Jesús Manuel Esteban

Attending neurosurgeon at Hospital Universitario Miguel Servet
Vitespal
Residency training at @NeuroRaquisHUMV
Ex-swimmer

[Jesús Manuel Esteban @JesusEsteban90]

Highlight the significance of completing the study of occult spinal dysraphisms to avoid the need for further interventions. @moles_jesus https://t.co/cu9K6Q9Bjt

[Michael Okun @MichaelOkun]

What if you could target brain regions important for recovery after spinal cord injury with DBS? Can you say hypothamamus? Guess what Cho and colleagues from Switzerland did just that in a brilliant new paper @NatureMedicine.
Key Points:
- People don't think about it, but guess what, spinal cord injury 'disrupts the neuronal projections from the brain to the region of the spinal cord that produces walking.'
- The authors wanted to know what brain regions would steer recovery following spinal injury.
- They cleverly made a space–time brain-wide atlas of 'transcriptionally active and spinal cord-projecting neurons.'
- What region lit up? The lateral hypothalamus.
- Specifically glutamatergic neurons.
- They tested in mice and it helped.
- They tested in two humans and it immediately improved walking.
My take: WOW. A little serendipity in that no one expected that the lateral hypothalamus was important for mediating recovery of walking in incomplete spinal injury. We have been in the lateral hypothalamus for DBS in humans for obesity and other symptoms and, we will need in future experiments to monitor body weight, psychological status, hormonal profiles, and of course autonomic functions. What I love about this study was the path the scientists and clinicians from Lausanne took. A space–time brain-wide atlas, followed by mice, and then two actual humans. BRAVO! Excited to see what comes next.
https://t.co/YQnX2cueWi #deepbrainstimulation #neuromodulation

[Arturo Pérez-Reverte @perezreverte]

Dios, qué bueno es esto.
https://t.co/1iyhVe0wca

[Patricia López @ptrci]

@PracticalNeuro Measuring changes in intracranial pressure with alterations in posture can identify cerebrospinal fluid blockage at the craniovertebral junction, and so can guide management. @NeuroRaquisHUMV @aurbsr

[NeuroRaquisHUMV @NeuroRaquisHUMV]

🌍 ¡Retomamos nuestra actividad en Twitter! Desde el Servicio de Neurocirugía - Unidad de Raquis del @HUnivValdecilla seguimos comprometidos con la investigación científica. 💡

[EFE Cantabria @EFE_Cantabria]

El hospital Valdecilla ha recibido el premio al hospital público con Mejor Gestión de la revista New Medical Economics, por su contribución al desarrollo de la biomedicina y las ciencias de la salud en España.

Comparte el premio con el hospital Miguel Servet de Zaragoza.

[David Galán 📈 @DavidGalanBolsa]

💰 Enhorabuena Illia Topuria. Además de ser un flamante campeón de la UFC y noquear a Holloway, tiene la cabeza amueblada y cultura financiera.
Tiene muy claro lo que hay que hacer con el dinero.
💡Fuente: Jordi Wild

[Carlos Sainz @Carlossainz55]

🇲🇽 P1! Estoy increíblemente contento! Otra victoria y aquí en México, que es aún más especial porque es casi una segunda casa para mí con el apoyo de estos fans! Nos acercamos en el Mundial de Constructores. Lucharemos hasta el final!

👉https://t.co/niNrk5Rq8i

-
#CarlosSainz

[Wonder of Science @wonderofscience]

A night flight over France and Italy in the International Space Station.

[Madame Diaz @madame1911]

🔴🔴🔴Genial ⁦@HUMORJMNIETO⁩

[Amanda Avedillo @aavedillor]

Descompresión microvascular en neuralgia trigeminal realizada sólo con endoscopio
https://t.co/J21ryaI3dl

[Jesús Manuel Esteban @JesusEsteban90]

Latest trends make the surgeon to choose between opening the dura or the thoracic cavity. In this calcified giant thoracic herniated disc, a transdural approach was selected.The ipsilateral pedicle was removed to maximize the surgical corridor and minimize cord retraction.#HUMS

[Laura Beatriz López López @LauraB_Lopez]

Meningioma! 1. Small durotomy to release CSF and allow cerebellum relaxation as @Ksao_ taught us 2. Desvascularize, debulk and dissect
@JesusEsteban90 #HUMS

[Carlos Santos Jiménez @CarlosSantosJi3]

1.
Medical H: 61y.o Smoker and HTN. Aneurysmatic SAH family history. Incidental finding without symptoms.
AngioCT + MRI: Bilateral PCoA aneurysms

@FuatArikan @vallhebronpath

[Kyle Sockwell @kylesockwell]

Leon Marchand just went 1:37.81 in the 200 IM...does this last turn remind you of anyone? 🤔

[Carlos Santos Jiménez @CarlosSantosJi3]

1.
Medical H: 60 y.o, smoker and Hypertension. Symptoms: Thunderclap headache, nausea and vomiting.
Ph Exam: GCS 15, no motor or sensory deficit.
CT + angio CT: Acute IV ventricle bleeding + cerebellar AVM + 2 PICA flow aneurysms.
Options? Keep reading
@FuatArikan @vallhebron

[Laura Beatriz López López @LauraB_Lopez]

Acromegaly patient with multiple hypointense nodules on T1 post-contrast MRI and hypoplastic diaphragma sellae. IntraOp images showing extracapsular dissection. #HUMS #EES @aaerre

[Cookie Monster @MeCookieMonster]

Me eat all the cookies in the Upside Down, so me come here to find more cookies. #StrangerThings

[EL MUNDO @elmundoes]

Un empresario paga 196.000 euros por un avión medicalizado para traer a España a Óliver, el niño enfermo cuyo tumor cerebral no puede ser operado en México por falta de medios https://t.co/CCRQGzKnkI

[Javier Márquez @JavierM18255365]

Un pasito más..