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Grateful to highlight some of the incredible work from our Mobile Stroke Unit UR Neurosurgery University of Rochester Neurology Residency and UR Medicine in providing stroke care to the community! Out this week in Neurosurgery! Matt Bender sajal.akkipeddi Nate Ellens Neurosurgery Publications journals.lww.com/neurosurgery/f…

Recalcitrant vasospasm? Balloon works great, as Scepter Mini did here, but harrowing. With poor visualization of inflation vol ~0.02mL, more important to watch hands and syringe. Are Neva or Tigertriever as effective/durable and safer? Terumo Neuro Rapid Medical VESALIO

Your Match Day reminder that square knots look the same at hospitals of every ranking, and matching *somewhere* is what matters. The grass is not always greener at your ‘top’ programs, and in the end, both your potential and the basic principles of surgery are still the same.

Recent Mayo Clinic Radiology pub ?? sagittal MRI components of Stroke Research Center Bern score for #SIH. AJNR PMID 39979026 I find venous engorgement more subjective, except in rare cases like this CSF-VF. Curious what resonates with others making the dx?

On stage LINNC online 🧠 in Sau Paulo Vince Nguyen making UR Neurosurgery proud!

Fascinating. Wonder if embolic protection (a) isn’t helping or (b) creates its own unique thrombi? We get called a couple times per year to open these vessels. Tends to be a stringy, fibrous thrombus…

The next JNIS Journal Club is Thursday, 4/10 at 4pm ET. Authors Kyle Fargen, MD, MPH and David Fiorella, MD, PhD will sit down with JNIS Social Media Assistant Editor Dorothea Altschul MD FAHA FSVIN with discussants Matt Bender and Dan Tonetti. Register: register.gotowebinar.com/register/66101…

Announcement: This just in! Chetan Bettegowda, the Jennison & Novak Families Professor of Neurosurgery, will lead the Johns Hopkins Department of Neurosurgery, as of 5/15. Henry Brem, MD, is stepping down after 25 years at the helm & we look forward to honoring him.

Ever since the TO-ACT trial was halted for futility, I’ll periodically look for new options in medically-refractory venous sinus thrombosis. Recently saw: venous sinus-specific stentriever, seems promising.

Neck calcification adds complexity to clipping a small MCA aneurysm. Fenestration enables trajectory that avoids dome torqueing. Over-stacking and removal of initial clip can restore patency to compromised branch vessels. Michael T. Lawton, MD clip-ology 101? ;) CV Section Neurosurgical Atlas

Diagnosing/localizing CSF leak is harder than treating. But transdural repair for ventral bone spur is beautiful, technical surgery March 2025 Stroke Research Center Bern series showed no diff bw suture and patch, though I like both Neurosurgery Publications PMID 39132996 WouterSchievink @tdobrocky

What can a blood clot tell UR Neurosurgery about a stroke? Matt Bender UR Medicine explains why his team studies clot composition & how this could shape the future of stroke treatment #URochesterResearch In a Neuro Minute🧠

How accurate is assessment of extrinsic vs. intrinsic venous sinus stenosis on MRV? Obviously intrinsic after stent deployment in this case. Venous angioplasty is then a distinct technique, with serial upsizing of noncompliant balloons. IIH Hub American Tinnitus Association SNIS Info

200+ providers joined STAR-NY’s 2025 Regional Stroke Conference & it did not disappoint! Cutting-edge stroke topics & renowned keynote, Dr. Brian Hoh, MD, MBA, UF Chair of Neurosurgery, shared his groundbreaking research on ICAD. Dedication to improving stroke care drives real change!

Managing length with shapeless coils is an acquired skill. But they really shine in proximal sacrifice with long safe landing zone. 4 coils took down ICA in recent blowout from skull base malignancy. Any other early learnings as this coil category grows? SNIS Info CV Section

Something I didn't know I needed... Surpass Elite opens like an Atlas. (Video exaggerates the push tbh d/t proximal tortuosity and low profile Vecta46 intermediate I favor for routine reaccess and angioplasty) StrykerNeurovascular

Thank you to Columbia Neurosurgery, NREF, and Neurosurgery Softball for organizing the 20th annual Neurosurgery Softball Tournament. Despite the rain 🌧️, it was a blast! 🧠🥎 #Neurosurgery #NeuroTwitter #MedEd #MedX #Softball #NYC #CentralPark #NeuroSoftballTourney