See satisfying surgery poking a hole in floor of 3rd ventricle with a balloon to treat hydrocephalus. Endoscopic Third Ventriculostomy (ETV) by Dr. Henry Schroder. Relevant anatomy below

Basics of anterior cervical discectomy and fusion. 🧵 Further illustration of acdf

This was surgically removed from brain of a one year old. Source: ⁦@GreenJournal⁩ 🧵 She presented w increased head circumference and motor delay. Note all the structures of her twin in her ventricles.

Live Fluoro X-rays of sword swallowing: how do they get away without a perforation?🧵 Further images

Removal of meningioma and see it’s requisite dural attachment. Tell me a fact about mengingiomas please! 🧵 All credit to neurocirurgiafortaleza. Locations of meningiomas

Check this awesome cerebellum out. Surgery is a chiari decompression. Source: dralvarocampero

Watch this #neurosurgery for massive #parasitic #Hydatid #cyst and you will witness a satisfying delivery. (Not my case, found online) The primary treatment of brain hydatid cysts is surgery and the main goal of the neurosurgical intervention is to excise the cyst without rupture to prevent recurrence and anaphylactic reaction. Postop, albendazole is recommended for 1–3 months.

Brain Hemispherectomy = half of brain is removed or disconnected for refractory / drug-resistant epilepsy. 🧵 Indications

This is what herniated discs do to your nerve root. 🧵 Discectomy surgery primer

Patient next to his parasitic twin after surgery. You can see it’s small brain, hair, teeth, and other parts. Source SanjayPandey

So many easier ways to get cerebrospinal fluid, but still interesting. Trigeminal neuralgia percutaneous treatment options include radiofrequency, glycerol, and balloon compression.

Evacuation of hypertensive intraparenchymal (brain) hematoma. 🧵 Imaging on hypertensive intraparenchymal bleeds

What are you addicted to? 🧵 Neuroscience of addiction.

Check out the Dura. Tell me all about it if you can. 🧵 Some anatomy

This one is truly worthy of the title, “Berry Aneurysm.” What can you tell me about these? Primer from @NEJM

Basics of Sleep More on science of sleep

Human vs. Gorilla: thoughts? Source: uminoff Any way a strong human could beat a gorilla in a fight?

This isn’t a magic trick… skull flap removed from belly. 🧵 Some surgeons store the skull flap in a freezer (after removal for refractory intracranial hypertension) for few months and then replace it. The freezer is costly, flaps can get lost, and maintaining sterility is key. The abdomen is a good storage place.

Bye bye anterior temporal lobe filled with tumor. Get a peak at underlying skull base. See how dissection by @neurosurgatlas started with initial corticectomy. Note how valuable the suction is for subpial dissection. Note there was additional tumor removal after lobectomy.

How'd you treat this unfortunate young boy with a chopstick penetrating three inches into his brain? #neurosurgery #trauma (case published online) He accidentally shoved it up his nose.

Champagne tap lumbar puncture is good, but a perfectly placed, first pass EVD in a patient with slit ventricles is so Rock Star. How to place an external ventricular drain…