Proud of this work from @URNeurosurgery @URochester_SMD.

Cool to see our hypothesis rejected, as materials cost was lower with Onyx compared to nBCA in MMA embolization for chronic SDH. @URochester_SMD MS3 Kiernan Gunn did a fantastic job presenting at #SNIS2025 @URNeurosurgery @SNISinfo

Static spine imaging is good at detecting but poor at localizing type 1/2 CSF leaks. Extensive thoracic SLEC in this case but DSM showed ventral leak at L1. Nice illustration of data reported @TDobrocky in PMID 32554417. @spinalCSFleak

Excited to visit the bluegrass state in October! @URNeurosurgery.

RT @NREFORG: Honoring Dr. Howard Silberstein—beloved mentor, master surgeon, and leader in neurosurgical education at @URNeurosurgery. His….

RT @URNeurosurgery: Thank you to @ColumbiaNeuro, @NREFORG, and @NeuroSoftball for organizing the 20th annual Neurosurgery Softball Tourname….

Something I didn't know I needed. Surpass Elite opens like an Atlas. (Video exaggerates the push tbh d/t proximal tortuosity and low profile Vecta46 intermediate I favor for routine reaccess and angioplasty). @Stryker_NV

Managing length with shapeless coils is an acquired skill. But they really shine in proximal sacrifice with long safe landing zone. 4 coils took down ICA in recent blowout from skull base malignancy. Any other early learnings as this coil category grows? @SNISinfo @cvsection

Surgery for type II CSF leak. Classic illustration @WouterSchievink said root sacrifice in 75%. True to others' experience? Meningeal diverticulum from root shoulder lent here to resection, primary closure. @StrokeBern @spinalCSFleak @AndrewCallenMD @MarkMamloukMD @PeterGKranz

RT @URNeurosurgery: 200+ providers joined STAR-NY’s 2025 Regional Stroke Conference & it did not disappoint! Cutting-edge stroke topics & r….

How accurate is assessment of extrinsic vs. intrinsic venous sinus stenosis on MRV? Obviously intrinsic after stent deployment in this case. Venous angioplasty is then a distinct technique, with serial upsizing of noncompliant balloons. @iih_hub @Tinnitus_USA @SNISinfo

RT @URNeuroscience: What can a blood clot tell @URNeurosurgery about a stroke?. @mtbendermd @UR_Med explains why his team studies clot comp….

Diagnosing/localizing CSF leak is harder than treating. But transdural repair for ventral bone spur is beautiful, technical surgery . March 2025 @StrokeBern series showed no diff bw suture and patch, though I like both. @NeurosurgeryCNS PMID 39132996 @WouterSchievink @tdobrocky

Neck calcification adds complexity to clipping a small MCA aneurysm. Fenestration enables trajectory that avoids dome torqueing. Over-stacking and removal of initial clip can restore patency to compromised branch vessels. @mtlawton clip-ology 101? ;). @cvsection @neurosurgatlas

RT @tylcole: Ever since the TO-ACT trial was halted for futility, I’ll periodically look for new options in medically-refractory venous sin….

RT @HopkinsNsurg: Announcement: This just in! @BettegowdaMDPHD, the Jennison & Novak Families Professor of Neurosurgery, will lead the John….

RT @SNISinfo: The next @JNIS_BMJ Journal Club is Thursday, 4/10 at 4pm ET. Authors Kyle Fargen, MD, MPH and David Fiorella, MD, PhD will si….