BlascoGAndoain

- Neurosurgery - Hospital de La Princesa, Madrid

[Dr. Z Neurosurgery @DrZNeurosurgery]

I compiled this flow chart based on the most recent clinical guidelines for spinal trauma. It includes when to operate immediately, when it’s OK to observe, and some important ICU-level management regarding perfusion pressure and arterial pressure.

Clinical guidelines are very important for us to be able to have a uniform understanding of what’s considered a surgical emergency versus something that can be monitored. As of right now this is what the most recent data tells us.

[Michael T. Lawton, MD @mtlawton]

Here’s what 2hrs of meticulous dissection & painstaking work on a brain arteriovenous malformation looks like, sped up to 1 minute. The danger of bleeding & losing control is ever-present, which is why we need surgical courage. And wouldn’t it be nice to be able to operate that fast…

[BlascoGAndoain @BlascoGA]

"The public, the patients, and their families who entrust us with their care have long held neurosurgeons to a high standard .....This is why I reject the term “provider” and do not respond to that moniker. I am a physician and a surgeon. Those terms have special meaning".

[Neurosurgery Publications @NeurosurgeryCNS]

#NEUEditorsMessage Not Everything Goes According to Plan https://t.co/ZvPfUVDGov by @DKondziolkaCNS @dgolubMD @CNS_Update

[Neurocirugía - Hospital Universitario La Princesa @neurocirugia_pr]

🔹 ¿Qué es un meningioma atípico?
Tumor extraaxial originado en las células aracnoideas.

[Pascal Jabbour MD, FAANS, FACS, FAHA @PascalJabbourMD]

Treatment of AVMs in eloquent brain can be challenging! This is the most recent paper from the MISTA consortium in @IntJStroke masterfully crafted by the one and only @MusmarBasel ! @TJUHNeurosurg :
1- Higher risk of complications and lower obliteration rate
2- Embo increased the risk of complications
3- Surgery and SRS same functional outcome and complication rate
4- Surgery has a higher obliteration rate
I want to thank all the collaborators! @TJUHospital @JeffersonUniv @NimerAdeeb the force behind MISTA!

[Neurocirugía - Hospital Universitario La Princesa @neurocirugia_pr]

Los hematomas epidurales son un tipo de sangrado intracranial que consisten en la acumulación de sangre entre el cráneo y la duramadre, generalmente asociados a traumatismos craneoencefálicos de alta energía.

[Neurocirugía - Hospital Universitario La Princesa @neurocirugia_pr]

🧠 Lobectomía temporal: cirugía para la epilepsia refractaria

📌 Hasta el 80% de los pacientes con epilepsia del lóbulo temporal pueden quedar libres de crisis tras una lobectomía temporal.

[UCSF Neurosurgery @NeurosurgUCSF]

New in @Nature, a team led by @HerveyJumper & @ToddCHollon (@umichneuro) present an #AI tool for detecting tumor infiltration from fresh, unprocessed tissue samples within seconds that outperforms conventional surgical adjuncts for locating residual tumor: https://t.co/Kd5rxQ3nSg

[Journal of Neurosurgery @TheJNS]

#OperativeVideo Cisternal, vascular, and parenchymal landmarks in amygdalohippocampectomy for mesial temporal sclerosis: an index case with learnings from 820 resections

https://t.co/zUUXUSYvKi

[BlascoGAndoain @BlascoGA]

@aparachiqui algo esta cambiando….#faminazi

[Selección Española Masculina de Fútbol @SEFutbol]

🥹 Papá, amigo, nieto, hermano, marido... Tengo algo importante que decirte: 𝗩𝗔𝗦 𝗔 𝗘𝗦𝗧𝗔𝗥 𝗘𝗡 𝗟𝗔 #EURO2024.

Esta es la lista definitiva de España para la @EURO2024 y no hay mejor narrador para este vídeo que alguien que sabe MUCHO de GANAR: @RafaelNadal.

#VamosEspaña

[Real Madrid C.F. @realmadrid]

🏆 ¡SOMOS LOS #CHAMP15NS DE EUROPA! 🏆

[NEJM @NEJM]

In the ENRICH trial of minimally invasive cerebral hematoma removal within 24 hours after onset of hemorrhage, functional outcomes were better with surgery than with medical treatment, particularly among patients with lobar hemorrhages. Full trial results: https://t.co/hXSRKwvdNk

[BlascoGAndoain @BlascoGA]

La consulta de Neurocirugia tipica…

@patrigtarno @Ricardo_Gil_S

[BlascoGAndoain @BlascoGA]

Example of minimal surgical footprint using MIPS tubular parafascilar approaches to deep seated brain lesions. (5/5) @NICONeuroCorp @MBA_eu @jafalen

[BlascoGAndoain @BlascoGA]

How would you manage this 19yo M patient who presented with headaches and MRI found this deep left paraatrial temporal lesion? Patient neuro intact. On follow-up imaging, the lesion grew 25% in diameter (1/5)

[BlascoGAndoain @BlascoGA]

We achieved GTR (video file intraop crashed =(). Patient had very mild and transient postop visual hemianopsia, agraphia and alexia that resolved before discharge.
Tissue sample: Pleomorphic xanthoastrocytoma. Patient neurologically intact at 6 mo follow up.

[BlascoGAndoain @BlascoGA]

@Ksao_ A otro buen motivo para abrir el neurointervencionismo a la neurocirugia @jafalen @patrigtarno