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Surgical Exploration of Symptomatic Chiari Malformation

This issue of AANS Neurosurgeon explores the theme, “Neurosurgical Screening and Surveillance.” This edition’s In the Loupe features three cases of patients with symptomatic Chiari malformations, all of whom had persistent symptoms after initial decompression. Surgical exploration reveals the cause of failure in each case.

All   |   Videos   |   Podcasts   |   Slideshows

Video: Surgical Exploration of Symptomatic Chiari Malformation

This issue of AANS Neurosurgeon explores the theme, “Neurosurgical Screening and Surveillance.” This edition’s In the Loupe features three cases of patients with symptomatic Chiari malformations, all of whom had persistent symptoms aft...

    |  June 3, 2015



Video: Ruptured AVM Resection

    |  February 12, 2015



Video: Microsurgical Clip Occlusion

As we discuss “Neurosurgery and the Future of Health Care,” we naturally consider technical advances in our field, such as the rapid expansion of endovascular neurosurgery. But time-tested techniques also will have a place in the future of neuro...

    |  December 16, 2014



Video: Closure of a Myelomeningocele with Distal Cordectomy

This edition of “In the Loupe” finds Humphrey Okechi, MBChB, performing a closure of a myelomeningocele with distal cordectomy in Kijabe, Kenya. Drs. Okechi and Leland Albright have described a technique to simplify myelomeningocele closure by pe...

    |  September 2, 2014



Slideshow: Bringing Stereotactic Surgery to Niger

    |  August 25, 2014



Video: Navigating the Ventricles

As we highlight icons and innovations in neurosurgery in the May 2014 issue of AANS Neurosurgeon, we must make note of the work of Albert Rhoton Jr., MD, FAANS(L). His career as an educator and anatomist has been nothing short of iconic, ...

    |  June 5, 2014



Video: Ventriculoendoscopic Resection of Third Ventricular Ependymoma

The video showcased features a 10-year-old girl who was previously treated for a posterior fossa ependymoma, and presented with a remote recurrence in the anterior third ventricle. The approach is right frontal endoscopic, for resection. See how the ...

    |  March 22, 2014



Video: Creating Mindfully: A Neurosurgeon’s Pursuit of a Fulfilling Life

I am a neurosurgeon by profession and a documentary filmmaker by passion. As much as I enjoy being a neurosurgeon, I must say filmmaking gives me pleasure and satisfa...

    |  November 20, 2013



Slideshow: One Neurosurgeon’s Experience in Vietnam — A Photo Essay

Paul Pitlyk, MD, FAANS(L), spent  approximately a year serving as a combat neurosurgeon in Vietnam. Here he shares some of his images and recollections from his tour of duty during the 1960s with the U.S. Navy. Please note that the presentation does...

    |  November 3, 2013



Slideshow: Neurosurgeons as Presented in the Past: Psychosurgery

    |  November 3, 2013



Video: Performing a Ventriculostomy

This video of a virtual ventriculostomy demonstrates examples of both an incorrect cannulation and a correct cannulation of the cerebral ventricles, using a high-fidelity 3D simulator with haptic feedback and electromagnetic head tracking of the oper...

    |  August 14, 2013



Video: In the Loupe: A Right Far-lateral Approach

This soundless video of a right far-lateral approach for resection of a ventral brainstem lesion demonstrates the relevant anatomy and surgical windows between cranial nerves needed to complete the operation. The patient is a 29-year-old woman with a...

    |  May 29, 2013



Video: Exposure of Posterolateral Mesencephalon

This video appears at the request of AANS Neurosurgeon's Editorial Board. Provided courtesy of Aaron Cohen-Gadol, MD, it describes the resection of a brainstem pilocytic astrocytoma through a far lateral supracerebellar approach. To view ...

    |  May 27, 2013



Video: Third-World Neurosurgery

Hydrocephalus is one of the most common, treatable causes of neurological disability and death in the developing world. When identified early and treated effectively, the buildup of fluid in the brain can be prevented, improving the chances for a nor...

    |  February 26, 2013



Video: Cortical mapping: In the Loupe

This soundless video of surgery for a left central area tumor demonstrates cortical mapping of the patient’s motor area prior to resection. The patient is a 72-year-old woman with a remote history of colon cancer who presented with one month of diz...

    |  February 17, 2013



Video: In the Loupe: Pipeline Embolization Device

This soundless video depicts the deployment of a Pipeline embolization device in the setting of an incidentally noted, left-sided 9.9 x 10.4 x 10.5 mm (H x W x AP), wide-necked paraophthalmic aneurysm in a 22-year-old female with known tuberous scler...

    |  November 27, 2012



Video: In the Loupe: Repair of a Right Posterior Fossa DAVF

This soundless video of surgery for repair of a right posterior fossa dural arteriovenous fistula (DAVF) shows clip ligation of its arterialized and venous components. The approach was via a right retrosigmoid craniectomy. This DAVF is fed by branche...

    |  August 21, 2012



Video: In the Loupe: Intra-operative vasospasm of the internal carotid artery

This soundless video of surgery for a large left-sided skull base meningioma shows intra-operative vasospasm of the internal carotid artery followed by treatment with direct application of papaverine. The patient is a 45-year-old woman who presented ...

    |  May 17, 2012



Video: VoV — Virtual Office Visit

This video, which corresponds to the feature “Outward-facing Technologies in Health Care,” details the creation of a VoV, or Virtual Office Visit. A VoV is an audio/video recording of a computer screen while a physician is reviewing diagnostic fi...

    |  May 17, 2012



Video: In The Loupe: Suprasellar Resection

This soundless video demonstrates the resection of a grade 5 suprasellar and third ventricular craniopharyngioma. Notably, the basilar artery is able to be visualized through the floor of the third ventricle at the end of the resection. The patient i...

    |  February 23, 2012



Video: NSEMR

This video, which corresponds to the feature The Need for a Neurosurge...

    |  December 30, 2011



Video: In the Loupe: Surgery for Insular Abscess

This soundless video shows the aspiration and drainage of a left insular cerebral abscess via a transsylvian approach. The patient is a 71-year-old right-handed man who presented with a two-month history of headache and speech problems. Specifically,...

    |  September 13, 2011



Video: In the Loupe: Surgery for Hemifacial Spasm

This soundless video of surgery for hemifacial spasm shows retrosigmoid exposure and microvascular decompression of the ectatic basilar artery with stepwise mobilization and packing. The patient is a 61-year-old woman who had experienced progressive ...

    |  April 4, 2011



Video: In the Loupe: Right Insular Low-Grade Glioma

This soundless video of surgery for excision of a right insular low-grade glioma shows dissection of the M1/M2 branches of the middle cerebral artery and sub-cortical stimulation. The patient is a 39-year-old w...

    |  February 15, 2011



Video: In the Loupe: Peripheral Nerve Tumor Dissection

This soundless video shows a right ulnar schwannoma being dissected from the ulnar nerve. The proximal (on the right) and distal fascicles entering and exiting the tumor have been isolated, while the functioning majority of the nerve is left intact. ...

    |  November 19, 2010



Slideshow: 'i' Was There: 78th AANS Annual Meeting

Michael Oh, MD, a member of the team behind the iPod touch debut at the Philadelphia meeting, tells the audience that in exchange for sharing great ideas for use of the device at the next meeting, they could win an iPad like the one he holds. The win...

    |  November 18, 2010



Podcast: Interview With Newt Gingrich

The AANS Neurosurgeon editors caught up with Newt Gingrich in Philadelphia at the 2010 AANS Annual Meeting, where he was the keynote speaker. We asked the former member of the U.S. House of Representatives and the speaker of the House fro...

    |  August 9, 2010



Video: In the Loupe: Removal of Multiple Cystic Lesions

This soundless video shows removal of multiple cystic lesions consistent with neurocysticercosis. The patient is a 23-year-old man who had emigrated from Mexico and presented with worsening headaches and vomiting. The cysts causing brainstem compr...

    |  May 17, 2010