70 y.o. female w/ forehead swelling that grew over 2 years and caused progressive proptosis and loss of vision (Will provide Reference, patient consented). Etiology may surprise you. #neurosurgery #ent ImageImage
Mass effect on brain but contents similar attenuation on CT to brain parenchyma
Hint: Slow growth, bony structures w/ thinning and no destruction, no enhancement, homogenous nature, and no vascularity.
Giant frontal mucocele occur due to obstruction of the ostium sinus from inflammation, trauma, mass lesion. They can grow into cranial space & cause meningitis. Dislocated posterior frontal sinus wall fractures can cause. ncbi.nlm.nih.gov/pmc/articles/P…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Oren Gottfried, MD

Oren Gottfried, MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @OGdukeneurosurg

Oct 18
26 year old male in ED says, “I’ve done something very bad.” On exam, you find 5 of these on each size of his head. Thoughts? #neurosurgery #trauma
Before you can get any history, exam, or any imaging, he tries to leave AMA. What do you do?
After convincing him to stay, X-ray shows…
Read 6 tweets
Oct 16
Unfortunate young male who was assulted presents to the ED alert and oriented, with a headache & nausea, and fixed & dilated right pupil. What are your next steps? #trauma #foreignbody #Neurosurgery Image
Any penetrating cranial injury, I suggest CTA. One can suffer a direct or indirect vascular injury.
Anyone know the name and use of this tool?
Read 4 tweets
Oct 15
Young man had a fall from construction scaffold and presented with a twisted steel bar in his head. Thoughts and Plans? #neurosurgery #trauma #neurotwitter Image
Neuro exam was normal except for a fixed and dilated left pupil. Credit: Luo and Fei.
CTA - good news… no vascular injuries. Doctor, do you want any other specialties in the OR with you?
Read 4 tweets
Sep 26
50 yo female with progressive eye redness and loss of visual acuity. She has a h/o hypertension. Thoughts? #MedEd
#MedTwitter #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #neuroscience #neurotwitter
#sciencetwitter #brain #medstudenttwitter #medical Image
Neuro intact other than vision.
What is reason for redness, specifically?
Read 4 tweets
Sep 24
What in the world is going on here on this awake #patient ?
Hint: it is not a c1-2 puncture, which is used when lumbar puncture is not an option. Image
Occipital puncture into 4th ventricle in awake patient. Image
Read 4 tweets
Sep 24
This… is why I became a #neurosurgeon and what rehabilitative specialties love to do.
Source: ESPN. The key of spine surgery and rehabilitative efforts is collaborating with our patients to achieve functional independence in the presence and in the absence of any neurological recovery.
I look forward to further advances and applications of brain computer interface, spinal cord stimulation, neural prosthesis, exoskeletons, nerve transfers, and things we don’t know of yet… for assisting patients with spinal cord injuries.
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(