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Paul D. Klimo Jr., MD

Paul D. Klimo Jr., MD

  • Chief, Pediatric Neurosurgery Division, Surgery Department
  • Semmes Murphey Clinic




MD – Medical College of Wisconsin
MPH – University of Utah


University of Utah


Children’s Hospital, Boston/Harvard University

Clinical Interests

  • Management of children with vascular disorders and brain tumors
  • Endoscopic techniques for hydrocephalus
  • Craniosynostosis

Selected Publications

Klimo P Jr, Mathews, A, Lew SM, Zwienenberg-Lee M, Kaufman BA. Minicraniotomy versus bur holes for evacuation of chronic subdural collections in infants. J Neurosurg Pediatr 8:423-429, 2011.

Klimo P Jr, Thompson CJ, Ragel BT, Boop FA. Antibiotic-impregnated shunt systems versus standard shunt systems: a meta and cost-savings analysis. J Neurosurg Pediatr 8:600-612, 2011.

Klimo P Jr, Coon V, Brockmeyer D. Incidental os odontoideum: current management strategies.Neurosurg Focus, 31:E10, 2011.

Van Poppel M, Klimo P Jr, Dewire M, Sanford RA, Boop F, Broniscer A, Wright K, Gajjar A. Resection of infantile brain tumors after neoadjuvant chemotherapy: the St. Jude experience. J Neurosurg Pediatr, 8:251-256, 2011.

Niazi TN, Klimo P Jr, Anderson RC, Raffel C.Diagnosis and management of arteriovenous malformations in children. NeurosurgClin N Am 21:443-456, 2010.

Patel NN, Mangano FT, Klimo P Jr. Indirect revascularization techniques for treating moyamoya disease.NeurosurgClin N Am 21:553-563, 2010.

Ragel BT, Klimo P Jr, Martin JE, Teff RJ, Bakken HE, Armonda RA. Wartime decompressivecraniectomy: technique and lessons learned. Neurosurg Focus 28:E2, 2010.

Klimo P Jr, Ragel BT, Rosner M, Gluf W, McCafferty R.Can surgery improve neurologic function in penetrating spinal injury? A review of the military and civilian literature and treatment recommendations for military neurosurgeons.Neurosurg Focus 28:E4, 2010.

Ragel B, Klimo P, Kowalski RJ, McCafferty RR, Liu JM, Taggard DA, Garrett D Jr, Brevard SB. Neurosurgery in Afghanistan during Operation Enduring Freedom: A 24-month experience. Neurosurg Focus 28:E8, 2010.

Klimo P, Ragel B, Scott WHMcCafferty R. Pediatric neurosurgery during Operation Enduring Freedom.J Neurosurg Pediatrics6:107-114, 2010.

Ragel B, Klimo P.Effect of surgeon turnover and deployments on neurosurgical case volume at a military hospital.AANS Neurosurgeon 19:2, 2010.

Yadla S, Klimo P, Harrop J. Traumatic central cord syndrome: etiology, management and outcomes.Topics in Spinal Cord Injury Rehabilitation 15:73-84, 2010.

Riesenburger RI, Hwang SW, Schirmer CM, Zerris V, Wu JK, Mahn K, Klimo P, Mignano CJ, Thompson CJ, Yao KC. Outcomes following single-treatment Gamma Knife surgery for trigeminal neuralgia with a minimum 3-year follow-up.J Neurosurg112:766-771, 2010.

Klimo P, Browd S, Pravdenkova S, Couldwell W, Walker M, Al-Mefty O. The posterior petrosal approach: technique and applications in pediatric neurosurgery.J Neurosurg Pediatrics 4:353-362, 2009.

Klimo P, Patel A, Finn M, Apfelbaum R. Long-term outcomes after multilevel anterior cervical decompression, instrumentation and fusion.J Spinal Res Found 4:50-60, 2009.

Klimo P, Haridas A, Proctor M. Spinal cord transection distal to a cervical fracture-dislocation in a young child: Mechanism of injury.Inj Extra 40:259-262, 2009.

Klimo P, Codd PJ, Grier H, Goumnerova LC. Primary pediatric intraspinal sarcomas.Report of 3 cases.J Neurosurg Pediatrics 4:222-229, 2009.

Klimo P, Peelle MW. Use of polyetheretherketone spacer and recombinant human bone morphogenetic protein-2 in the cervical spine: a radiographic analysis.Spine J 9:959-966, 2009.

Klimo P, Rao G, Brockmeyer DL. Congenital anomalies of the cervical spine.J Spinal Res Found4:33-42, 2009.

Ragel BT, Taggard DA, Klimo P, Liu JM, Robison S, Sholes AH.Increasing the neurosurgical caseload at a military hospital: initial experience with a joint military-veterans affairs (VA) sharing agreement. Military Medicine 174:103-105, 2009.

Klimo PCouldwell WT. OR noise – The potential for hearing loss.AANS Neurosurgeon 17:13, 2008.

Klimo P, Couldwell WT. Stress and burnout – Insiduous influences.AANS Neurosurgeon17:17-18, 2008.

Klimo P, Kan P, Rao G, Apfelbaum R, Brockmeyer D. Osodontoideum: presentation, diagnosis, and treatment in a series of 78 patients.J Neurosurg Spine 9:332-342, 2008.

Jha, RM, Klimo P, Smith ER. Foramen magnum stenosis from overgrowth of the opsithion in a child with achondroplasia.J Neurosurg Pediatrics 2:136-138, 2008.

Last update: November 2011