Dr. Shaherya Hafeez smiling for his staff photo.


Neurocritical Care

Shaheryar Hafeez, M.D.

Assistant Professor

Personal Statement:

Dr. Hafeez cares deeply about helping patients survive some of the worst days of their lives with dignity, compassion, and limited disability. He is also very passionate about educating future clinicians; he hopes his instruction will inspire them to make great contributions to science. It is for all these reasons that Dr. Hafeez decided to join the neurocritical care team at the University of Texas Health Science Center at San Antonio Department of Neurosurgery.


Dr. Hafeez’s current research interests include traumatic brain injury, cerebral vasospasm, status epilepticus, and advanced neurocritical care analytics. Dr. Hafeez is the principal investigator of a novel compression device (Normatec Pulse Controlled Device) for the prevention of deep vein thrombosis in severe traumatic brain injury. He also helped pioneer a novel software that uses advanced analytics to optimize the care of the individual patient with life-threatening brain and spinal cord disorders. At UT Health San Antonio and University Health System, Dr. Hafeez has designed several treatment protocols specific to patients who require specialized neurological critical care based on internationally recognized best practices and best outcomes.  He has authored several peer-reviewed papers, including publications that have appeared in Neurology, Critical Care Medicine, and Neurocritical Care.


Dr. Hafeez has a dual appointment with the Department of Neurology.


Neurocritical Care Fellowship, The Ohio State University Medical Center
Neurology Residency, The Ohio State University Medical Center
Internal Medicine Internship, The Ohio State University Medical Center
St. George's University School of Medicine, MD
University of Pittsburgh, B.S. Neuroscience, Chemistry Minor.


  1. 1. Phase I Prospective Observational trial of Normatec Pneumatic Compression Device for the Prevention of Deep Vein Thrombosis in Severe Traumatic Brain Injury. UT Health San Antonio, University Hospital System, San Antonio TX. Role: Principal Investigator.  Investigator-initiated study. The Normatec pulse compression device in combination with early administration of pharmacological prophylaxis for DVT, has the potential to fundamentally change the way we prevent DVTs in critically ill patients.


  1. Neurosurgical Intensive Care Unit Prospective Registry/Database Project. Principle Investigator. The NSICU database project is a software that was designed and built by Dr. Hafeez and the database analysts in the department of Neurosurgery. The database was designed to capture esoteric clinical data that is lost by the electronic medical record that is generated by the interpretation of information by the clinical team. Since its inception in August 2017, over 1100 clinical encounters have been captured.


  1. BOOST 3: Brain oxygen optimization in severe traumatic brain injury. Phase 3 trial. Local Principle Investigator. We are in the planning stages of planning and should start enrollment by mid 2019.


  1. SAGE-547 Evaluate the efficacy and safety injection in the treatment of subjects with super-refractory Status Epilepticus. Role: Site sub-investigator (closed)

Awards & Accomplishments

Department of Neurology Excellence in Student Teaching Award 2014

Alpha Omega Alpha Medical Society 2014

Performance Review Institute Research Award for Addiction Research 2010


Peer-Reviewed Publications

Hafeez S., Grandhi R. Systematic review of Intraventricular Nicardipine for the Treatment of Cerebral Vasospasm in Aneurysmal Subarachnoid Hemorrhage. Jan 3, 2019. Neurocritical Care.


Yechoor, N., Adeli A., Hafeez, S. External Validation of the Epidemiology-Based Mortality Score in Status Epilepticus. Epilepsy Research Dec 2018


Hafeez S., Torbey M., Greene-Chandos D. Neurocritical Care Fellowship Case and Procedure Log for the Customization of Fellowship Training. Currents. September 18, 2018. Currents.neurocriticalcare.org/blogs/currents-editor/2018/09/18/neurocritical-care-felowship-case-and-procedure


Szabo A., Garvin R., Hafeez S., Seifi A., Leary L, Sanka R., Henry J, Papanastassiou A. Adult-onset Rasmussen’s Encephalitis in the Company of Cortical Dysplasia and Elevated Serum Acetylcholine-Receptor Antibodies. Epilepsy and Behavioral Case Reports Dec 2018


Aachi RV, Birnbaum L, Topel C, Seifi A, Hafeez S, Behrouz R. Laboratory Characteristics of Ischemic Stroke Patients with Atrial Fibrillation on or off therapeutic warfarin. Clinical Cardiology. Dec 2017


Tavakoli S, Peitz G, Ares W, Hafeez S, Grandhi R. Complications of invasive intracranial pressure monitoring devices in neurocritical care. Neurosurgical Focus Nov 2017


Elliot RS, Godoy DA, Michalek JE, Behrouz R, Elsehety MA, Hafeez S, Rios D, Seifi A. The Effect of Morbid Obesity on Subarachnoid Hemorrhage Prognosis in the United States. World Neurosurgery. Sept 2017.


Behrouz R, Misra V, Godoy DA, Topel CH, Masotti L, Klijn CJ, Smith CJ, Parry-Jones AR, Slevin MA, Silver B, Willey JZ, Masjuan Vallejo J, Nzwalo H, Popa-Wagner A, Malek AR, Hafeez, S, Di Napoli; MNEMONICH Investigators. Clinical Course and Outcomes of Small Supratentorial Intracerebral Hematomas. Journal of Cerebrovascular Diseases. Feb 3 2017


Peitz GW, Peterson WC, Hafeez S, Grandhi R. Superficial temporal artery haemorrhage caused by neurophysiological monitoring: a unique MRI finding. BMJ Case Reports. Jan 10 2017.


Behrouz R., Hafeez S., Miller C. Admission Leukocytosis in Intracerebral Hemorrhage: Associated Factors and Prognostic Implications. Neurocritical Care. Mar 12 2015


Tsivgoulis G, Katsanos AH, Behrouz R, Hafeez S, Mutgi SA, Intensive blood pressure reduction in acute intracerebral hemorrhage: A meta-analysis. Neurology. Jun 16 2015


Hafeez S., Behrouz R. The Safety and Feasibility of Admitting Patients Having Intracerebral Hemorrhage With Mild Presentation to the Step-Down Unit. Journal of Intensive Care Medicine Mar 29 2015


Behrouz R, Hafeez S, Mutgi SA, Zakaria A, Miller C. Hypomagnesmia in Intracerebral Hemorrhage. World Neurosurg. Sep 1 2015


Grose N., Hafeez S., Mutgi SA, Behrouz R. Intracerebral hemorrhage patients presenting with normal blood pressure Journal of Human Hypertension. July 23 2015.


Hafeez S., Zakaria A., Adriance S., Cornwell C., Elefritz J., Intraventricular Nicardipine for Reversible Vasospasm Related to Cryptococcal Meningovasculitis. Neuroinfectious Diseases Jul 2015


Hafeez S, Torbey M. Enhanced external counter pulsation and neurologic recovery for cardiac arrest: is it ready for prime time? Comment on Early enhanced external counter pulsation improves neurological recovery after the return of spontaneous circulation in a mongrel dog cardiac arrest model. Critical Care Medicine. 2013 Jun;41(6):1593.


Hafeez S., Cavaliere R. Recent Innovations in the Management of Low-Grade Gliomas. Current Treatment Options in Neurology. 2012 Aug;14(4):369-80.



Selected Posters

Johal J., Hafeez S. Risk factors for re-intubation in Neurocritically ill patients. SCCM annual congress 2019.


Szabo A., Seifi A., Garvin R., Hafeez S., Leary L., Papanastasiou A., Morgan L. Adult-onset EPC associated with Cortical Dysplasia and Peripheral ACH Receptor Antibodies Acutely Transforming into Rasmussen‘s Encephalitis. 2017 American Epilepsy Society Meeting


Garvin R., Hafeez S., Seizures resulting in Global Cerebral Edema and Progression to Brain Death within 24 hours. Neurocritical Care Society Meeting 2017


Hafeez S., Greene-Chandos D. Use of a fellowship database with minimal hassle bias allows fellows and program directors to objectively track caseloads, procedures, and retrospective case review. 12th Annual Meeting of the Neurocritical Care Society, October 9, 2015


Hafeez S., Behrouz R. The Prevalence of Admission Leukocytosis and Systemic Inflammatory Response Syndrome (SIRS) in Intracerebral hemorrhage (ICH) Patients and Its Association with Primary Infection. American Academy of Neurology 67th Annual Meeting, April 21, 2015


Zha A., Mutgi SA, Hafeez S., Behrouz R. The Impact of Pre-Stroke Smoking on Post-Stroke Mortality. American Academy of Neurology 67th Annual Meeting, April 20, 2015


Dalal, P., Hafeez, S, Zakaria A. Gray matter predominant Longitudinally Extensive Transverse Myelitis: a rare association with metastatic papillary thyroid carcinoma. American Academy of Neurology 67th Annual Meeting, April 20, 2015


Hafeez S, Elefrintz J., Adriance S, Zakaria A. Intraventricular Nicardipine for Reversible Vasospasm Related to Cryptococcal Meningovasculitis. ePoster presentation at the 12th Annual Meeting of the Neurocritical Care Society, September 12, 2014


Hafeez S, Behrouz R. Assessing the Safety and Cost-Effectiveness of Admission of patients with Intracerebral Hemorrhage (ICH) to a Neurovascular Step Down Unit. American Academy of Neurology 66th Annual Meeting, April 26, 2014