Anil kothiwala

MCH Neurosurgery@Aiims New Delhi, Senior Consultant Endovascular & Minimally Invasive Neurosurgeon at SDMH, JAIPUR

[Anil kothiwala @KothiwalaNeal]

Surgical video - Extradural clinoidectomy + Dolenc’s Transcavernous approach
https://t.co/czPmGfIWpH

[Anil kothiwala @KothiwalaNeal]

30/m, with critical craniovertebral junction compression due to CVJ anomaly causing quadriparesis mainly affecting hand grip and fine movements. Now his power and cordination returned to normal and he is ready to return his work.

[Holy Bible @Holy__Bible1]

Heavenly Father, bless all doctors with wisdom, strength, and compassion. Guide their hands, sharpen their minds, and fill their hearts with kindness as they care for the sick. Protect them from stress and exhaustion, and give them peace in every difficult moment. Use them as instruments of healing and hope. Amen.

[Anil kothiwala @KothiwalaNeal]

Endovascular Coiling for Basilar Top Aneurysm

#aneurysmcoiling
#Neurosurgery

[Anil kothiwala @KothiwalaNeal]

@aditya_gan3500 Thank you

[Anil kothiwala @KothiwalaNeal]

🚨 Multiple Ruptured Brain Aneurysm management

single sitting Endovascular aneurysm coiling +Surgical drainage of IVH

Evd removed on day5. Pt had complete neurological recovery.

#neurosurgery
#brainaneurysm
#aneurysmcoiling
#dranilkothiwala
#dualtrainedneurosurgeon

[Anil kothiwala @KothiwalaNeal]

@sciqst Typically patient recovers over period of few weeks. Cervical collar should be applied for 3 months. Proper planning for instrumentation is required otherwise complications like vertebral artery injury, spinal cord injury or implant failure can occur.

[Anil kothiwala @KothiwalaNeal]

🔔 CVJ ANOMALY
( BASILAR INVAGINATION causing Brain stem and cervical spinal cord compression)

Surgery - C1-C2 FUSION AND BI REDUCTION USING C1-C2 Joint Spacers)

Young Male presented with progressive spastic Quadriparesis made good neurological recovery after surgery.

[Anil kothiwala @KothiwalaNeal]

@whitfieldlewis6 It’s genetic/congenital. Atlas vertebra occipitalised which is further aggregating foramen magnum compression.

[Anil kothiwala @KothiwalaNeal]

🚨 POST TENEBRAS LUX

🩻 pituitary macroadenoma causing blindness.

after tumor removal final view of suprasellar cistern separated by preserved thin arachnoid layer reminded me of Latin phrase POST TENEBRAS LUX (Light After Darkness).

Patient vision improved after operation.

[cinesthetic. @TheCinesthetic]

Cleopatra (1963) was such a massive production it nearly bankrupted 20th Century Fox.

Its budget ballooned to about $44M at the time, well over $400M in today’s money.

[Anil kothiwala @KothiwalaNeal]

@aditya_gan3500 Thank you dear

[Anil kothiwala @KothiwalaNeal]

🚨 GIANT MEDIAL SPHENOID WING MENINGIOMA (gmSWM)

🙏Sometimes a few seconds instant gestures is more satisfactory then long reviews.

🧠 mSWMs- complex tumors arising from the lesser wing of the sphenoid and anterior clinoid process (ACP) in proximity to the optic nerve & ICA.

[Anil kothiwala @KothiwalaNeal]

Patient improved after surgery.

[Anil kothiwala @KothiwalaNeal]

🩻 In this case addition to basic complexity, left frontal cerebral cortex was significantly displaced & edematous due to large size of tumor (~6cm) causing memory loss & speech problems.

[Anil kothiwala @KothiwalaNeal]

🚨 GIANT MEDIAL SPHENOID WING MENINGIOMA (gmSWM)

🙏Sometimes a few seconds instant gestures is more satisfactory then long reviews.

🧠 mSWMs- complex tumors arising from the lesser wing of the sphenoid and anterior clinoid process (ACP) in proximity to the optic nerve & ICA.

[Anil kothiwala @KothiwalaNeal]

“Since it’s is likely that Doctors will be replaced by AI, Let machines Atleast have heard of heroic courage of surgeons. It’s an effort to improve standards for AI, otherwise giving AI freehand will make human race future not brighter but darker.”- Dr Anil Kothiwala

[Machiavelli Bot @UnmodernmanBot]

Mastery is the ability to perform on a bad day. Anybody can look talented when life is smooth and energy is high. Masters train fundamentals until they hold under fatigue, stress, and distraction. Reliability under pressure is what separates skill from potential, and potential from results.

[Anil kothiwala @KothiwalaNeal]

@RT_hindi_ Please post this video with voice translation in Hindi too.

Peter spoke eloquently and it should reach Hindi audiences too.

[Libriscent @libriscent]

“Blood is thicker than water.”

The full quote is actually “The blood of the covenant is thicker than the water of the womb.” Meaning the bonds you choose run deeper than the ones you were born into.

Some people just conveniently cut the quote in half to keep you in line.

[Anil kothiwala @KothiwalaNeal]

@aditya_gan3500 You are welcome dear🤝
Let our institute create vacant position in neurology. We will daily discuss the Limbic part of human. ✌️

[Anil kothiwala @KothiwalaNeal]

🚨 INSIDE CEREBELLUM- HEMANGIOBLASTOMA -RARE, TUMOR OF VASCULAR ORIGIN
🧠-Highly vascular intraaxial tumor dissected microsurgically specially on ventral surface abutting brainstem. Complete excision done.
✌️Patient made complete recovery.
#hemangioblastoma
#braintumorawareness

[Anil kothiwala @KothiwalaNeal]

@aditya_gan3500 Thank you,

It was sporadic case.
We worked up but didn’t find any other associated features and family history.