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  At what drain output rate is it reasonable to consider a clamp trial?
Posted by: Guest - 05-11-2021, 07:28 PM - Forum: General Discussion - Replies (2)

I'm sure this depends on a lot of other things including the clinical picture, but assuming you have an EVD in and trying to maintain a normal ICP of around 10 cm H2O, how much should the patients be draining per day before you think its reasonable to do a clamp trial?

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  3rd year shelf exams/grades
Posted by: Guest - 05-11-2021, 09:35 AM - Forum: General interest - Replies (4)

been getting B's & C's on shelf exams during the 3rd year.....is that too low for neurosurgery? How are 3rd year grades looked at by residency directors? Its so random at times. Idk if I will honor anything

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  Imaging pearls to distinguish acute vs. chronic hydrocephalus
Posted by: neuromedstu - 05-08-2021, 01:13 PM - Forum: General Discussion - Replies (3)

Hello,

I often see acute hydro thrown into rads reports which I’m assuming is in contradistinction to chronic hydro. 

I haven’t been able to find much online in terms of radiographic features that would help you distinguish one versus the other

Any insights would be greatly appreciated!

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  When did you know you wanted to be a neurosurgeon?
Posted by: thoutful - 05-08-2021, 08:53 AM - Forum: General interest - Replies (3)

Hi all

Applying to med school and have an opportunity to do an accelerated neurosurg program at a school I like and a program I like. I also however have a full tuition scholarship at my local school and cant decide what to do. I have years of neuroscience background but am not sure I am absolutely committed to neurosurg. I at the moment think I am very interested in it and can't see myself being happy doing something non-neuro related. The school with the full scholarship does not have a strong home program nor do they match many people into neurosurg residencies. Not sure what to do..

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  Neurocritical Care
Posted by: Blue Fire - 05-07-2021, 09:01 PM - Forum: Practice patterns - Replies (9)

What do practice patterns look like with this fellowship option available to us in residency? Strictly limited to people in skull base/vascular/tumor? Or could other specialties do it and make it worth while? Seems like a good/valuable skill set to have regardless of subspecialty. Thanks

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  Buffalo
Posted by: Guest - 05-05-2021, 09:52 PM - Forum: General interest - Replies (3)

Well-known for endovascular. How is their residency program in terms of research, volume, autonomy, culture, etc.?

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  Hershey Med Neurosurg?
Posted by: Brainboy - 05-05-2021, 03:11 PM - Forum: General interest - Replies (1)

Any thoughts on Herhsey's neurosurgery program? Like the area, had an opportunity to speak with some current students/residents/attendings and liked all of my interactions. Seems like a decent program I would be happy at. Harbaugh stepping down is sad but he seems like he deserves it and I felt confident in the attends I spoke with.

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  Neuroanatomy for sub-i's
Posted by: Guest - 05-04-2021, 10:15 PM - Forum: Sub-internships - Replies (1)

How best to study neuroanatomy for sub-internships? I know about Rhoton, neurosurgical atlas, etc but these seem clunky and it's so hard to learn anatomy from static images which are often disorienting. Any recommendations?

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  Do spinal distraction injuries always involve PLC?
Posted by: neuromedstu - 05-03-2021, 10:36 PM - Forum: General Discussion - Replies (2)

Hello!

I read here on https://radiologyassistant.nl/musculoske...sification that on the TLICS grading scale, a distraction injury always involves the posterior ligamentous complex (PLC) and therefore by definition is surgical (4 pts for morphology + 3 pts for PLC involvement)

However, the AO classification system has a Type B3 distraction-hyperextension category that does not seem (at least on the illustrations, attached below) to involve the PLC

Can anyone provide clarification on this?

Thank you!

[Image: 53_d100_i100.ashx?w=665]

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  Machine learning research in med school
Posted by: In Love with a Loli - 05-02-2021, 10:14 PM - Forum: General interest - Replies (12)

Hello, 

I have the opportunity to work on 3 possible research interests for Fall medical school (MS1). Which one is best for neurosurgery residency? Thank you so much!

  1. Machine learning-- My first choice. Here, I will work with a computer science PI (PhD) who develops deep learning models (software) that reads PET/CT images for lung and esophageal cancers. Basically, this software is working to read the images to identify cancer and disease. He hopes to expand to brain tumors but of course that depends on funding etc. I would help with programming and imaging (so I might read the images myself and then teach the software. PI publishes in low-impact journals. 
  2. Bench lab research. PhD, cell signaling. HOWEVER, a GREAT PI. Getting some good funding, and EXCELLENT journals. Think Cell.
  3. Bioinformatics--pretty traditional. Work with statistics PhD to use databases to do stastical analysis on patient outcomes, as well as genomic (using NCBI and other databases to compare protein/DNA sequences and the like). PI publishes in low-impact journals, but I think can churn out posters/crappy papers. 
What would you guys recommend? I really want to go for machine learning research, but I think that most PDs are not family at all with it? How would you guys look at it? 

Thank you so much!

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