Sarah T. Menacho
( out of 178 reviews )

Sarah T. Menacho, MD, MBA

Languages spoken: English, French

Clinical Locations

Primary Location

Clinical Neurosciences Center

175 North Medical Drive East
Salt Lake City , UT 84132
801-585-7575
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Dr. Menacho received her undergraduate degree from the University of Chicago, and after spending two years volunteering at a rural health clinic in Burkina Faso, West Africa, she went on to get her M.D. from the University of Vermont College of Medicine. Following graduation, Dr. Menacho began her Neurosurgical residence training at the University of Utah. During this time, Dr. Menacho completed an enfolded fellowship in Surgical Critical Care also at the University of Utah. After residency, Dr. Menacho went on to complete a Neurosurgical Oncology fellowship specializing in the care of patients with brain tumors at MD Anderson Cancer Center in Houston, Texas.

Presently, Dr. Menacho is the Vice Chair of the Department of Neurosurgery and the Director of the Neuro Critical Care Unit at the University of Utah. She is triple-board certified in Surgical Critical Care, Neurocritical Care, and Neurosurgery. Dr. Menacho has a passion for research and an impressive list of publications focused on exploring ways to improve care and outcomes in patients with malignant brain tumors and traumatic brain injuries. When not working, Dr. Menacho enjoys snowboarding, traveling, spending time with her husband and son, and restoring the family's 1970 Chevy Chevelle.

Reviews

Specialties

Board Certification

American Board of Neurological Surgery
American Board of Surgery (Sub: Surgical Critical Care)

Patient Rating

Patients consistently report that Dr. Menacho is a skilled, trustworthy neurosurgeon who explains conditions and treatment plans clearly. Commenters highlight her compassion and excellent bedside manner, noting that she listens, answers questions, and keeps patients and families informed. Many credit her professionalism and surgical expertise for strong outcomes and increased confidence in their care.

Generated via Patient Reviews

4.9 /5
( out of 178 reviews )

The patient rating score is an average of all responses on our patient experience survey. The rating averages scores for all questions about care from our providers. The scale on which responses are measured is 1 to 5 with 5 being the best score.

Dr. Menacho received her undergraduate degree from the University of Chicago, and after spending two years volunteering at a rural health clinic in Burkina Faso, West Africa, she went on to get her M.D. from the University of Vermont College of Medicine. Following graduation, Dr. Menacho began her Neurosurgical residence training at the University of Utah. During this time, Dr. Menacho completed an enfolded fellowship in Surgical Critical Care also at the University of Utah. After residency, Dr. Menacho went on to complete a Neurosurgical Oncology fellowship specializing in the care of patients with brain tumors at MD Anderson Cancer Center in Houston, Texas.

Presently, Dr. Menacho is the Vice Chair of the Department of Neurosurgery and the Director of the Neuro Critical Care Unit at the University of Utah. She is triple-board certified in Surgical Critical Care, Neurocritical Care, and Neurosurgery. Dr. Menacho has a passion for research and an impressive list of publications focused on exploring ways to improve care and outcomes in patients with malignant brain tumors and traumatic brain injuries. When not working, Dr. Menacho enjoys snowboarding, traveling, spending time with her husband and son, and restoring the family's 1970 Chevy Chevelle.

Reviews

Board Certification and Academic Information

Academic Departments Neurosurgery -Professor
Board Certification
American Board of Neurological Surgery
American Board of Surgery (Sub: Surgical Critical Care)

Education history

Graduate Training Business Administration - University of Utah MBA
Fellowship Neurosurgical Oncology - MD Anderson Cancer Center Fellow
Fellowship Surgical Intensive Care Unit - University of Utah Fellow
Residency Neurosurgery - University of Utah Resident
Professional Medical Medicine - University of Vermont College of Medicine M.D.
Undergraduate Religion and the Humanities - University of Chicago B.A.

Selected Publications

Journal Article

  1. Underhill HR, Sellers DL, Hellwig S, Baradaran H, Bronner MP, Thomas A, Menacho S, Davidson CJ, Malani R, Farrell A, Karsy M, Nix DA, Zhang Y, Boatz LA, Mendez J, Burt L, Cannon D, Dean CS, Harrison BE, Stevenson S, Aitken K, Pulst SM, Colman H, Jensen RL (2026). Molecular features unique to circulating tumor DNA enable the tumor-naive liquid biopsy of glioblastoma. NPJ Precis Oncol, 10, 312.
  2. Grandhi R, Gautam D, Owens MR, Anthony I, Botros D, Richter KR, Cortez J, Enniss T, Lombardo S, Ledyard HK, Koch R, Menacho ST (2025). Impact of Modified Brain Injury Guideline Incorporating Neurosurgical Consultation on Resource Utilization and Follow-Up Care in Complicated Mild Traumatic Brain Injury. Neurosurgery, 99(2), 391-400.
  3. Nadel JL, Abdelgadir J, Budohoski KP, Rennert RC, Menacho ST, Couldwell WT (2026). Postoperative Management After Transsphenoidal Resection of Pituitary Tumors. Neurol India, 74(4), 653-656.
  4. Tenhoeve SA, Brown J, Findlay MC, Jhandi S, Cortez J, Grandhi R, Lombardo S, Enniss T, Menacho ST (2026). Clinical progression in patients with concomitant blunt cerebrovascular injury and traumatic brain injury classified using the Brain Injury Guidelines. J Neurosurg, 144(6), 1477-1486.
  5. Cole KL, Rennert RC, Tenhoeve SA, Wardrop TJ, Menacho ST, Salzman KL, Artrip D, Miro P, Warstadt M, Couldwell WT, Quigley EP (2026). Sinking Flap Syndrome: Risk Factors, Outcomes, and the Role of Neuroradiology in Cranioplasty Timing. AJNR Am J Neuroradiol, 47(5), 1392-1399.
  6. Cole KL, Tenhoeve S, Van Gompel J, Karsy M, Sagher O, Bounajem M, Nguyen S, Pham M, Cook S, Kerezoudis P, Yengo-Kahn A, Rahimpour S, Cole CD, Rennert RC, Menacho ST, Grandhi R, Spinner RJ, Mazur MD, Murad GJA, Couldwell WT, Jensen RL (2026). The Scarlet Letter of the Unmatched Neurosurgery Reapplicant: Trends, Opinions, and Guidance from a Nation-Wide Survey. J Am Coll Surg, 242(6), 1517-1528.
  7. Chugg C, Shoraka O, Gautam D, Botros D, Wandvik C, Dalkilic A, Charcos I, Koneru M, Treffy R, Feller C, Palmer P, Menacho ST, Nerva JD, Tonetti DA, Grandhi R (2026). Discriminatory Value of the Revised Risk Analysis Index Compared With the Charlson Comorbidity Index in Predicting Outcomes of Patients Undergoing Treatment for Chronic Subdural Hematoma. Oper Neurosurg.
  8. Jhandi S, Jhandi AS, Cannon DM, Burt LM, DeCesaris C, Menacho ST, Colman H, Jensen RL (2025). Stereotactic radiosurgery for radiation induced meningiomas: long term institutional outcomes with patient- and lesion level analyses and an updated meta analysis. J Neurooncol, 176(1), 122.
  9. Gautam D, Botros D, Wandvik C, Dalkilic A, Koneru M, Treffy R, Feller C, Palmer P, Menacho ST, Nerva JD, Tonetti DA, Grandhi R (2025). High prevalence of inappropriate antithrombotic use in patients with symptomatic chronic subdural hematomas: should our focus be on preventing the subdural tsunami? Neurosurg Focus, 59(4), E13.
  10. Orton CJ, Tenhoeve SA, Findlay MC, Nguyen S, Menacho ST (2025). Progression of intracranial hemorrhages in neurotrauma patients: A clinical and radiological comparison of isolated versus multiple areas of hemorrhage and associated transfusion treatment strategies. Clin Neurol Neurosurg, 255, 108984.
  11. Owens MR, Larkin E, Tenhoeve SA, Olcott JR, Barber N, Findlay MC, Menacho ST, Sbai M, Grandhi R (2025). Vestibular dysfunction after mild traumatic brain injury: A systematic review. Clin Neuropsychol, 1-27.
  12. Perez Rodriguez Garcia G, Maroufi SF, Ruchika F, Kumar D, Bowers C, Menacho ST (2025). Risk analysis index-measured frailty as a critical predictor of outcomes in patients with non-normal pressure hydrocephalus undergoing first-time shunt surgery: A nationwide study. Clin Neurol Neurosurg, 256, 109012.
  13. Cole KL, Tenhoeve SA, Khan M, Findlay MC, Cortez J, Grandhi R, Menacho ST (2024). Barriers to Care: Examining the Unique Obstacles of Indigenous American Patients With Acute Neurosurgical Injuries. Neurosurgery, 96(4), 841-849.
  14. Twitchell S, Findlay MC, Nelson J, Sherrod BA, Menacho ST, Dorsey D, Dailey AT, Mazur MD (2024). Establishing a Benchmark for Iatrogenic Hemodilution and Blood Transfusion in Long-Segment Spine Fusion Surgery. Spine (Phila Pa 1976), 50(5), 311-317.
  15. Tenhoeve SA, Cole KL, Jhandi S, Findlay MC, Larkin E, Brown J, Orton CJ, Andra K, Cortez J, Grandhi R, Lombardo S, Nunez J, Enniss T, Koch R, Menacho ST (2024). Applying an updated brain injury guideline classification to interhospital transfer of patients with traumatic brain injury: Who benefits most? Clin Neurol Neurosurg, 249, 108704.
  16. Gautam D, Botros D, Aubrey J, Bounajem MT, Lombardo S, Cortez J, McCrum M, Enniss T, Puckett M, Bowers CA, Menacho ST, Grandhi R (2025). Inappropriate antithrombotic use in geriatric patients with complicated traumatic brain injury. J Trauma Acute Care Surg, 98(5), 776-784.
  17. Menacho ST (2024). Editorial. Factors that influence functional recovery after magnetic resonance-guided laser interstitial thermal therapy for recurrent high-grade gliomas. Neurosurgical Focus, 57(4), E5.
  18. Bollo RJ, Ho WS, Strauss I, Ferguson SD, Menacho ST (2024). Introduction. Calibrating the utility of laser interstitial thermal therapy in neurosurgery: a once-novel surgical treatment finds it place in the armamentarium. Neurosurg Focus, 57(5), E1.
  19. Meyer RM, Grandhi R, Lim DH, Salah WK, McAvoy M, Abecassis ZA, Bonow RH, Walker M, Ghodke BV, Menacho ST, Durfy S, Chesnut RM, Kim LJ, Bell RS, Levitt MR (2024). A comparison of computed tomography angiography and digital subtraction angiography for the diagnosis of penetrating cerebrovascular injury: a prospective multicenter study. J Neurosurg, 141(2), 306-309.
  20. Shoushtari A, Robinson L, Mao Q, Shah LM, Salzman KL, Menacho ST (2024). Diagnostic and Therapeutic Challenges of Rare Concurrent Intracranial Meningioma and Oligodendroglioma. Case Rep Oncol, 17(1), 725-733.
  21. Pelah AI, Czosnyka M, Menacho S, Nwachuku E, Hawryluk GWJ (2023). Focal brain oxygen, blood flow, and intracranial pressure measurements in relation to optimal cerebral perfusion pressure. J Neurosurg, 140(5), 1423-1433.
  22. Robinson LJ, Goold E, Cannon DM, Mendez JS, Menacho ST, Mao Q, Liu T (2024). A rare case of an adult primary intracranial sarcoma associated with a DICER1 mutation. J Neuropathol Exp Neurol, 83(5), 365-369.
  23. Cole KL, Nguyen S, Gelhard S, Hardy J, Cortez J, Nunez JM, Menacho ST, Grandhi R (2023). Factors Associated with Venous Thromboembolism Development in Patients with Traumatic Brain Injury. Neurocrit Care, 40(2), 568-576.
  24. Findlay M, Bauer SZ, Gautam D, Holdaway M, Kim RB, Salah WK, Twitchell S, Menacho ST, Gandhoke GS, Grandhi R (2024). Cost differences between autologous and nonautologous cranioplasty implants: A propensity score-matched value driven outcomes analysis. World Neurosurg X, 22, 100358.
  25. Findlay MC, Sarriera-Valentin G, Earl ER, Cole KL, Hamrick FA, Baradaran H, Cortez J, Lombardo S, Nunez J, Kilburg C, Grandhi R, Menacho ST (2023). Management Patterns and Outcomes After Traumatic Brain Injury With Associated Blunt Cerebrovascular Injury. Neurosurgery, 94(2), 340-349.
  26. Rock CB, Weil CR, Rock CB, Gravbrot N, Burt LM, DeCesaris C, Menacho ST, Jensen RL, Shrieve DC, Cannon DM (2024). Patterns of failure after radiosurgery for WHO grade 1 or imaging defined meningiomas: Long-term outcomes and implications for management. J Clin Neurosci, 120, 175-180.
  27. Sivakumar W, Martin N, Menacho ST, DAmico RS, Regli L (2023). Introduction. Developing the foundation for enhanced recovery after cranial surgery. Neurosurg Focus, 55(6), E1.
  28. Botros D, Gautam D, Hamrick FA, Nguyen S, Cortez J, Young JB, Lombardo S, McCrum ML, Menacho ST, Grandhi R (2023). Impact of premorbid oral anticoagulant use on survival in patients with traumatic intracranial hemorrhage. Neurosurg Focus, 55(4), E2.
  29. Dai H Carter A Karsy M Menacho S Mao Q Robinson L (2023). Giant Epidermoid Cyst of Posterior Fossa. J Neuropathol Exp Neurol, 82(6), 554.
  30. Gill AS, Sumsion J, Alt JA, Karsy M, Couldwell WT, Menacho ST (2022). Intraoperative Alcoholization of the Pituitary Gland Does Not Reduce the Recurrence Rate of Growth Hormone Secreting Pituitary Adenomas. J Neurol Surg B Skull Base, 84(2), 164-169.
  31. Cole KL, Findlay MC, Earl E, Sherrod BA, Cutler CB, Nguyen S, Grandhi R, Menacho ST (2023). Understanding the Unique Challenges Faced by Homeless Patients With Acute Traumatic Neurosurgical Injuries. Neurosurgery, 93(2), 292-299.
  32. Hedges A, Findlay MC, Davis GE, Wolfe BM, Hawryluk GWJ, Menacho ST, Ansari S (2023). Levetiracetam dosing for seizure prophylaxis in neurocritical care patients. Brain Inj, 37(10), 1167-1172.
  33. Azab M, Gamboa N, Nadel J, Cutler C, Henson JC, Lucke-Wold B, Panther E, Brandel MG, Khalessi AA, Rennert RC, Menacho ST, Mazur MD, Karsy M (2022). Case Series and Systematic Review of Electronic Scooter Crashes and Severe Traumatic Brain Injury. World Neurosurg, 167, e184-e195.
  34. Cole KL, Kurudza E, Rahman M, Kazim SF, Schmidt MH, Bowers CA, Menacho ST (2022). Use of the 5-Factor Modified Frailty Index to Predict Hospital-Acquired Infections and Length of Stay Among Neurotrauma Patients Undergoing Emergent Craniotomy/Craniectomy. World Neurosurg, 164, e1143-e1152.
  35. Grandhi R, Menacho ST, Ravindra VM, Condie C, Taussky P, Hawryluk GWJ (2022). Correlation of intraventricular nicardipine for refractory vasospasm in aneurysmal subarachnoid hemorrhage with improved neurophysiology on intracranial multimodality monitoring: illustrative case. J Neurosurg Case Lessons, 3(22), CASE22113.
  36. Anadani M, Qureshi AI, Menacho S, Grandhi R, Yaghi S, Jumaa MA, de Havenon A (2021). Race/ethnicity and response to blood pressure lowering treatment after intracerebral hemorrhage. Eur Stroke J, 6(4), 343-348.
  37. Nguyen S, Kim RB, Cox P, Gamboa NT, Karsy M, Couldwell WT, Menacho ST (2021). Impact of modified Frailty Index-11 (mFI-11) on postoperative complications in patients undergoing transsphenoidal resection of pituitary tumors: Analysis of 2006-2014 ACS-NSQIP database. J Clin Neurosci, 92, 22-26.
  38. Khan M, Joyce E, Horn J, Scoville JP, Ravindra V, Menacho ST (2021). Postoperative bowel complications after non-shunt-related neurosurgical procedures: case series and review of the literature. Neurosurg Rev, 45(1), 275-283.
  39. Kim RB, Scoville JP, Karsy M, Lim S, Jensen RL, Menacho ST (2021). Work relative value units and perioperative outcomes in patients undergoing brain tumor surgery. Neurosurg Rev, 45, 719-728.
  40. McNally JS, Sakata A, Alexander MD, Dewitt LD, Sonnen JA, Menacho ST, Stoddard GJ, Kim SE, de Havenon AH (2021). Vessel Wall Enhancement on Black-Blood MRI Predicts Acute and Future Stroke in Cerebral Amyloid Angiopathy. AJNR Am J Neuroradiol, 42(6), 1038-1045.
  41. Menacho S, Hawryluk G (2021). Failure of an effective physiologic threshold compliance tool to demonstrate benefit in a clinical trial of traumatic brain injury patients. J Clin Neurosci, 88, 113-119.
  42. Menacho ST, Floyd C (2019). Current practices and goals for mean arterial pressure and spinal cord perfusion pressure in acute traumatic spinal cord injury: Defining the gaps in knowledge. J Spinal Cord Med, 44(3), 350-356.
  43. Menacho ST, Grandhi R, Delic A, Anadani M, Ziai WC, Awad IA, Hanley DF, de Havenon A (2020). Impact of Intracranial Pressure Monitor-Guided Therapy on Neurologic Outcome After Spontaneous Nontraumatic Intracranial Hemorrhage. J Stroke Cerebrovasc Dis, 30(3), 105540.
  44. Karsy M, Azab MA, Harper J, Abou-Al-Shaar H, Guan J, Eli I, Brock AA, Ormond RD, Hosokawa PW, Gouripeddi R, Butcher R, Cole CD, Menacho ST, Couldwell WT (2019). Evaluation of a D-Dimer Protocol for Detection of Venous Thromboembolism. World Neurosurg, 133, e774-e783.
  45. Karsy M, Guan J, Eli I, Brock AA, Menacho ST, Park MS (2019). The effect of supplementation of vitamin D in neurocritical care patients: RandomizEd Clinical TrIal oF hYpovitaminosis D (RECTIFY). J Neurosurg, 133(4), 1103-1112.
  46. Menacho ST, Kalani MYS (2019). Supraorbital Approach to Basal Frontal Lobe for Resection of Brain Metastasis. World Neurosurg, 129, 241.
  47. Sherrod BA, Gamboa NT, Wilkerson C, Wilde H, Azab MA, Karsy M, Jensen RL, Menacho ST (2019). Effect of patient age on glioblastoma perioperative treatment costs: a value driven outcome database analysis. J Neurooncol, 143(3), 465-473.
  48. Garber ST, Karsy M, Kestle JRW, Siddiqi F, Spanos SP, Riva-Cambrin J (2017). Comparing Outcomes and Cost of 3 Surgical Treatments for Sagittal Synostosis: A Retrospective Study Including Procedure-Related Cost Analysis. Neurosurgery, 81(4), 680-687.
  49. Boettcher LB, Menacho ST (2017). The early argument for prefrontal leucotomy: the collision of frontal lobe theory and psychosurgery at the 1935 International Neurological Congress in London. Neurosurg Focus, 43(3), E4.
  50. Garber ST, Khoury L, Bell D, Schomer DF, Janku F, McCutcheon IE (2016). Metastatic Adenoid Cystic Carcinoma Mimicking Butterfly Glioblastoma: A Rare Presentation in the Splenium of the Corpus Callosum. World Neurosurg, 95, 621.e13-621.e19.
  51. Garber ST, Hashimoto Y, Weathers SP, Xiu J, Gatalica Z, Verhaak RG, Zhou S, Fuller GN, Khasraw M, de Groot J, Reddy SK, Spetzler D, Heimberger AB (2016). Immune checkpoint blockade as a potential therapeutic target: surveying CNS malignancies. Neuro Oncol, 18(10), 1357-66.
  52. Garber ST, Brockmeyer DL (2016). Management of subaxial cervical instability in very young or small-for-age children using a static single-screw anterior cervical plate: indications, results, and long-term follow-up. J Neurosurg Spine, 24(6), 892-6.
  53. Garber S, McCaffrey J, Quigley EP, MacDonald JD (2016). Bedside Treatment of Chronic Subdural Hematoma: Using Radiographic Characteristics to Revisit the Twist Drill. J Neurol Surg A Cent Eur Neurosurg, 77(3), 233-8.
  54. Garber S, Hawryluk G (2015). Provision of nutrients after acute spinal cord injury: the implications of feast and famine. Neural Regen Res, 10(7), 1061-2.
  55. Garber ST, Riva-Cambrin JK (2015). Occipital aneurysmal bone cyst rupture following head trauma: case report. J Neurosurg Pediatr, 15(3), 272-5.
  56. Garber ST, Bollo RJ, Riva-Cambrin JK (2013). Pediatric spinal pilomyxoid astrocytoma. J Neurosurg Pediatr, 12(5), 511-6.
  57. Miller JH, Garber ST, McCormick DE, Eskandari R, Walker ML, Rizk E, Tubbs RS, Wellons JC (2013). Oberlin transfer and partial radial to axillary nerve neurotization to repair an explosive traumatic injury to the brachial plexus in a child: case report. Childs Nerv Syst, 29(11), 2105-9.
  58. Garber ST, Riva-Cambrin J, Bishop FS, Brockmeyer DL (2013). Comparing fourth ventricle shunt survival after placement via stereotactic transtentorial and suboccipital approaches. J Neurosurg Pediatr, 11(6), 623-9.
  59. Sivakumar W, Garber ST, Schrock LE, House PA (2013). Recurrent, delayed hemorrhage associated with edoxaban after deep brain stimulation lead placement. Case Rep Neurol Med, 2013, 691840.

Review

  1. Bin-Alamer O, Haider MA, Balasubramanian K, Mittal A, Pathuri S, Botros D, Gersey ZC, Abou-Al-Shaar H, Rennert RC, Menacho ST, Couldwell WT (2026). Transformation of vestibular schwannomas into malignant peripheral sheath tumors: a systematic review and pooled analysis of patient characteristics and survival outcomes. [Review]. J Neurooncol, 179(1).

Book Chapter

  1. Garber ST, Kestle J (2014). Brainstem Tumors. In Berger M, Bernstein M (Eds.), Neuro-Oncology: The Essentials (3rd Edition, Chapter 27). New York: Thieme.

Case Report

  1. Bounajem M, Cole KL, Menacho ST (2021). Rapid Diffuse Leptomeningeal Dissemination of an Anaplastic Pleomorphic Xanthoastrocytoma in an Adult Patient. Cureus, 13(11), e19186.
  2. Sherrod BA, Condie CK, Brock AA, Ledyard H, Menacho ST, Mazur MD (2019). Emergent Reversal of Direct Oral Anticoagulants Permitting Neurosurgical Intervention for Nonhemorrhagic Pathology. World Neurosurg, 135, 38-41.

Letter

  1. Tenhoeve SA, Grandhi R, Menacho ST (2026). Refining the Brain Injury Guidelines: Does Blunt Cerebrovascular Injury Deserve a Seat at the Table? [Letter to the editor]. World Neurosurg, 210, 124968.
  2. Findlay MC, Cole KL, Menacho ST (2023). Mitigating Stroke Risk After Blunt Cerebrovascular Injury: Timing is Everything. [Letter to the editor]. World Neurosurg, 180, 235.
  3. Shah A, Downey B, Menacho ST (2019). Viable treatment options for patients with symptomatic radiation necrosis treated with stereotactic radiosurgery and immunotherapy. [Letter to the editor]. Clin Neurol Neurosurg, 184, 105444.
  4. Garber ST, Sivakumar W, Schmidt RH (2013). Response. [Letter to the editor]. J Neurosurg, 118(2), 485.
  5. Garber ST, Sivakumar W, Schmidt RH (2013). Response. [Letter to the editor]. J Neurosurg, 118(2), 483.

Other

  1. Findlay M, Bauer SZ, Gautam D, Holdaway M, Kim RB, Salah WK, Twitchell S, Menacho ST, Gandhoke GS, Grandhi R (2024). Erratum to 'Cost differences between autologous and nonautologous cranioplasty implants: A propensity score-matched value driven outcomes analysis' [World Neurosurgery: X (22C) (2024) (100358)]. World Neurosurg X (25, p. 100424). United States.

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