Seraj Ajaj
@seraj25
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Neurosurgery resident. , Research, Race cars, Technology. Tripoli Libya 🇱🇾
Libya
Joined October 2011
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The Anterior Choroidal (light blue),the choroid plexus (dark red).lateral lenticulostriates (black), thalamogeniculate (dark blue double-sided arrow), posterior choroidal (white), posterior inferior temporal (green) and middle inferior temporal (pink).tentorium cerebelli (yellow)
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Illustrations created by
@PeterMLawrence1
for a recently published article on medullary cavernomas, written by Dr. Lawton as part of the new 7 Cavernomas series.
Youtube link
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A reminder; How our body compensates for Sagittal spine imbalances.
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I highly recommend this channel as an excellent online learning source. It's honestly one of my favorites, and I give it a 5-star rating.
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1 - internal carotid artery; 2 - middle cerebral artery;
3 - anterior cerebral artery;4 - lenticulostriate arteries;
5 - uncus; 6 - optic chiasm; 7 - lamina terminalis; 8 - olfactory tract; 9 - frontal lobe.
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The more you stress the anatomy, the more you get comfortable in surgery…
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Check out this YouTube channel ➡️ Neuroradiology.
Highly recommend ❗️⚡️
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Vascular Anatomy of the Cauda Equina and Its Implication on the Vascular Lesions in the Caudal Spinal Structure
⬇️
doi: 10.2176/nmc.ra.2016-0006
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Look at this view from legendary Rhoton, Lamina terminalis opened ➡️third ventricle.
olfactory tracts,optic tracts,optic nerves, pituitary stalk all seen
Neuroanatomy is amazing
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The velum interpositum is a small membrane containing a potential space just above and anterior to the pineal gland which can become enlarged to form a cavum velum interpositum. Highlighted orange section
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Supracerebellar infratentorial approach, what venous network is at your way ❗️
Source:
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Anatomy of the lumbar spine vertebra.
"From the legend: Youmans and Winn Neurological Surgery."
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Med students, interested in neurosurgery, are you ready for the challenge ❗️
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Midsagittal brain view showing interhemispheric cortical anatomy. AC, anterior commissure; PC, posterior commissure.
The lines between AC-PC ( blue) corresponds to what cortical Area⁉️
1-Cingulate gyrus
2-Central sulcus
3-Supplementary motor area
4-Corpus callosum
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The Basal Vein of Rosenthal ( green arrow ) medial to the posterior cerebral artery.
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Mastoid notch as a landmark for
localization of the transverse-sigmoid sinus junction
➡️
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Magnetic Resonance Venography (MRV)
➡️ learn the brain 🧠 venous system
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Anatomy is the best fun part about Neurosurgery, refreshing the basics is mandatory..✔️
The Tentorium Cerebelli: A Comprehensive Review Including Its Anatomy, Embryology, and Surgical Techniques
For more details
DOI: 10.7759/cureus.3079
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Lamina Terminals ( Hexagonal ), a window to reach the third ventricle,
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Important basic concepts, Spine Surgery;
⬇️
1- The angle of the root's takeoff
2- Under the pedicle
3- Disc prolapse / geometric relationship with the roots
4- Inter-laminar line
5- Facet joints
6-Spinous process
7- Legamentum flavum ( layers ).
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Tubingen's line. Endolymphatic sac located caudal to this line.
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Bilateral facet dislocation ( cervical spine ).
The inferior articular facet is sitting anteriorly to the superior articulated facet.
Terminology; locked vs perched depends on contacting and anterior translation. ➡️ Locked = full dislocation
Normal anatomy to compare……..
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Pterional approach
Meningo-orbital band detachment: A key step for this approach.
Red line➡️ Meningo-orbital band, when you drill the sphenoid bone.this land mark is to stop drilling ( superior orbital fissure under it).
Read more;
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