Michael Lucas James

Michael Lucas James

Associate Professor of Anesthesiology

External Address: 
5619D Hafs Building, Durham, NC 27710
Internal Office Address: 
Box 3094 Med Ctr, Durham, NC 27710


I have an extensive background in neuroanesthesia and neurointensive care and a special research interest in translational and clinical research aspects of intracerebral hemorrhage.

After completing residencies in neurology and anesthesiology with fellowships in neurocritical care, neuroanesthesia, and vascular neurology, I developed a murine model of intracerebral hemorrhage in the Multidisciplinary Neuroprotection Laboratories at Duke University. After optimization of the model, I have begun to pursue translatable mechanisms of modifying neuroinflammation after intracerebral hemorrhage to improve long-term functional recovery. In addition, I have used the model to evaluate the potential of several novel therapeutics for translation into human clinical trials.

While maintaining an active and productive laboratory, I am or have been a Principal Investigator on several clinical trials involving patients with intracerebral hemorrhage. As part of the Translational Acute Brain Injury Research Center at Duke University, I am, or have been, the Duke site-PI for large, multicenter trials funded by the NIH, including CLEAR-IVH, MISTIE, ERICH, and HI-Def studies. Further, I am leading smaller industry-sponsored trials and “home grown” projects in this patient population.

In addition to a research focus in intracerebral hemorrhage, I have an active clinical practice in neuroanesthesia. Our center consistently handles a high volume of neurovascular neurosurgical cases, which require neuroanesthesia subspecialization. This small group of neuroanesthesiologists handles patient care and research opportunities during the peri-operative period, as patients move between the emergency department, neurointensive care unit, operative suites, and neurointerventional suites. I am, or have been, Co-PI of several small, industry-sponsored neuroanesthesia device or therapeutic clinical trials.

Finally, I am fortunate to be part of a unique team of highly motivated and productive individuals that comprise a truly translational collaboration. This allows me to propel ideas from bench to bedside and the ability to reverse translate ideas from the bedside back to the bench. In summary, I have a demonstrated record of successful and productive research projects in areas of high relevance to intracerebral hemmorrhage.

Education & Training

  • M.D., Louisiana State University 1999

Claassen, Jan, et al. “Proceedings of the First Curing Coma Campaign NIH Symposium: Challenging the Future of Research for Coma and Disorders of Consciousness.Neurocrit Care, vol. 35, no. Suppl 1, July 2021, pp. 4–23. Pubmed, doi:10.1007/s12028-021-01260-x. Full Text

Chen, Fangyu, et al. “Echocardiogram Utilization Patterns and Association With Mortality Following Severe Traumatic Brain Injury.Anesth Analg, vol. 132, no. 4, Apr. 2021, pp. 1060–66. Pubmed, doi:10.1213/ANE.0000000000005110. Full Text Open Access Copy

Kaleem, Safa, et al. “A Triage Model for Interhospital Transfers of Low Risk Intracerebral Hemorrhage Patients.J Stroke Cerebrovasc Dis, vol. 30, no. 4, Apr. 2021, p. 105616. Pubmed, doi:10.1016/j.jstrokecerebrovasdis.2021.105616. Full Text

Engel, C., et al. “Associations between Features of External Ventricular Drain Management, Disposition, and Shunt Dependence.” Journal of Neuroanaesthesiology and Critical Care, vol. 8, no. 1, Mar. 2021, pp. 28–33. Scopus, doi:10.1055/s-0040-1710410. Full Text Open Access Copy

Divani, Afshin A., et al. “The Magnitude of Blood Pressure Reduction Predicts Poor In-Hospital Outcome in Acute Intracerebral Hemorrhage.Neurocrit Care, vol. 33, no. 2, Oct. 2020, pp. 389–98. Pubmed, doi:10.1007/s12028-020-01016-z. Full Text

Biffi, Alessandro, et al. “Combining Imaging and Genetics to Predict Recurrence of Anticoagulation-Associated Intracerebral Hemorrhage.Stroke, vol. 51, no. 7, July 2020, pp. 2153–60. Pubmed, doi:10.1161/STROKEAHA.120.028310. Full Text

Lei, Beilei, et al. “Author Correction: Neuroprotective pentapeptide CN-105 improves functional and histological outcomes in a murine model of intracerebral hemorrhage.Sci Rep, vol. 10, no. 1, Apr. 2020, p. 6898. Pubmed, doi:10.1038/s41598-020-63178-2. Full Text

Liu, Li, et al. “Selective Serotonin Reuptake Inhibitors and Intracerebral Hemorrhage Risk and Outcome.Stroke, vol. 51, no. 4, Apr. 2020, pp. 1135–41. Pubmed, doi:10.1161/STROKEAHA.119.028406. Full Text

James, Michael L., et al. “Therapeutic Development of Apolipoprotein E Mimetics for Acute Brain Injury: Augmenting Endogenous Responses to Reduce Secondary Injury.Neurotherapeutics, vol. 17, no. 2, Apr. 2020, pp. 475–83. Pubmed, doi:10.1007/s13311-020-00858-x. Full Text Open Access Copy


Dunning, Karl, et al. “Falls After Intracerebral Hemorrhage.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

Osborne, Jennifer, et al. “Venous Thromboembolism Complications In Patients With Intracerebral Hemorrhage.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

Woo, Daniel, et al. “Intraventricular Hemorrhage and Long-term Incontinencea and Dysmobility After Intracerebral Hemorrhage.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

Kidwell, Chelsea S., et al. “Ischemic Lesions in Intracerebral Hemorrhage Associated with Drop in Blood Pressure and Poor Outcomes in the ERICH Study.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

Kidwell, Chelsea S., et al. “Race/Ethnic Differences in Microbleed Characteristics and Association of Microbleeds with Poor Outcomes in the ERICH Study.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

James, Michael L., et al. “Sex-age Interactions and Differences in Outcomes After Intracerebral Hemorrhage.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

Walsh, Kyle B., et al. “Validating the Association of Peripheral Monocyte Count with 30-Day Case-Fatality in Intracerebral Hemorrhage.” Stroke, vol. 46, LIPPINCOTT WILLIAMS & WILKINS, 2015.

El Husseini, Nada, et al. “SNP rs10940495 in the Gp-130 Locus Is Associated with Functional Outcome Following Spontaneous Intracerebral Hemorrhage.” Neurology, vol. 80, LIPPINCOTT WILLIAMS & WILKINS, 2013.

Sheth, Kevin N., et al. “Withdrawal of Care in the Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) Study.” Stroke, vol. 44, no. 2, LIPPINCOTT WILLIAMS & WILKINS, 2013.

James, Michael, et al. “VENTRICULOSTOMY AND CSF DRAINAGE IN SAH.” Critical Care Medicine, vol. 37, no. 12, LIPPINCOTT WILLIAMS & WILKINS, 2009, pp. A167–A167.