Work in progress – illustrations depicting quadrigeminal cavernous malformation with supracollicular and intercollicular safe entry zones

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twitter user i am uploading this picture directly into ur brainstem

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Foramen magnum meningioma which compresses brainstem, cranial nerves, and vertebral artery; and lateral suboccipital approach.

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Re. discussions about the PAG and brainstem and giving justice to their complexity, here's a figure that emphasizes *bidirectional* connectivity with lots of regions: the PAG is not a descending outflow station.

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got a gil com from !! some urioli serotonin straight into my brainstem. 🥺💕 aaaaah thank you for drawing my boys!! 😭💕

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WEAR👏 A 👏 BRAINSTEM COVER 👏

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Diagramed here are some of the various craniotomy approaches which can be used to access lesions of the brainstem. The telovelar, retrosigmoid, and paramedian supracerebellar are among the most favorable approaches for many of these lesions.
https://t.co/12TkdsgND0

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ponytail diavolo has a vice grip on my brainstem rn

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For microvascular decompression for trigeminal neuralgia, I specifically insert a piece of shredded Teflon along the shoulder & medial axilla of the nerve & gently push it distally to prevent contact between the vessel & the root entry zone or brainstem

https://t.co/Km71G4zbW8

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Dayum! You tryna tickle his brainstem?

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During microvascular decompression for trigeminal neuralgia, careful arachnoid dissection and correct CN identification are paramount. Care must be taken to preserve all of the vessels around the brainstem.

https://t.co/Km71G4zbW8

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Happy to announce the publication of my 6th book: Surgery of the Brainstem. While it took me a decade to do my first 75 brainstem cavernous malformations, my last 75 took only 2.5 years . Hope you like the anatomy, approaches, & mgmt pearls from our contributors. . .

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Brainstem lesions can be approached through specific craniotomies. Tell us below some lesions you’ve encountered/observed and which approach you utilized/observed!

https://t.co/12TkdsgND0

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The 902 - Brainstem! Alright, you need +50 intelligence to wield this staff made to increase your intelligence! Or you can just rip out a brain. But trust me, forging it into a staff, thats where the really thinking comes in!

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Some recent illustrations for tweetstorm: surgical pathways to brainstem and thalamic cavernomas.

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Posterior brainstem showing the anatomical position of the dorsal column medial lemniscal pathway https://t.co/pdKwCC7qX2

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