正在加载视频...

视频加载失败

I recently reached a significant spinal cavernous malformation milestone: #100 resected microsurgically. These are the most common vascular malformation in my practice & teach so much about zones of entry into cord tissue, safe resection techniques, and handling of cord tracts…

119,461 次观看 • 9 个月前 •via X (Twitter)

0 条评论

暂无评论

原始帖子的评论将显示在这里

相关视频

Have disagreements between radiologists on the degree of cervical canal stenosis become a pain in the neck? This month’s AJNR SCANtastic has the latest about Cspine MRI! In the Cspine, we need to think about canal stenosis & the cord. No matter the degree of stenosis, if the cord isn’t happy, the patient won’t be either Here’s how to grade canal stenosis & cord flattening: CANAL STENOSIS Cord swims in CSF, like a fish in water. Like a fish, it needs room to swim. How much room is in the fish bowl determines stenosis 🔸Mild stenosis = fish bowl decorations take up 1 side of the bowl. Not great, but fish can still swim. Either ventral or dorsal CSF is effaced, but the other side of the fish bowl is still empty 🔸Moderate = decorations take up both sides—swimming is very affected. Both ventral and dorsal CSF have been effaced. 🔸Severe = all out w/decorations & there’s no more room for the fish. No room for the cord & it is compressed. CORD FLATTENING It’s like a fight. Cord deformity w/o signal is like someone pushing you to start a fight---you can still walk away. Cord deformity w/signal is a punch to the face—it’s on! 🔸Grade 1: no flattening (just words exchanged, no punches) 🔸Grade 2: flattening but no cord signal (you have been pushed but not bruised, can walk away) 🔸Grade 3: flattening w/cord signal (you have been punched & have a bruise, so you must fight) In this month’s AJNR, Koo et al. found that using a deep learning algorithm produced images in half the time—and the images were non-inferior for evaluation of degenerative chages & canal stenosis Now you know the grading of canal stenosis & cord flattening, for both normal & fast AI imaging! Hopefully, you’ll take to these rating systems like a fish to water!!

Lea Alhilali, MD

11,351 次观看 • 1 年前

Retweet if you enjoy! With a spinal cord injury and in particular mine which is so high up in my spine the less movement I am going to have. Basically wrist/finger movement are last to regain and arm movement usually comes back first. I was told I would never move a muscle again and now to have arm movement that I have had for a while but now to have control of my left wrist is something absolutely amazing to see the hard work paying off! Day by day im learning new ways my muscles/way to move work. Its crazy because me lifting my arm feels like 20kg in itself. That shows you how much damage was done to my body when I broke my neck and severd my Spinal Cord. People in the gym are satisfied when they squat 300kg, im happy when I lift my arm. I take everything in moderation! It's all I think about is getting movement, while I'm in bed I'm thinking about it, then its time to sleep. Dedication doesn't have an off session. Hard physiotherapy, day in, day out. Refusing to give up! Another part of this I love is sharing my results with the world. For every single one of you who believe in me. THIS IS FOR YOU. Even for the people who don't believe in me, you make me work ten times harder! #rehab #progression #spinalcordinjury #wheelchair #wheelchairlife #sci #quadriplegic #paralysis #wheelchairuser #spinalcordinjuryrecovery #wheelchairtravel #ireland #keephustling #motivation #spinalcordinjuryawareness #paralyzed #spinalinjury #nevergiveup #recovery #spine #quadraplegic #ifyoucantstandupstandout

Ian O Connell

153,223 次观看 • 2 年前