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1/ You Can be Lethal You are most dangerous when your skill set outstrips your experience. This is towards the end of your training as a surgeon.

1/Hate it when one radiologist called the stenosis mild, the next one said moderate--but it was unchanged?! How do you grade it? Do you estimate? Measure? Guess??? Let this thread take the load off your back w/a lumbar grading system that’s easy, reproducible & evidence-based!

Congratulations 🥂 to our very own Mr Bassel Zebian, Consultant Adult and Pediatric Neurosurgeon King's Neurosurgery for being awarded “Life Saver of the year Award” 🥇 by public vote on the yearly King's College Hospital Charity King’s 💫 awards 2023 for his pioneering work on endoscopic fetal surgery.

1/”I LOVE spinal cord syndromes!” is a phrase that has NEVER, EVER been said by anyone. Do you become paralyzed when you see cord signal abnormality? Never fear—here is a thread on all the incomplete spinal cord syndromes to get you moving again!

Why replacing orange street lights is an aesthetic downgrade — and bad for our health:

That's frustrating. Another negative study for IVH patients (though small number patients due to termination)

A brief but essential teaching point about tissue handling: It is important to close muscle very loosely (just enough for the two sides to touch) in order to preserve its blood supply, function, and vitality , and then

A 🧵 on STORMS in medicine. First a question ❓️ PRAZOSIN is helpful in management of which among the following conditions❓️ 💥Electrical storm 💥Cytokine storm 💥Thunderstorm Asthma 💥Thyroid storm 💥Parathyroid storm 💥Dystonic storm 💥Autonomic storm #MedTwitter #MedEd

Are you right when it’s bright?? Bright cortical signal on diffusion images is classically associated w/hypoxic-ischemic injury. But there are many mimics! Do you know how to recognize the different patterns of cortical restricted diffusion? Here’s a figure & some pearls to

A Machiavellian Guide to Doing a PhD Rule One: Never Outshine Your Supervisor

Effects of modified external ventricular drainage vs. an Ommaya reservoir in the management of hydrocephalus with intracranial infection in pediatric patients dlvr.it/T1vZvV #Hydrocephalus #Neurosurgery

Antithrombotic therapy and spinal surgery: a retrospective cohort study of 289 consecutive elderly patients with degenerative lumbar stenosis in: Journal of Neurosurgery: Spine Volume 40 Issue 2 (2023) NO INCREASED RISK ….. Interesting thejns.org/spine/view/jou…

1/They say form follows function! Brain MRI anatomy is best understood in terms of both form & function. Here’s a thread to help you to remember important functional brain anatomy

Feel BACKED into a corner reading spine MRIs? Looking for a better way to grade spinal stenosis? Time to get BACK to the basics! Want a grading system that’s both easy & reproducible? I’ve got your BACK! Here’s the lumbar stenosis grading system you’ve been waiting for!

Wishing everyone a very auspicious navaratri upasana.

Our recent publication on modification of #ventricular #subgaleal #shunts with reduced infection rates. #hydrocephalus Harry's HAT Charity Shine Ventriculosubgaleal shunts in the management of neonatal post-haemorrhagic hydrocephalus: technical note. pubmed.ncbi.nlm.nih.gov/37584741/

Grateful to @garyandnicolay1 for supporting fellow patients through their diagnosis & raising funds & awareness. Rejuvunating our #teenage and #young #adult ward space is much closer thanks to him. #neurosurgery #brain #tumour King's College NHS King's Neurosurgery King's Paediatric Neurosurgery Unit

An excellent talk as always by Prof Ashkan. #GBM is a difficult #cancer but we are fortunate for his efforts in developing a #vaccine to treat and demonstrating a #survival benefit. King's College NHS King's Neurosurgery King's Paediatric Neurosurgery Unit KCL Neurosurgery Society The Brain Tumour Charity

#sbnsbelfast2025 Team King's Neurosurgery at the SBNS Spring Meeting, Belfast delivering fantastic talks. José Pedro Lavrador Prajwal Ghimire Pandu Seetahal

Another one from the team! The only #fetoscopic case series of open #neural #tube #defects in the UK King's College NHS King's College London Your IoPPN King's Faculty of Life Sciences & Medicine King's Health Partners King's Neurosurgery Shine NHS England Bassel Zebian Endoscopy in Neurosurgery