Inland Neurosurgery Institute

Late 70s patient, ruputred AcomA aneurysm approx 6mm with a wide neck. Placement of WEB device. Contrast stasis seen immediately in the aneurysm. Followup angiogram shows secured body and dome of thr aneurysm. #neurosurg_life #neurosurgery #neurology #brainaneurysm #brainaneurysmawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #brainsurgery #brain... #neurons #wovenendobridge #medical #medicine #vascularneurosurgery #wovenendobridge See more

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Important day to cast your vote. It did feel like taking a test especially with the different Propositions in California. #neurosurg_life #neurologicalsurgery ... #neurosurgeon #vote #vote2020 #test #important See more

50s patient presented with unsteadiness, burning in the arms, and difficulty with grip objects! Had a large SPINAL TUMOR (diagnosis was meningioma) that wrapped around her spinal cord from the neck (cervical) down to her upper thoracic (C5-T2.) Complete tumor resection and has recovered completely!!! (Courtesy of Dr. AmirNovin)

50s patient presented after a car accident with a dislocated neck aka. broken neck. The biceps were weak bilaterally. Now completely normal after 6 months from surgery. Cervical spine fusion was needed to fix the broken neck. (Courtesy of Dr. AmirNovin)

40s patient presents with progressive weakness and inability to move legs. MRI showed mass with cord compression. C6 and 7 Corpectomy with 360 deg fusion. Patient is now moving legs and starting to walk. (Courtesy of Dr. AmirNovin)

60s pt had waxing and waning stroke symptoms of inability to speak. Got IV tPA. +heads up test. Resolved after thrombectomty. Discharged home day 2. Left superior MCA branch occlusion. 1 pass with stent-retriver with Solumbra technique. ... #neurosurg_life #neurosurgery #neurology #stroke #strokeawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #brainstroke #brainsurgery #brain #neurons #thrombectomy #clotretrieval

Late 20s prior AVM rupture, cool down period, comes back for resection of left cerebellar AVM. Two deep pedicle feeders one from SCA and one from PICA was embolized. IR FLOW 800 analysis from ZEISS KINEVO microscope to evaluate and define AVM nidus, arterialized veins, inflow-outflow, and much more. Complete resection confirmed with followup cerebral angiogram. ... #neurosurg_life #neurosurgery #neurology #stroke #strokeawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #brainstroke #brainsurgery #brain #brainavm #brainavmawareness #brainavmsurvivor #arteriovenousmalformation #microneurosurgery @ Pomona Valley Hospital Medical Center

First WEB (woven endobridge) device placement at Pomona Valley Medical Center. This device is a new FDA approved treatment for bifurcation aneurysms. Options to treat this aneurysm would have involved some kind of stent in the blood vessel resulting in usage of long term antiplatelet medications. This device ideally negates the usage of such medications since it sits primarily in the aneurysm itself. This was performed through the right radial artery. Moving forward to with t...echnology and keeping up with the latest treatment options gives the patient the best treatment options available. *Not call brain aneurysms are qualified for this treament* Many thanks to Dr. Colby from UCLA Neurosurgery to provide expert support in this endeavor. #neurosurg_life #neurosurgery #neurology #brainaneurysm #brainaneurysmawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #brainsurgery #brain #wovenendobridge #uclaneurosurgery #vascularneurosurgery #minimallyinvasivesurgery @ Pomona Valley Hospital Medical Center

***Many options to treat this*** Back-front-back was performed on Jackson Table (2 spins) 1. Back - C2-T2 instrumentation and laminectony. C2,T1,T2 PEDICLE SCREWS 2. Front - C3-4, C4-5 ACDF... 3. Back - rod placement and fixation Late 50s unable to walk x3 weeks, falling, unable to use hands, cannot hold pen. MRI Cspine shows critical and severe stenosis with spinal cord signal change C2-C7. No trauma. #neurosurg_life #neurosurgery #neurologicalsurgery #spinehealth #spinesurgery #spine #medicine #neurology #spinefusion #neuro #neckpain #cervicalgia #cervicalstenosis #spinalcordinjury #spinemobility

Late 80s patient. MRS 0, LKWT 6 hours. LEFT ICA-T (terminus) occlusion. PCOM aneurysm. 1st time stent-retriver, some opening. 2nd time stent-reteriver to bring up 6F 070 Sophia to clot to aspirated. TICI 2B, distal M3-4 emboli. Questionable to go or not, but left side dominant with likelihood of complete left hemisphere stroke. #neurosurg_life ... #neurosurgery #neurology #stroke #strokeawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #brainstroke #brainsurgery #brain #neurons #thrombectomy #clotretrieval @ Pomona Valley Hospital Medical Center See more

60s patient comatose. Found to have basilar artery occlusion at outside hospital. NIHSS 22. 2 aspiration attempt pulled out lots of clot!!! TICI 2C #neurosurg_life ... #neurosurgery #neurology #stroke #strokeawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #savingbraincells #brainstroke #brainsurgery #brain #neurons #thrombectomy #clotretrieval #neurons @ Pomona Valley Hospital Medical Center See more

80s pt with left hemiparalysis facial droop, right MCA syndrome. Right M2-M3 occlusion seen on CTA near Sylvian point. NiHSS 20+ got tPA. Aspiration with 3MAX, nothing. TREVO 3x20, caught the clot in the ACE68 using SOLUMBRA technique. Nothing on the stent-retriever. Pt moved and woke up at the end...no clean angio possible :( #neurosurg_life #neurosurgery #neurology #stroke #strokeawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neuroi...nterventional #neuro #brainstroke #brainsurgery #brain #neurons #thrombectomy #clotretrieval @ Pomona Valley Hospital Medical Center See more

90+ #NIHSS 13, right ICA-T occlusion. Left hemiparesis, gaze deviation, confusion. Aspiration, stent-retriever, aspiration. TICI 2B, AOL 3 residual inferior M2 branch occlusion. #neurosurg_life #neurosurgery #neurology #stroke #strokeawareness #neurointervention #neurologicalsurgery #neuroscience #neurovascular #neuro #neurointerventional #neuro... #brainstroke #brainsurgery #brain #neurons #thrombectomy #clotretrieval @ Pomona Valley Hospital Medical Center See more

50s patient SAH, PBD 0, negative angio, PBD 6 vasospasm tx negative angio, PBD 8 vasospasm treatment with planned followup...HELLO!!!! 1.9mm left basilar aneurysm arising between PCA and SCA. 1 coil 2x4mm treatment. #neurosurg_life #neurointervention #neurologicalsurgery #neuro #neurovascular #neuroIR #neurosurgeon #neurosurgery #neuroscience #neuroanatomy #neuroscience #brainsurgery #brainaneurysm #aneurysmawareness

Young patient jumped from 2nd floor and injured his spine. Bone fragment in the spinal canal causing #caudaequinasyndrome and #lumbarradiculopathy He underwent posteior decompression with screws and rods for #lumbarfusion and also anterior spine surgery to remove the bone fragment causing #nervecompression #neurosurg_life ... #neurosurgery #neurologicalsurgery #spinehealth #spinesurgery #spinetrauma #trauma #medicine #neurology #spinefusion #neuro #backpain See more

What is bright and white on CT? Young patient with foreign object compressing thecal sac and causa equina. Pain on standing and sitting with shooting pain in legs. Otherwise intact with ability to move legs and feet and normal sensations. #neurosurg_life #lucky #neurologicalsurgery... #neurosurgery #spine #spinesurgery #medicine #surgery #trauma #medicine #neurology See more