Here describes the resection of AVMs within eloquent cortices and more specifically the angular gyrus or language cortex https://t.co/hNV5m9qJiP

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In this operative video, resection of a large acoustic neuroma is demonstrated.

Learn more here:

https://t.co/KXcaWDPiJ6

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Watch as Dr. Cohen removes an arteriovenous malformation within eloquent cortices using the intranidal resection technique.

The intranidal resection technique allows for maximal protection of vital structures around the nidus.

https://t.co/JZhxEV9GO2

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In this operative video, Dr. Cohen discusses resection of a craniopharyngioma using an orbitozygomatic craniotomy with a translaminar terminalis approach.

See the pearls here:

https://t.co/vI9bdbZ5sf

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Watch as Dr. Cohen removes an arteriovenous malformation within eloquent cortices using the intranidal resection technique. This technique allows for maximal protection of vital structures around the nidus.

https://t.co/JZhxEV9GO2

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The basic principles of the anterior interhemispheric transcallosal approach are illustrated. The reach of this approach is shaded in green (inset image). https://t.co/1zAOV1Crte

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Patient positioning matters! Here’s a great refresher for incoming interns and current residents in this Ground Rounds: Patient Positioning for Intracranial Surgery with Dr. William Couldwell: https://t.co/lBIDamGpdy

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Deep venous anatomy is key in the management of pineal region tumors. Illustrated here is the location of one such tumor through the occipital transtentorial route.

https://t.co/QlSSjafpvq

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Temporal horn AVMs are technically challenging to tackle because the nidus is covering the feeding vessels emerging from the anterior choroidal artery within the choroidal fissure.

Learn more here:
https://t.co/cn2k9dzhwt

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The operative view through the more popular transcortical route via the left superior parietal lobule for periatrial lesions is shown with the sagittal suture parallel to the floor. Note the body of the lateral ventricle is inferior here.

https://t.co/cn2k9dzhwt

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For ventricular body AVMs that extend lateral to the midline, a contralateral transcallosal route is favored to minimize ipsilateral hemispheric retraction.

Learn more here:
https://t.co/cn2k9dzhwt

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During a transsylvian amygdalohippocampectomy, incising the temporal stem allows for access to the temporal horn and serves to create a corridor through which the amygdala and hippocampus can be removed.

https://t.co/q4fP0e4Ukc

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The Artery of Adamkiewicz ascends on the mid-sagittal anterior spinal cord and makes a characteristic hairpin turn as it anastomoses with the anterior spinal artery. It richly supplies the thoracolumbar spinal cord.

https://t.co/tBbewYe6wY

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In this video, Dr. Cohen performs removal of a left medial occipital arteriovenous malformation (#AVM).

See more here:
https://t.co/U09pdR7Nbi

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Continuing on with our theme from last week of reconstruction: Abdominal or thigh fat can be buttressed with a bony septum or prosthesis to keep the fat in place and reconstruct the sella floor.

https://t.co/ZSbv8Gt1uM

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The site of diaphragm attachment to the tuberculum sella (inset) can be a “blind spot” for surgeons and can tear during tumor removal in the anterior sellar recess. Visit the link below for more on reconstruction and CSF leak repair.

https://t.co/n7CYeVpcaO

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Exceptional illustration to aid in understanding the cerebrovascular associations within the medial temporal region.
Find this image and more on: https://t.co/1usRnkZ8m6

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The black line marks the ideal size for a while the red line is too restrictive and could lead to strangulation of the herniating brain at the edges of the craniectomy, causing further infarction.



https://t.co/JMRapuE2LY

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Following epidural evacuation, tenting sutures can help prevent delayed reaccumulation of hemorrhage from dural vessels. The sutures should be placed around and in the center of the bone flap.



https://t.co/l2xTG8so43

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