical school curriculum: Time for us to wake up.” Neurology 93, no. 3 (July 16, 2019): 134. https://doi.org/10.1212/WNL.0000000000007793.
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    • Loochtan, Aaron I., Andrew R. Spector, Saurabh R. Sinha, and David P. Lerner. “Emergency Neurology Oral Cases for Trainee Assessment and Education.” Neurologist 24, no. 2 (March 2019): 53–55. https://doi.org/10.1097/NRL.0000000000000217.
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    • Spector, Andrew R. “Reader response: Residency training: The review committee for neurology: Revisions to the common program requirements.” Neurology 91, no. 9 (August 28, 2018): 429. https://doi.org/10.1212/WNL.0000000000006071.
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    • Searcy, Sammy, Oluwaseun O. Akinduro, Andrew Spector, Jang W. Yoon, Benjamin L. Brown, and William D. Freeman. “Heart-Shaped Bilateral Medullary Pyramidal Infarction as a Pathognomonic Finding of Anterior Spinal Artery Occlusion.” Neurocrit Care 28, no. 3 (June 2018): 388–94. https://doi.org/10.1007/s12028-017-0406-7.
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    • Spector*, Andrew R., Daniel Loriaux*, Diana Alexandru, and Sanford H. Auerbach. “The Influence of the Menstrual Phases on Polysomnography.” Cureus, November 9, 2016. https://doi.org/10.7759/cureus.871.
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    • Sobol, Danielle L., and Andrew R. Spector. “Levothyroxine improves subjective sleepiness in a euthyroid patient with narcolepsy without cataplexy.” J Clin Sleep Med 10, no. 11 (November 15, 2014): 1231–32. https://doi.org/10.5664/jcsm.4210.
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    • Westwood, Andrew J., Andrew R. Spector, and Sanford H. Auerbach. “CPAP treats muscle cramps in patients with obstructive sleep apnea.” J Clin Sleep Med 10, no. 6 (June 15, 2014): 691–92. https://doi.org/10.5664/jcsm.3806.
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    • Spector, Andrew R., Brittany N. Dugger, Zbigniew K. Wszolek, Ryan J. Uitti, Paul Fredrickson, Joseph Kaplan, Bradley F. Boeve, Dennis W. Dickson, Audrey Strongosky, and Siong-Chi Lin. “Anatomy of disturbed sleep in pallido-ponto-nigral degeneration.” Ann Neurol 69, no. 6 (June 2011): 1014–25. https://doi.org/10.1002/ana.22340.
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    • Tatum, William O., and Andrew Spector. “Physiologic pseudoseizures: an EEG case report of mistake in identity.” J Clin Neurophysiol 28, no. 3 (June 2011): 308–10. https://doi.org/10.1097/WNP.0b013e31821c3dce.
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    • Shih, Jerry J., Andrew R. Spector, Firas A. Taha, and Rose M. Mills. “Clinically significant bradyarrhythmias in video-EEG patients.” Seizure 20, no. 3 (April 2011): 225–30. https://doi.org/10.1016/j.seizure.2010.11.023.
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    • Spector, Andrew R., William D. Freeman, and William P. Cheshire. “The stroke that struck back: an unusual alien hand presentation.” J Stroke Cerebrovasc Dis 18, no. 1 (January 2009): 72–73. https://doi.org/10.1016/j.jstrokecerebrovasdis.2008.08.003.
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    • Spector, Andrew, Hilary Alpert, and Maher Karam-Hage. “Smoking cessation delivered by medical students is helpful to homeless population.” Acad Psychiatry 31, no. 5 (2007): 402–5. https://doi.org/10.1176/appi.ap.31.5.402.
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    • Alpert, Jonathan E., Timothy Petersen, Pamela A. Roffi, George I. Papakostas, Rachel Freed, Megan M. Smith, Andrew R. Spector, Andrew A. Nierenberg, Jerrold F. Rosenbaum, and Maurizio Fava. “Behavioral and emotional disturbances in the offspring of depressed parents with anger attacks.” Psychother Psychosom 72, no. 2 (2003): 102–6. https://doi.org/10.1159/000068682.
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    • Papakostas, George I., Timothy Petersen, David Mischoulon, Megan E. Hughes, Andrew R. Spector, Jonathan E. Alpert, Maurizio Fava, and Andrew A. Nierenberg. “Functioning and interpersonal relationships as predictors of response in treatment-resistant depression.” Compr Psychiatry 44, no. 1 (2003): 44–50. https://doi.org/10.1053/comp.2003.50012.
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  • Conference Papers

    • Avasarala, Pallavi, Jake Thomas, Andrew R. Spector, Jeffrey N. Browndyke, Patrick J. Smith, Jennifer Dominguez, Mary Cooter, et al. “The SANDMAN Study: Sleep Apnea, Neuroinflammation, and Cognitive Dysfunction Manifesting After Non-cardiac surgery.” In Anesthesia and Analgesia, 134:1100–1102, 2022.
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    • Devinney, Michael, Andrew R. Spector, Jeffrey N. Browndyke, Patrick J. Smith, Jennifer Dominguez, Anesthesio M. Dominguez, Mary Cooter, et al. “The SANDMAN Study: Sleep Apnea, Neuroinflammation, and Cognitive Dysfunction Manifesting After Non-cardiac surgery.” In Anesthesia and Analgesia, 130:514–15, 2020.
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    • Devinney, M. J., P. J. Smith, A. R. Spector, Y. Cheong, V. A. Wickenheisser, J. N. Browndyke, M. Cooter, J. P. Mathew, and M. Berger. “The Association of Obstructive Sleep Apnea Risk with Postoperative Cognitive Decline.” In Journal of the American Geriatrics Society, 67:S178–S178. WILEY, 2019.
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    • Devinney, Michael, Andrew R. Spector, Jeffrey N. Browndyke, Patrick J. Smith, Jennifer Dominguez, Thomas Bunning, Mary Cooter, Joseph P. Mathew, and Miles Berger. “THE SANDMAN STUDY: SLEEP APNEA, NEUROINFLAMMATION, AND COGNITIVE DYSFUNCTION MANIFESTING AFTER NON-CARDIAC SURGERY.” In Anesthesia and Analgesia, 128:918–918, 2019.
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    • Earl, D. E., D. B. Loriaux, S. Lakhani, and A. R. Spector. “0497 Physical Traits are More Predictive than Symptoms of Moderate-to-Severe Sleep Apnea in Men.” In Sleep, 41:A187–A187. Oxford University Press (OUP), 2018. https://doi.org/10.1093/sleep/zsy061.496.
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• Teaching & Mentoring
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  Recent Courses

  • LINGUIST 121FS: Sleep in Society: History, Culture, and Medicine 2023
  • NEUROSCI 121FS: Sleep in Society: History, Culture, and Medicine 2023
  • PSY 121FS: Sleep in Society: History, Culture, and Medicine 2023
  • LINGUIST 121FS: Sleep in Society: History, Culture, and Medicine 2022
  • NEUROSCI 121FS: Sleep in Society: History, Culture, and Medicine 2022
  • PSY 121FS: Sleep in Society: History, Culture, and Medicine 2022
  • LINGUIST 121FS: Sleep in Society: History, Culture, and Medicine 2021
  • NEUROSCI 121FS: Sleep in Society: History, Culture, and Medicine 2021
  • PSY 121FS: Sleep in Society: History, Culture, and Medicine 2021

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