Láina David☾✵

MS3/6 🇧🇷 ⚕️| Studying for step 1 | Passionate about neurosurgery 🧠 and research 📚| Keyboard, arts and dance 🎹🎨🩰

[Láina David☾✵ @LainaDavid123]

"Se Jesus te perdoou, pq, que algumas marcas do seu corpo, através de uma vida de pecado que vc desejaria nunca ter vivido, como que essas coisas, ainda te julgam hoje?.... #TheSendOnline #TheSendBrasil

[Láina David☾✵ @LainaDavid123]

The gross surgical specimen is striking for its perfect spherical shape, presenting completely encapsulated and with a highly vascularized surface.

[Láina David☾✵ @LainaDavid123]

Remarkable surgical case report: cranial epidermoid cyst in a pediatric patient 🧠

#MedicalStudent #Neurosurgery #PediatricSurgery #ClinicalCases #EpidermoidCyst #SurgicalExperience #Medicine #PediatricNeurosurgery

[Láina David☾✵ @LainaDavid123]

During the operation, it was possible to observe the impact of the slow and progressive growth of this benign lesion: the continuous pressure exerted over time caused a perfectly circular bone remodeling, leaving a well-defined cavity in the skull after its removal.

[Láina David☾✵ @LainaDavid123]

I had the opportunity to closely follow this impressive surgical procedure. It involves the complete resection of a voluminous epidermoid cyst in a child—a considerably rare finding for this age group due to the massive size of the lesion.

[Oren Gottfried, MD @OGdukeneurosurg]

Autonomic nervous system

[Lea Alhilali, MD @teachplaygrub]

Sink or swim!

Brain is swimming in CSF!

CSF is key for protection, buoyancy, & hormone/waste transport

Most know basic ventricular anatomy well, but not subarachnoid anatomy.

How many cisterns do YOU know?

Here’s a quick guide to the key midline cisterns & what to know for each

—Cisterna Magna:
Largest of the cisterns
Contains CN 9-11 & vertebral arteries
Remember this bc the LARGEST cistern contains the LARGEST cranial nerve (vagus) and the two cranial nerves around it

—Prepontine cistern:
Contains CN 6 & basilar artery
Remember this bc the shape of the number 6 mirrors the curvature of the anterior pons, where this cistern lies

—Chiasmatic cistern
Contains CN 2 & pituitary stalk
Easy to remember bc the CHIASM is CN 2

—Interpeduncular cistern:
Contains CN 3 & mammillary bodies
Remember this bc if you lay the number 3 on its side it looks both like the two cerebral peduncles (where this cistern lies) & well, two mamillary bodies

—Quadrigeminal cistern
Contains CN4 & pineal gland
East to remember bc QUAD is the prefix for FOUR

—Lamina terminalis:
Contains the ACOMM
Remember this bc the shape of subarachnoid hemorrhage after ACOMM rupture follows this cistern anteriorly

Now when you look at cisternal anatomy, you will definitely be able to go with the flow!

[Michael T. Lawton, MD @mtlawton]

Learning curves are climbed 1 step at a time over 7 long yrs. Seeing a resident at the end of chief residency march thru a delicate aneurysm dissection is the mentor's reward. Surgery is delicate, technical demands are high, & w/the right coaching, they get there. #GraduationWeek

[Previsões @futurizando]

Você apostou tudo em um relacionamento e acabou quebrando a cara. Essa experiência negativa te fez desacreditar no amor e você passou a acreditar que ‘todo mundo é igual’ e que em algum momento você vai sair prejudicado novamente. Por conta disso, atualmente você tem dificuldade em se entregar verdadeiramente a uma nova relação.

[Michael T. Lawton, MD @mtlawton]

Like in skiing, gravity can be friend and foe in AVM surgery. It opens surgical corridors by pulling tissues gently apart for more room & better views, and it can push pathology in wrong direction, against where we’re trying to mobilize it. Here, this medial resection balances the push and pull of gravity…

[Láina David☾✵ @LainaDavid123]

@NetflixBrasil Somos eu e você contra o mundo

[Láina David☾✵ @LainaDavid123]

Pizza deveria ser um elogio de tão bom que é

[Láina David☾✵ @LainaDavid123]

“Não há ninguém santo como o Senhor; não há outro além de ti; não há rocha alguma como o nosso Deus.
1 Samuel 2:2

[Frases @UmFilosofoCitou]

Chega em mim e fala o que está acontecendo, mas não muda comigo do nada não, odeio isso.

[jhenifer. @jheifi]

meus amigos gays são os melhores em qualquer lugar

[Láina David☾✵ @LainaDavid123]

Tô numa fome, e tô longe de casa...

[Láina David☾✵ @LainaDavid123]

“Talvez a pior morte seja a morte de um sonho.”

[Láina David☾✵ @LainaDavid123]

"Lindo é poder olhar todos os dias para o céu e descobrir que em meio a tantos problemas existe um Deus que nos permite sorrir".