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My good friends North Bristol NHS Trust have been researching CED for paeds DIPG for a while #NeilBarua This phase 1 study #MorningPaper found that it's feasible to use CED to deliver drugs to #gliomas. This is very exciting! BNTA Imperial Neurosurgery @matthwilliams link.springer.com/10.1007/s11060…

1🧵/ Great study from Korea #MorningPaper Based on their #Stroke registry, 37 553 thrombotic strokes were included and they analysed factors including previous level of literacy. BNTA Imperial Neurosurgery Imperial Stroke Major Trauma Geriatrics Joseph Kwan, MD 🇬🇧 Soma Banerjee Arthur Dalton

2/ Just over 60% we're male and 16% developed #dementia during follow-up (means 5years). Risk factors (see table) included age (72 vs 63.5), female gender (51%), lower BMI and higher mRs, also pre-stroke NIHSS / co-morbidities / use of blood-thinners as well as level of literacy.

1🧵/ Systemaric r/v of 29 studies (14199 patients) from Johns Hopkins University to look at usefulness of pre-op #embolisation of hypervascular #spinal #metastases. Imperial Neurosurgery Virtual Global Spine Conference BNTA Brain School Queen Square Neurosurgery Review Course EANS Young Neurosurgeons ACNS (Asian Congress of Neurological Surgeons) Young African Neurosurgeons Forum doi.org/10.1016/j.spin…

1🧵/ GLOBAL-WEAN looked at individualised approach to spontaneous breathing trials to improve success rate of extubation for various critical illnesses. #MorningPaper SMH Major Trauma Imperial Neurosurgery Association of Anaesthetists Dr Helgi Cosmo BNTA doi.org/10.1007/s00134…

Just Accepted! 🌍Ischemic Stroke Prevention in Patients with Atrial Fibrillation & a Recent Ischemic Stroke, TIA, or Intracranial Hemorrhage; a World Stroke Organisation (WSO) Scientific Statement journals.sagepub.com/doi/abs/10.117… World Stroke Org

1🧵/ Elderly #TBI is an ⬆️problem, do we always need to admit them? #MorningPaper This retrospective study looked at 332 traumatic #ICH in <65 & 65 or above. SMH Major Trauma Imperial Neurosurgery Major Trauma Geriatrics BNTA Brain School George Peck Cerys Morgan doi.org/10.1007/s00068…

8/ Forgot to explain, we shouldn't call SAH, SDH, contusions etc #ICH and clump them in one big cohort as they all have very different pathophysiology and outcome. The overall result is therefore an underestimate for some and overestimate for others. Quoting Mark Wilson here!

1🧵/ Today's #MorningPaper from Journal of Neurosurgery looks at routine CSF sampling in #shunt surgery. This 10-yrs retrospective Australian study included 1485 procedures. Imperial Neurosurgery BNTA Brain School Mark Wilson EANS Young Neurosurgeons Young African Neurosurgeons Forum ACNS (Asian Congress of Neurological Surgeons) doi.org/10.3171/2024.1…

A case for #MorningPaper today. 32F with intracranial hypotension. No previous surgery or procedures and no history of trauma. 1. What are low pressure symptoms? 2. What's the likely aetiology? BNTA Brain School ACNS (Asian Congress of Neurological Surgeons) EANS Young Neurosurgeons Young African Neurosurgeons Forum WFNS Young Neurosurgeons Forum Virtual Global Spine Conference

Sara Taha BNTA Brain School ACNS (Asian Congress of Neurological Surgeons) EANS Young Neurosurgeons Young African Neurosurgeons Forum WFNS Young Neurosurgeons Forum Virtual Global Spine Conference Perfect answer! Excellent! #SIH can present with postural headaches, nausea, dizziness, diplopia, dysphagia etc. This is indeed a CSF-venous fistula and here's the intra-op photo of it, along with a thromboses vein adjacent.

Do you know about the genetics of #iNPH? This review summarises the studies from twins and familial cases and looks at cilia dysfunction. #MorningPaper Imperial Neurosurgery BNTA Brain School Richard Edwards Ahmed Toma ACNS (Asian Congress of Neurological Surgeons) EANS Young Neurosurgeons Young African Neurosurgeons Forum thejns.org/view/journals/…

#Neurotrauma outreach roadshow restarts in 2025!! First stop - Ealing Hospital London North West University Healthcare. Thanks to #PaulBaghla, #HemanthSheth and the teams for looking after all the patients and receiving us! Great discussions were held! Kevin Tsang Rachel Foote Imperial People 💙 Imperial Neurosurgery

1🧵/ The #LiverpoolHITS system by Catherine McMahon came up in our MDT today so I thought I'd mention it here. Based on >1200 #mTBI (GCS 13-15) referrals, this score was created. #MorningPaper SMH Major Trauma RLH Neurosurgery TRAUMAtalks RLH Paeds ED/Trauma BNTA tandfonline.com/doi/abs/10.108…

2/ With a sensitivity of 99% and specificity of 51.9%, this score has a NPV of 99.6% making it suitable to use when deciding whether a patient can be safely monitored locally or not. Major Trauma Geriatrics Great Ormond Street Neurosurgery Mark Wilson Grainne McKenna Anne Weaver Brain School

The first ever transatlantic #MixedReality simulation teaching with Penn Neurosurgery! Supraorbital approach and it's anatomy expertly described by Arthur Dalton! Hopefully first of many, thanks to XARLabs. Kevin Tsang SMH Major Trauma Imperial People 💙 Imperial College London BNTA SBNS

🚨 Join us for the 9th London Impact Meeting at Imperial College London 🚨 📅 March 19, 2025 - 5pm 🎟️ Register: eventbrite.co.uk/e/9th-london-i… 👥 Some fantastic talks lined up with some incredible speakers - not to be missed 🧠 #BCI #neurotech Imperial College London

Congratulations 🎉 to Phil O'Halloran of Mater Hospital for being the new #Neurotrauma lead for SBNS! Well done buddy and hopefully this will improve collaboration between our countries!!

‼️ HAPPENING TODAY ‼️ It's not too late to sign up for our twelfth great event. The link is in our bio 😃 Imperial Neurosurgery Location: MedAll (online) Time: 18:30 GMT #education #talk12 #vascularanatomy

Lovely to be University of St Andrews contributing to their #Neurosurgery programme. Currently listening to an inspiring talk from Peter Brennan about research and the future.