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#Neurosurgery students: study w/u of refractory epilepsy, surgery indications, anatomy, use of stereo-EEG, ECOG, & grids, temporal lobectomy variants, & know selective-AH, LITT, SRS, transections, & lesionectomy. Common ?’s: visual deficit & cm of temp lobe you can take.
#Neurosurgery students: know everything CSF flow… locations of choroid plexus, detailed ventricular anatomy, how & where it exits the system, production of 20cc qhour (important for LD/EVD), normal pressure range, & finally specifics of Endoscopic 3rd Ventriculostomy (ETV).
Ever wonder how #owls can rotate their head 270 degrees and also not compress their vertebral arteries? They have huge transverse foramen, special jugular compensation, 14 cervical levels w/ unique articulations including one at 0-C1.
Students of #Neurosurgery: Before doing fetoscopic repair spina bifida, know open surgery details: timing closure <24-48 hrs, preop care/planning, positioning, surgery steps/nuances, bailouts for large defects w/ muscle/flaps & bone removal, & postop care/mgmt of hydrocephalus.
Students of #Neurosurgery: Your hx, exam, & rads testing for cervical stenosis is vital, but be great at examining the brachial plexus, peripheral nerves, shoulder/rotator, & thoracic outlet. Start reading on Parsonage Turner, be a star, & save patients from unnecessary ACDFs.
Students of #Neurosurgery : When looking at a spine tumor on imaging, 1st step is to identify whether it’s Epidural, Intradural-Extramedullary, or Intramedullary. Next, the differential is smaller, so know your specific tumor characteristics to make dx, & start tx planning.
Students of #Neurosurgery: know your #meningioma presentation by location, histologies and WHO grades, most common sites of origin, Simpson grade of resection, NF2 & multiplicity, and be equipped to educate the team about genetics.
Students of #neurosurgery & #spine: learn about the different spinal osteotomies like posterior column (PCO, Ponte & Smith-Petersen) vs. pedicle subtraction (PSO) vs. vertebral column resection (VCR). Know indications, surgery details incl what’s removed, & risks/ outcomes.
#Neurosurgery students: before you get to map language during an awake #craniotomy, you should know a lot more about language functioning & dysfunction than just wernicke and broca. Let these basic references inspire you to delve deeper.
#Neurosurgery students: study up on the blood supply to all levels of the spinal cord. It’s not a simple topic, but time spent will pay off well for maintaining perfusion for your patients.