Thomas J. Wilson

Neurological surgeon with a specialty practice in peripheral nerve surgery at Stanford University, tweets are my own

[Thomas J. Wilson @ThomasJWilsonMD]

@eliasbrizkmd Congratulations!

[Thomas J. Wilson @ThomasJWilsonMD]

Thank you Dr. Golfinos @DanOrringerMD @NYUneurosurgery for having me as a visiting professor Impressive research and clinical programs Great to spend time with the residents who are doing amazing things Hopefully I inspired someone to consider peripheral nerve @StanfordNsurg

[Thomas J. Wilson @ThomasJWilsonMD]

It was an absolute honor and pleasure to have Dr. Mariano Socolovsky give the David Kline Lecture at #AANS2026. Very inspiring and thought provoking. @spinesection #PeripheralNerve

[Thomas J. Wilson @ThomasJWilsonMD]

Interested in finding out more about a clinical trial going on @StanfordNsurg evaluating nerve transfer surgery and electrical stimulation to improve hand function in patients with cervical spinal cord injury? Go to https://t.co/4RSRYjzCz7 #SCI #ClinicalTrial @NorcalSci

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg Check out the Stanford Nerve Surgery Education YouTube channel:
https://t.co/Ge9Ac0lzvs
for additional educational videos. Follow me! Let me know if you have any questions on the material.
@spinesection @CNS_Update @CNSResidents @AANSNeuro @StanfordNsurg

[Thomas J. Wilson @ThomasJWilsonMD]

#Neurosurgery @StanfordNsurg Good luck to everyone taking the #ABNS written #boards I hope you found these #PeripheralNerve questions to be helpful. Will do it again next year!

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg Pathology shows pseudo-onion bulbs that are EMA positive and S-100 negative. @spinesection @CNS_Update @CNSResidents @AANSNeuro

[Thomas J. Wilson @ThomasJWilsonMD]

#ABNS #Boards #Neurosurgery @StanfordNsurg 22M with right foot drop, slowly progressing over several years. No pain. No other significant medical history. MRI shows an homogeneously avidly enhancing, fusiform mass in the common peroneal nerve that is T2-hyperintense. Diagnosis?

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg Classic history/imaging findings: 1. no cancer history, 2. unifocal disease, 3. moderate-severe hyperintensity on T2 MR images, 4. moderate-severe contrast enhancement, 5. homogeneous enhancement, 6. fusiform shape, 7. enlargement of the involved nerve(s), and 8. age ≤ 40

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg Imaging (MRI or ultrasound) should be obtained to look for an intraneural ganglion cyst. @spinesection @CNS_Update @CNSResidents @AANSNeuro

[Thomas J. Wilson @ThomasJWilsonMD]

#ABNS #Boards #Neurosurgery @StanfordNsurg Patient presents with dorsiflexion 0, EHL 0, eversion 4-, inversion 5, plantar flexion 5. Foot drop started suddenly after a round of golf, improved over a couple of days and then suddenly worsened again. Most likely diagnosis?

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg The deep peroneal nerve is anatomically closer to the articular branch, so deep peroneal predominance is common The cysts are dynamic, so there can be fluctuating symptoms They can form suddenly, as opposed to the more typical subacute to chronic onset of degenerative compression

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg Signs and symptoms of lower trunk pathology in a patient with features concerning for malignancy should prompt evaluation for a Pancoast tumor. @spinesection @CNS_Update @CNSResidents @AANSNeuro

[Thomas J. Wilson @ThomasJWilsonMD]

#ABNS #Boards #Neurosurgery @StanfordNsurg When observing a 60M patient’s hand, you observe wasting of the first dorsal interosseous muscle, thenar eminence, and hypothenar eminence. Patient has had significant weight loss, fatigue, and malaise. Where would you look for a tumor?

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg Findings of atrophy in FDI, thenar eminence, and hypothenar eminence are most compatible with C8/T1 or lower trunk pathology. Thenar eminence muscles are innervated by the median n. Hypothenar eminence and FDI are innervated by the ulnar. All are C8/T1 or lower trunk innervated

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg The sparing of the dorsal-medial hand and medial palm in the vignette favor Guyon’s canal as the location of entrapment. @CNS_Update @spinesection @CNSResidents @AANSNeuro

[Thomas J. Wilson @ThomasJWilsonMD]

#ABNS #Boards #Neurosurgery @StanfordNsurg 47M avid cycler presents with weakness and numbness in right hand. Numbness includes digit 5 and medial half of digit 4, sparing the dorsal-medial hand and medial palm. Adductor pollicis and ADM are weak. Where is the likely entrapment?

[Thomas J. Wilson @ThomasJWilsonMD]

@StanfordNsurg The dorsal cutaneous and palmar cutaneous branches of the ulnar nerve arise proximal to Guyon’s canal and do not run through Guyon’s canal. As a result, they are spared in Guyon’s canal syndrome.