Horatiu Moisa

[Horatiu Moisa @HMoisa]

@nexta_tv 🤣

[Horatiu Moisa @HMoisa]

@DrBaskaya @uw_neurosurgery Combined subtemporal and retrosigmoid.
Had the opportunity to see one of these bad boys operated live.
THIS is what neurosurgery is all about.

[Horatiu Moisa @HMoisa]

@S_Pesch What's funny is that this was published in NEJM =))

[Horatiu Moisa @HMoisa]

@Cuneatos Nice 1 Daniel !

[Horatiu Moisa @HMoisa]

@eric_thelin More info on registration ?

[Horatiu Moisa @HMoisa]

@KhoiThanMD @jshauptman @CNS_Update Details for DM ?

[Horatiu Moisa @HMoisa]

@atmghn @NaderDahdaleh @ViljoenMd @MGalganoMD @drmikeselby @JahangirAsgha10 Personal experience:
You can leave it. Most probably the pt will be fine.
You can fuse it. (I reccomend this only when instability is documented)

The problem in your scenario will be disecting the sac and the root as fibrosis will be present.

[Horatiu Moisa @HMoisa]

@nirmalregency My 2 cents: bilateral frontal agenesis / bilateral arachnoid cysts. Brain teritory of ACA looks intact in posterior portion.

[Horatiu Moisa @HMoisa]

@drtintin99 @neuro_at_ic @e1v1m1 @ebrainnet @QSReview @realbrainbook @EANS_yns @WFNS_YNF @AsianCNS @realyoungcaans Chalk outline of the left ventricle. With gas, most certainly an infection.
On the right side probably a ruptured ventricle communicating wuth an extradural collection.
Patient is probably gcs 3.

[Horatiu Moisa @HMoisa]

@daniel_gewolb @The_ASPNR Operated ?
Outcome ?
Follow up ?

[Horatiu Moisa @HMoisa]

@daniel_gewolb @daniel_gewolb quick question: is the same mechanism incriminated in cortical laminar necrosis in infants ? What are the age-related variations ?

[Horatiu Moisa @HMoisa]

@Cuneatos Book ?

[Horatiu Moisa @HMoisa]

@GregoryHJames @BrownJHM @Radiopaedia Craniotomy (or endoscopy)
NOT shunt unless its absolutely necessary.
Psych consequnces are to be expected.

[Horatiu Moisa @HMoisa]

@nexta_tv Finally !!!!!

[Horatiu Moisa @HMoisa]

@OGdukeneurosurg 2/2
Step 4. Extract in one piece (to avoid foreign debris) i'd pull it towards the occipital pole.
10 hour surgery easy :)
(Looking forward to your idea)

[Horatiu Moisa @HMoisa]

@OGdukeneurosurg I'm just blown away by this....
I'd go for a combined extended approach.
Step1. Extended pterional gain control of Oph. Ica and MCA
Step 2. Subtemporal. Gain control of Pcomm and PCA
Step 3. Occipital supra and infratentorial (control of the sinus is gonna be horrific (1/2)

[Horatiu Moisa @HMoisa]

@OGdukeneurosurg Please tell me you have an ICG imaging of this !

[Horatiu Moisa @HMoisa]

@OGdukeneurosurg C2 laminectomy, extended to C1 and occiput if needed. Hemostasis should be as gentle as possible.

Patient obviously has brain damage :)

[Horatiu Moisa @HMoisa]

@OGdukeneurosurg I think it might have something to do with the Gestalt principles of pattern recognition :) just my 2 cents

[Horatiu Moisa @HMoisa]

@OGdukeneurosurg Indication ?