Dr Anil kothiwala’s Post

💡 About 84% of #SCS patients will need at least 1 #MRI within 5 years of implant.¹ Yet many SCS systems have MRI limitations and others clearly state they are MRI unsafe. Choosing 1 of these systems may deprive patients with comorbid conditions of the diagnostic care they require due to limited access to MRI. Instead, choose the Prospera™ SCS System from #BIOTRONIKNeuro, the system with the best* MRI labeling in SCS. Learn more ➡️ http://ow.ly/aFMe50OCoyI #EmbraceLifeAgain #RemoteMonitoring #ExcellenceForLife #MedTech #Neurosurgery #HealthcareInnovation #PatientCare #PatientManagement #MakingADifference #MedicalTechnology #GiveTimeBack *As it pertains to scanning options and restrictions. For additional MRI safety information, please see the Prospera SCS System MRI Guidelines. 1. Desai, et al. SPINE 40(9), 2015.

I am thrilled to share that our latest international research project, titled "Prevalence, risk factors, natural history, and prognostic significance of Modic changes in the cervical spine: a comprehensive systematic review and meta-analysis of 12,754 participants", has been published in the prestigious Neurosurgical Review journal (Q1, Impact Factor: 2.5). Many thanks to Ahmadreza Nezameslami, Samuel B. Kankam. MD, MPH, Mobin Mohamadi, Aynaz Mohammadi, ALIREZA KHOSHNEVISAN, Joshua Chalif, Yi Lu and John H. Chi, MD MPH This systematic review and meta-analysis sheds light on an underexplored area in spinal research—Modic changes in the cervical spine. Our study, involving over 12,000 participants, dives deep into their prevalence, risk factors, natural history, and clinical significance, particularly in surgical outcomes. Cervical modic changes are present in 26% of individuals, with type 2 being the most common. While modic changes did not significantly impact neck or radicular pain, they were associated with prolonged recovery periods post-surgery, highlighting the need for tailored postoperative care. The article is available at: https://lnkd.in/d-4YZ2ya #Neurosurgery #SystematicReview #MetaAnalysis #Spine #Spinal_cord_injury #Modic #Research #biomedical_research

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🔍 Neurosurgical Case Review 🧠 Dear colleagues, I am reaching out to share an interesting case that raises important diagnostic and therapeutic questions. A 37-year-old female presents with a long-standing history of headaches initially managed as migraines. However, recent MRI findings reveal a parasellar lesion with significant enhancement, extending into the left sphenoid bone. Given the imaging and clinical presentation, what are your thoughts on the potential type of aneurysm in this case? In your experience, how would you interpret the enhancement pattern of this lesion? Additionally, what would be your preferred treatment approach for this condition? Your expertise and experience in similar cases would be greatly appreciated, and I look forward to an engaging discussion. #Neurosurgery #CaseDiscussion #MedicalProfessionals #ProfessionalInsight

#3dteaching We discussed the value of DRR in spine cases in many previous posts and cases. DRR can also be useful to visualize cranial procedures. In simple CT scans, there is barely a chance to identify aneurysm clips, in DRR you can exactly see form and location of the 2 clips. This example is a case of a MCA aneurysm treated via microsurgical clipping, watch till the end to see the actual clips in ICG sequences for comparison. #neurosurgery #vascular #brainaneurysm #training Nima Etminan Pascal Jabbour MD FAANS, FACS, FAHA Prof. Dr. Panagiotis Papanagiotou Jan-Karl Burkhardt, MD Patrick Schuss

Endoscopy is the future.. reaching deeper corridors .. with minimal damage to brain parenchyma .. Intraventricular Clot Evacuation in Emergency not just saving life but saving Quality of life.. #neurosurgery #Endoscopy #Neuroendoscopy #Thane #Solarishospital #BrainHemorrhage #paralysis #Neurorehabilitation #savinglives #qualityoflife

🔎 What Would You Do Wednesday? This week’s case: A 77-year-old presents with a 3-month history of worsening balance problems and falls, now including upper extremity fine motor control loss. The patient also has a chronic history of low back pain and claudicatory symptoms, but notes that these new symptoms are very different in both severity and quality. Key questions to consider: 1️⃣ Which lesions should be prioritized for treatment? 2️⃣ Should procedures be staged? If so, how? 3️⃣ What approach would you take for each treatment? Share your thoughts below! #SpineSurgery #Neurosurgery #MedicalDecisionMaking #SpineLeadership #WhatWouldYouDoWednesday #SpineCare Andrew Chan, MD Theresa Williamson Corey Walker Jeffrey Mullin Jake Godzik, MD Tej Azad Joseph R. Linzey, MD, MS Rushikesh Joshi, MD Ian Connolly JC Leveque American Association of Neurological Surgeons (AANS) Congress of Neurological Surgeons (CNS)

This video demonstrates a state-of-the-art procedure for treating a large, ruptured basilar apex aneurysm using the Comaneci device. This video highlights the trans-circulatory Comaneci-assisted coil embolization technique, which strategically avoids using stents that require dual antiplatelet therapy (DAPT) and balloons that can cause temporary ischemia. Key Innovations Featured: ◾ Comaneci Device: Facilitates temporary vessel scaffolding without permanent implantation, reducing the need for DAPT. Loop Reduction Technique: Crucial for effective navigation 'around the world' in complex vascular anatomies. ◾ Creative Problem-Solving: Emphasizes the importance of thinking outside the box in neurovascular interventions. Watch the full video to see how these advanced techniques provide safer, more effective outcomes for challenging neurovascular cases. #NeuroIntervention #AneurysmTreatment #InnovationInMedicine #Comaneci #Microvention #Medtronic #Neurosurgery #CNS_Update Rapid Medical MicroVention Neurovascular Solutions

Precision and innovation come together at Star Hospitals with our advanced Neuronavigation System, transforming the way brain surgeries are performed. This computer-assisted technology provides unparalleled accuracy with features like real-time 3D guidance, tumour fluorescence for precise removal, and high-resolution microscopes for minimally invasive procedures. Our expert neurosurgeons use this groundbreaking system to minimise the impact on healthy tissue, ensuring safer surgeries and faster recovery times. By integrating CUSA technology for precise tumour removal, we prioritise patient comfort and outcomes, offering reduced pain, shorter hospital stays, and quicker returns to normal life. To book a consultation with our Expert Neurosurgeons, please call 07969 250 194 #NeuronavigationSystem #BrainSurgery #Neurosurgery #HealthcareInnovation #MinimallyInvasiveCare #PatientCentricCare #AdvancedTechnology #TumourRemoval #FasterRecovery #ShorterHospitalStay #PrecisionMedicine #NeurosurgicalCare #SaferSurgeries #StarHospitals #StarHospitalsBanjaraHills #StarHospitalsNanakramguda

During cranioplasty, dissection has frequently led to patient complications and prolonged OR time following conventional methods due to the formation of fibrosis.¹ In a recent study of patients who received AMNIOFIX® as a protective barrier during craniectomies, 86% had minimal dural fibrosis during cranioplasty and no operative complications.² Download the clinical summary of a recently published peer-reviewed study to learn more: https://bit.ly/3TFwJeX View the AMNIOFIX Product Brochure: https://bit.ly/3tHjLEp   #MIMEDX #AMNIOFIX #Craniectomy #Cranioplasty #Neurosurgery