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When debulking a fourth ventricle tumor, it is critical to preserve the floor of the fourth ventricle, even if that requires leaving behind a carpet of invading tumor. Can you name some common fourth ventricular tumors?
#nsgy #tumors
https://t.co/XGvc0ts2Sf
Image of the posterior transection line for frontal lobectomy. The coronal suture is the rostral border of the lobectomy. The sphenoid wing is the caudal border of the lobectomy. The dissection pathway should remain anterior to the corpus callosum.
https://t.co/6WQjqa75v5
Injury to the anterior 1/3 of the superior sagittal sinus (SSS) can be repaired by tying off the proximal and distal ends of the tear with 2-0 silk sutures.
#sagitalsinus #repair #nsgy
https://t.co/69Xj4lV2Ae
Management of #torcular tear can be complicated and depends on the extent of the tear. A small tear can be covered with a Gelfoam sponge and covered with a cottonoid patty (A, top left). For larger tears, read more at:
https://t.co/69Xj4lV2Ae
Deep ear pain can be a sign of geniculate neuralgia. Successful dissection & transection of the nervus intermedius, which can be found between CNs VII & VIII, is important. What deficits could patients potentially have following this procedure?
https://t.co/dkhLkZZdoE
#ImageChallenge: partially thrombotic & calcifie L ICA bifurcation aneurysm!
Patient received high-flow extracranial ICA-M2 bypass & Hunterian ligation of the ICA distal to the anterior choroidal artery.
https://t.co/MtwPhB4Lf6
#bypass #nsgy #complexcranial #cerebrovascular
Neurovascular conflict for cranial nerve compression syndromes can include arteries and veins. Which artery is the most common culprit in trigeminal neuralgia? What about in hemifacial spasm?
#trigeminalneuralgia #MVD
https://t.co/dkhLkZZdoE
#GrandRounds: "Supracerebellar Approach: Expanding the Operative Corridor" with Dr. Aaron Cohen-Gadol
#complexcranial #nsgy
https://t.co/sL3KM4bAXh
The #imagechallenge from yesterday was a spinal cavernous malformation (CM)!
The image below is depicting techniques for their removal with full explanation found at the link below:
https://t.co/Bqk7wUUDnO
#cavmal #nsgy #spine #surgery
The peri-insular hemispherotomy effectively treats patients with unilateral epileptogenic hemisphere dysfunction while limiting potential complications. This illustration shows the exposure of the frontal horn of the lateral ventricle.
#epilepsy #nsgy
https://t.co/YlXCWBjAXD