Podcasts about Neurosurgery

In this episode, Frank D. Vrionis, M.D., M.P.H., PhD, Chief of Neurosurgery at the Marcus Neuroscience Institute, discusses the evolving role of AI in research, the growing impact of motion preservation technologies, and the challenges insurance barriers pose to innovation. He shares how his team is planning for growth, advancing spine care, and educating patients on the expanding range of treatment options.

Dr. Hoffman continues his conversation with Dr. Kevin J. Tracey, president and CEO at the Feinstein Institutes for Medical Research and author of "The Great Nerve: The New Science of the Vagus Nerve and How to Harness Its Healing Reflexes.”

The Revolutionary Role of the Vagus Nerve in Bioelectronic Medicine: Dr. Kevin J. Tracey, president and CEO at the Feinstein Institutes for Medical Research and author of "The Great Nerve: The New Science of the Vagus Nerve and How to Harness Its Healing Reflexes,” details the historical context and recent advancements in harnessing the power of the vagus nerve to control inflammation without causing immunosuppression. The conversation explores the journey from early experimental stages to the recent FDA approval for treating rheumatoid arthritis through vagus nerve stimulation (VNS) devices. He also delves into the potential applications of VNS in treating other inflammatory conditions, mood disorders, and the science behind non-invasive lifestyle techniques and commercially available devices. The episode provides valuable insights into the future of bioelectronic medicine and its potential to revolutionize medical treatments.

In this episode, Frank D. Vrionis, M.D., M.P.H., PhD, Chief of Neurosurgery at the Marcus Neuroscience Institute, discusses the evolving role of AI in research, the growing impact of motion preservation technologies, and the challenges insurance barriers pose to innovation. He shares how his team is planning for growth, advancing spine care, and educating patients on the expanding range of treatment options.

In this episode, Frank D. Vrionis, M.D., M.P.H., PhD, Chief of Neurosurgery at the Marcus Neuroscience Institute, discusses the evolving role of AI in research, the growing impact of motion preservation technologies, and the challenges insurance barriers pose to innovation. He shares how his team is planning for growth, advancing spine care, and educating patients on the expanding range of treatment options.

The blood-brain barrier (BBB), while essential for protecting the brain from toxins, has long been one of the greatest obstacles in treating brain diseases, particularly aggressive cancers like glioblastoma. Most chemotherapy drugs simply cannot reach the brain in effective concentrations, leaving patients with limited treatment options and poor outcomes.  In this episode of Curing with Sound, we speak with Graeme Woodworth, MD, Chair of the Department of Neurosurgery at the University of Maryland School of Medicine, whose work is transforming the landscape of brain tumor treatment through the use of focused ultrasound–mediated BBB opening. Dr. Woodworth discusses the role of microbubbles, his efforts to develop a real-time monitoring and dosing strategy for BBB opening, and the exciting results from his multicenter glioblastoma clinical trial. Discussion highlights: Glioblastoma Clinical Trial: Results published in Lancet Oncology report, for the first time, a possible survival benefit among newly diagnosed glioblastoma (GBM) patients treated with focused ultrasound + temozolomide (or TMZ, a chemotherapy drug). Researchers used focused ultrasound to noninvasively open the BBB in GBM patients before administering TMZ. When compared with a matched control group, a 40% increase in overall survival was observed. Published Findings for Measuring and Predicting BBB Opening: Researchers established a real-time, ultrasound-based “dose” measurement—using acoustic emissions from microbubble oscillations—to accurately predict when focused ultrasound will open the blood-brain barrier in glioblastoma patients. They discovered a non-linear dose–response range where blood-brain barrier opening is maximized, enabling safer, more precise, and more effective treatment monitoring. EPISODE TRANSCRIPT ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances.  Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation.  FUSF SOCIAL MEDIA LinkedIn X Facebook Instagram TikTok YouTube FUSF WEBSITE https://www.fusfoundation.org SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/

Title: ICH Evacuation Guest Faculty: J Mocco, MD, MS Hosts: Chris Newman, MD and Seth Oliveria, MD In this episode we welcome Dr. J Mocco to discuss the nuances of evacuation of intracerebral hematoma. We review the indications, timing and techniques used for this procedure including the evidence that us available to guide clinical practice.

Send us a textWelcome back to Headfirst: A Concussion Podcast, today we have the honour and privilege to welcome Professor Robert Stern. Professor Stern is a Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology at the Boston University Chobanian & Avedisian School of Medicine. As co-founder of the BU CTE Center and former Director of Clinical Research, he has spent nearly two decades pioneering ways to detect and diagnose chronic traumatic encephalopathy (CTE) during life, while uncovering the long-term neurological impact of repetitive head trauma in former athletes. His ground-breaking work includes major projects such as the landmark DETECT and DIAGNOSE CTE studies, the Head Impact & Trauma Surveillance Study, and numerous investigations into biomarkers and diagnostic criteria for concussion and CTE. With more than 250 peer-reviewed publications, key advisory roles with the NFLPA and NCAA, and recognition such as the 2025 Leon Thal Prize for Research Excellence, Professor Stern is widely regarded as one of the foremost experts shaping modern concussion and CTE science.01:50 - Dr Robert Stern's Journey into neurology, neurodegenerative disease and Repetitive Head Impacts08:00 - What Does Boston University CTE Do?10:55 – Repetitive Head Impacts  15:45 – Chronic Traumatic Encephalopathy 19:35 – Dementia  23:25 – Neurological Disease's and Clinical Testing In vivo 27:24 – Biomarkers, Diagnosis Dementia and Growth in the Field 35:00 – Nocebo Effect and Understanding/ Misunderstanding of What is Known43:35 - Traumatic Encephalopathy Syndrome and Diagnostic Criteria57:00 – Summary of Traumatic Encephalopathy Syndrome01:02:00 – How to Help and Support Dr Stern's Work  Professor Robert Stern:https://www.bu.edu/cte/https://www.bu.edu/cte/profile/robert-stern/https://scholar.google.com/citations?user=42mlewcAAAAJ&hl=en Subscribe, review and share for new episodes which will drop weekly Social media:Twitter: @first concussionFacebook: Headfirst: A concussion podcastInstagram: Headfirst_ Concussion  Email: headfirstconcussion@gmail.com

Dr. Svetlana Kvint, board certified neurosurgeon, talked with us about her specialty, advancements in her field and why she chose to practice at Bronson.See omnystudio.com/listener for privacy information.

Dr. Steven Falowski shares an exciting new development in spine surgery that combines the two therapy modalities of spinal fusion and neuromodulation into a single solution implanted simultaneously at the point of a spinal fusion procedure. Steven M. Falowski MD Board Certified Functional Neurosurgeon Director Functional Neurosurgery Neurosurgical Associates of Lancaster PA  President -Executive Pain Committee, Congress Neurological Surgeons/American Association Neurological Surgeons President- Pennsylvania Pain Society President- Elect- American Society Pain and Neuroscience Strategic Advisor - SynerFuse® ... a Minnesota-based medical device company innovating the spine industry with its integrated approach to spinal fusion and chronic pain Senior Advisor- Pacific Spine and Pain Society Past Board of Directors, International Neuromodulation Society Past Senior Advisor, Past Secretary-North American Neuromodulation Society Dr. Falowski underwent his neurosurgical residency training at Thomas Jefferson University in Philadelphia with a focus on Spinal Cord Stimulation and Pain management, complex spinal procedures, and treatment for movement disorders such as deep brain stimulation. He completed a functional neurosurgical fellowship at Rush University in Chicago. His practice specializes in neuromodulation and spinal procedures. He is board certified in Neurosurgery. His major focus in society and industry revolves around education, integration of specialties, research, and practice management. He is the course director for cadaver workshops and educational offerings across multiple societies. He collaborates with numerous companies and industry partners on product development, education, research, and strategy. Dr. Falowski is involved in numerous clinical research studies and novel developments for spinal cord stimulation, pain management, and spinal procedures. The patented SynerFuse® procedure, Electric Transforaminal Lumbar Interbody Fusion™ (e-TLIF™), combines fusion with direct nerve stimulation to address chronic low back and leg pain that is unaddressed in traditional spinal fusion surgery that provide Ultra Low Energy™ (ULE™) Therapy. Resources: Neurological Associates of Lancaster synerfuse.com Sponsor: The Cox Table by Haven Medical  

Conversations with Dr. Adam Arthur, and Courtney Shupryt. Learn more and make your contribution at https://nref.org/

Another conversation with Dr. Carl Heilman. Find the video of this conversation at https://youtu.be/Q9u4p7XgqyM

Brought to you by TogetherLetters & Edgewise!In this episode: AI PowerPoint-killer Gamma hits $2.1B valuation, $100M ARR, founder says | TechCrunchWaymo robotaxis are now giving rides on freeways in LA, San Francisco, and Phoenix | TechCrunchInside Netflix House: A Big Bet On Experiential EntertainmentMatthew McConaughey, Michael Caine Team With ElevenLabs for AI-Generated Versions of Their VoicesWorld's first transatlantic thrombectomy heralds new era of stroke treatmentOn November 13, 2026, Voyager Will Reach One Full Light-Day Away From EarthWeird and Wacky: Oreo Just Launched Thanksgiving Dinner-Flavored Cookies—But There's a CatchOpenAI CEO Sam Altman served with subpoena on stage in San Francisco event, watch what happened nextTech Rec:Sanjay - Anker Nano Travel AdapterAdam - Granola.aiFind us here:sanjayparekh.com & adamjwalker.comTech Talk Y'all is a proud production of Edgewise.Media.

Event Objectives:Identify options for Chiari malformation surgery, craniofacial surgery and epilepsy surgery in children that optimize outcomes while providing less invasive alternatives.Claim CME Credit Here!

Another conversation with Dr. Mike Lawton. Find the video of this conversation at: https://youtu.be/ftWNdmum7RA Find Dr. Lawton's previous interviews here: https://podcasts.apple.com/us/podcast/episode-44-more-than-hands-technical-excellence-in/id1474617803?i=1000474159960 https://podcasts.apple.com/us/podcast/the-case-i-cant-forget-climbing-the-mountain/id1474617803?i=1000546156987 Find the Barrow Neurosurgery Base Camp here: https://www.barrowneuro.org/for-physicians-researchers/education/grand-rounds-publications-media/barrow-neurosurgery-base-camp/

This episode recorded live at the 10th Annual Health IT + Digital Health + RCM Annual Meeting features George Cybulski, MD MBA, AI clinical leader and Chief of Neurosurgery at Humboldt Park Health. He discusses the growth of outpatient spine surgery, the role of AI in connecting care teams and streamlining workflows, and the importance of collaboration between providers and vendors to enhance patient care and ASC efficiency.

This episode recorded live at the 10th Annual Health IT + Digital Health + RCM Annual Meeting features George Cybulski, MD MBA, AI clinical leader and Chief of Neurosurgery at Humboldt Park Health. He discusses the growth of outpatient spine surgery, the role of AI in connecting care teams and streamlining workflows, and the importance of collaboration between providers and vendors to enhance patient care and ASC efficiency.

This episode recorded live at the 10th Annual Health IT + Digital Health + RCM Annual Meeting features George Cybulski, MD MBA, AI clinical leader and Chief of Neurosurgery at Humboldt Park Health. He discusses the growth of outpatient spine surgery, the role of AI in connecting care teams and streamlining workflows, and the importance of collaboration between providers and vendors to enhance patient care and ASC efficiency.

When we think about brain health, most of us jump straight to memory, dementia, or even Alzheimer's. But what if the real starting point is our metabolism?In this episode, I'm joined by Dr Shahrukh Mallik, Consultant Neurologist, to explore how conditions like insulin resistance, type 2 diabetes, and chronic inflammation don't just affect the body, they directly impact the brain.We dive into: ⚡ Why people with type 2 diabetes have up to a 50% higher risk of developing Alzheimer's

Focused ultrasound (FUS), also called high-intensity focused ultrasound (HIFU), is a noninvasive treatment using sound waves to address essential tremor and tremor-dominant Parkinson's disease. Drs. Doris Wang and Leo Sugrue of UCSF explain how FUS and deep brain stimulation work to reduce tremor, outline which patients may benefit, and describe how the UCSF team individualizes treatment. Series: "UC San Francisco News" [Health and Medicine] [Show ID: 41035]

Focused ultrasound (FUS), also called high-intensity focused ultrasound (HIFU), is a noninvasive treatment using sound waves to address essential tremor and tremor-dominant Parkinson's disease. Drs. Doris Wang and Leo Sugrue of UCSF explain how FUS and deep brain stimulation work to reduce tremor, outline which patients may benefit, and describe how the UCSF team individualizes treatment. Series: "UC San Francisco News" [Health and Medicine] [Show ID: 41035]

Focused ultrasound (FUS), also called high-intensity focused ultrasound (HIFU), is a noninvasive treatment using sound waves to address essential tremor and tremor-dominant Parkinson's disease. Drs. Doris Wang and Leo Sugrue of UCSF explain how FUS and deep brain stimulation work to reduce tremor, outline which patients may benefit, and describe how the UCSF team individualizes treatment. Series: "UC San Francisco News" [Health and Medicine] [Show ID: 41035]

In this conversation, Dr. Michael Fehlings discusses his journey into neurosurgery, focusing on spinal cord injury and the challenges of balancing clinical practice with research. He emphasizes the importance of community collaboration and innovative approaches in clinical trials, particularly in the context of regenerative medicine. Dr. Fehlings also highlights the significance of understanding secondary injuries and the impact of Riluzole in spinal cord injury treatment. He advocates for a global statistical framework to... More info: https://u2fp.org/get-educated/curecast/episode-134.html

What if one side of your body suddenly stopped moving — and your doctor said, “It's a migraine”?Hemiplegic migraines are rare, disorienting, and often confused with strokes. They challenge everything you think you know about how your brain, body, and energy connect.In this episode of Migraine Heroes Podcast, hosted by Diane Ducarme, we explore the science and the story behind this rare form of migraine — one that blurs the line between neurology and mystery. Together, we look at how the body can temporarily lose its flow, and how to gently help it find its rhythm again.In this episode, you'll learn:

We know science can only explain certain facts, so how important is faith when it comes to healing? These concepts can exist together. Lisa continues the interview today with our guest, Dr. Gary Simonds, a retired neurosurgeon who's treated tens of thousands of patients. Today he talks about burnout in the healthcare system, especially during and after Covid. He explains how we are all constantly depositing or withdrawing energy from our energy bank. When we are not replenishing, we can get burnt out. We may feel like we are not contributing. Dr. Simonds has worked with world experts researching physician burnout and our healthcare system. He suggests how stillness and meditation are very beneficial to everyone. Dr. Simonds also describes what the brain actually looks like, its blood supply, and its need for constant oxygen. He talks about how social isolation impairs brain function. It is so important to seek out community. He further discusses the importance of sleep and rest for a healthy brain, and how mindfulness can provide a sense of balance as it can change the brain alignment. He stresses the importance of keeping a positive attitude and focusing on resilience. Dr. Simonds suggests practicing gratitude and asks us to think of 3 things we are grateful for throughout the day. He explains how our brains actually have a different chemical reaction when looking for the positive. He suggests considering uplifting material or realizing something as simple as a smile. Sometimes we need to force ourselves to look for the positive. As a neurosurgeon, doctors typically look for the worst-case scenario, so they can plan in advance if something goes wrong. He talks about consciously directing thoughts toward possibilities and solutions. Dr. Simonds, as an expert neurosurgeon, also discusses how to deliver difficult news, while managing expectations.  He's had to do it so many times, with many patients and families. He explains how it's all about trust -- a delicate walk between honesty and compassion with empathy.  An expert on burnout and trauma, Dr. Simonds is the Founding Chief of Neurosurgery at the Carilion Clinic, Virginia Tech Carilion School of Medicine (retired) and the author of three non-fiction books. "Death's Pale Flag" is his first novel and his latest book. This is Part 2 of the interview. Info: GaryRSimonds.com.  

Breaking The Silence with Dr Gregory Williams Guest, Lisa Burks - Outreach Clinical Leader, Forensic Nurse Examiner This week's Special Guest will be Lisa Burks. Lisa has been working as a nurse 9 years ago on the neurology-telemetry and neurosurgery unit at Hendrick Medial Center. She has been a forensic nurse for 5 years and currently works in outreach and education for the forensic nurses department.

There have been major breakthroughs in functional neurosurgery. Prof. Jill Ostrem breaks down the latest updates in the field, specifically surrounding adaptive DBS.

A conversation with Dr. Barth Green, recorded live on-stage at the second annual University of Miami Neurosurgery Spine Fellows Reunion. Find more of the story at: https://www.miamiherald.com/sports/spt-columns-blogs/greg-cote/article312577527.html

Eberechi Nwogu-Onyemkpa is an assistant professor in the Division of Palliative Medicine at Washington University in St. Louis. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. E. Nwogu-Onyemkpa and Others. Involving Palliative Care to Improve Outcomes in Sickle Cell Disease. N Engl J Med 2025;393:1553-1556. E. Costa and Others. Thirty Years of Hydroxyurea for Sickle Cell Anemia — Scientific Progress, Global Health Gaps. N Engl J Med 2025;393:1556-1559.

Although it may seem like science is completely separate from faith, they both play a very important role in our understanding. They are not opposed and can exist together as both strive to find the truth. It's just a matter of looking at the topic from different angles, according to our guest today, Dr. Gary Simonds, a retired neurosurgeon who's treated tens of thousands of patients. Today he talks about burnout in the healthcare system, especially during and after Covid. He stresses the importance of keeping a positive attitude and focusing on resilience. Dr. Simonds suggests practicing gratitude and asks us to think of 3 things we are grateful for throughout the day. He explains how our brains actually have a different chemical reaction when looking for the positive. He suggests considering uplifting material or realizing something as simple as a smile. Sometimes we need to force ourselves to look for the positive. As a neurosurgeon, doctors typically look for the worst-case scenario, so they can plan in advance if something goes wrong. He talks about consciously directing thoughts toward possibilities and solutions.  Dr. Simonds, as an expert neurosurgeon, also discusses how to deliver difficult news, while managing expectations.  He's had to do it so many times, with many patients and families. He explains how it's all about trust -- a delicate walk between honesty and compassion with empathy.  An expert on burnout and trauma, Dr. Simonds is the Founding Chief of Neurosurgery at the Carilion Clinic, Virginia Tech Carilion School of Medicine (retired) and the author of three non-fiction books. “Death's Pale Flag” is his first novel and his latest book. This is Part 1 of the interview. Info: GaryRSimonds.com.  

In this week's episode of How Yoga Changed My Life, Adrienne shares how a simple mistake—forgetting to set her alarm—became a powerful metaphor for waking up to life's deeper lessons.Adrienne opens up about her husband Brian's ongoing journey with a recurring pituitary adenoma—a reminder that life can shift in an instant. Recently, they found out that Brian's pituitary adenoma returned and now uncertainty and stress begin to shadow their everyday lives. Amid hospital visits, waiting, and worry, Adrienne discovered that her yoga practice wasn't just something she taught—it was what carried her through.Through breath, stillness, and self-awareness, Adrienne is finding a way to stay grounded when everything around her feels unstable. She reflects on how yoga helped her meet fear with compassion, hold space for both strength and softness, and remember that awakening doesn't always come from grand moments—it can come from something as ordinary as forgetting to set an alarm.She shares what it's like to face the unknown, navigate fear and stress, and hold space for both strength and vulnerability. From the mat to the moments between hospital visits, she reveals the grounding practices and mindset shifts that continue to anchor her when everything feels out of control.This episode is a raw look at how life's interruptions can become invitations to pause, breathe, and truly wake up, and the power of yoga to guide us—especially when life feels anything but certain.Send us a textWanna be on the show? Click here to fill out our guest info form or drop us a email at yogachanged@gmail.comFollow us on TikTok:https://www.tiktok.com/@yogachangedFollow us on Instagram:https://www.instagram.com/yogachanged/For more, go to https://howyogachangedmylife.comThe theme music for this episode, “Cenote Angelita”, was written and produced by Mar Abajo Rio AKA MAR Yoga Music. Dive deeper into this and other original yoga-inspired compositions by visiting bio.site/mcrworks. For the latest updates on upcoming events featuring his live music for yoga and meditation, be sure to follow @maryogamusic on Instagram.

At age 70, after a long career as a neurosurgeon and best-selling author, the tables were turned on Dr. Henry Marsh. Diagnosed with cancer, and facing his own mortality, Marsh offers a humble and honest look at what it was like when a prominent doctor becomes a patient; just as scared and dependent as anyone of us would be dealing with a terrible diagnosis, with regrets, fears, and feelings of helplessness.   In his latest book chronicling his experience, Marsh shares some valuable lessons that he learned from both sides of the Doctor/Patient relationship.  For more information, transcripts, and all episodes, please visit https://thisisyourbrain.com  For more about Weill Cornell Medicine Neurological Surgery, please visit https://neurosurgery.weillcornell.org 

Michael Liu is a resident physician at Brigham and Women's Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. M. Liu, K.T. Kadakia, and R.K. Wadhera. Proliferation of Prior Authorization in Traditional Medicare — None the WISeR? N Engl J Med 2025;393:1457-1459.

If you're enjoying the content, please like, subscribe, and comment! Dr. Schwartz's Links: Website: https://www.theodorehschwartzmd.com/ Book: https://www.penguinrandomhouse.com/books/734286/gray-matters-by-theodore-h-schwartz/ Theodore H. Schwartz, MD graduated Magna Cum Laude in Philosophy and English from Harvard University and Magna Cum Laude in Neuroscience from Harvard Medical School. After completing his residency and chief residency in Neurosurgery at The Neurological Institute of New York at Columbia-Presbyterian Medical Center, Dr. Schwartz spent a year at Yale-New Haven Medical Center where he received advanced fellowship training in epilepsy and brain tumor surgery. He completed a post-doctoral fellowship at the Max Planck Institute in Munich, Germany funded by the Van Wagenen Fellowship and the Von Humboldt Society. Dr. Schwartz spent 25 years as a Professor of Neurosurgery, Otolaryngology, and Neuroscience at Weill Cornell Medical College, New York Presbyterian Hospital. He was named David and Ursel Barnes Professor in Minimally Invasive Surgery, the first endowed professorship in the department, Vice-Chairman of Clinical Research, the Director of Anterior Skull Base and Pituitary Surgery, Co-Director of Surgical Neuro-Oncology, the Director of Epilepsy Surgery, and ran a basic science laboratory investigating the causes and treatment for epilepsy. He has received K08, R01 and R21 funding from the NINDS for his research and has served on several NIH review committees.Dr. Schwartz's book Gray Matters: A Biography of Brain Surgery, published by Dutton/Penguin-Random House, was selected by The Economist as one of the best books of 2024. His nonfiction writing has been featured in the Wall Steet Journal, the Boston Globe, Psyche Magazine, and The Psychologist. Dr. Schwartz is currently the Founder and CEO of a med tech device company called illumination Diagnostics._______________________Follow us!@worldxppodcast Instagram - https://bit.ly/3eoBwyr@worldxppodcast Twitter - https://bit.ly/2Oa7BzmSpotify - http://spoti.fi/3sZAUTGYouTube - http://bit.ly/3rxDvUL#neuroscience #surgeon #medschool #medical #neurosurgeon #surgery #medicine #medicalstudent #cte #tbi #trauma #traumaticbraininjury #concussion #subscribe #explore #explorepage #podcastshow #longformpodcast #podcasts #podcaster #podcasting #worldxppodcast #viralvideo #youtubeshorts

A conversation with Dr. Sander Connolly, recorded live at the Brainwaves conference at Columbia University

In this episode, host Seth O'Brien, CP, FAAOP(D), sits down with Jim Brookshier, MPO, CLPO, FAAOP, cranial specialist and clinical professor at the University of Texas Department of Neurosurgery in San Antonio. Together, they explore the critical elements of effective cranial remolding care—from the importance of early intervention and referral source education to managing heat, ensuring compliance, and navigating the impact of social media. Brookshier shares insights on the narrow window for conservative treatment, practical tips for addressing heat-related challenges, and strategies to support families in maintaining consistent helmet use. The discussion also tackles the spread of misinformation online and highlights the resources, mentorship, and professional community available to clinicians in this evolving field.   O&P Clinical Care Insiders is produced by Association Briefings.

Contributor: Alec Coston, MD Case Report Summary: A 17-year-old female involved in a motor vehicle collision presented to a rural emergency facility via personally operated vehicle. During workup and initial CT scan, the patient began rapidly decompensating with CT revealing a 1.5cm epidural hematoma with 7mm of midline shift. The patient went from being able to walk and talk to being obtunded with a blown left pupil and unresponsive. Following intubation, the patient was being prepared for transport but potential delays required immediate emergency evacuation of the hematoma via a Burr Hole. A traditional Burr Drill was not immediately available at the facility, so an improvised Burr Drill using an Intraosseous (IO) drill was used. 35mL of blood was removed from the hematoma and the patient immediately improved from a GCS of 3 to GCS of 8. The patient was transferred to a higher level of care facility, extubated the following day, and made a full neurological recovery.  Educational Pearls: What is an epidural hematoma? An epidural hematoma is a collection of blood between the dura mater (outermost layer of the meninges) and the skull, whereas a subdural hematoma is a collection of blood between the dura mater and arachnoid mater. Both can be life threatening depending on location and size. Epidural hematomas tend to be arterial, and are typically secondary to trauma and can rapidly expand, but with timely recognition and evacuation of the bleed, favorable outcomes are often possible. What are typical intracranial pressures and at what levels do they become pathologic? Typical intracranial pressure (ICP) varies by age, but past infancy and early childhood, adolescents and adults have a value typically between 8-15mmHg. Values exceeding 20mmHg become pathologic and rise exponentially with increased volume. Initial symptoms may include headache, nausea, and vomiting, but with increased pressures may progress to more life threatening symptoms such as loss of consciousness, cranial nerve palsies, pupillary constriction or dilation (sign of herniation), and respiratory irregularities. What is the takeaway in timing of epidural hematomas? Older studies show that evacuation of a hematoma with lateralizing features before the two hour mark of coma symptom onset is correlated with decreased mortality (ranging from 15-17%), but beyond 2 hours the mortality increases to well over 50%. Though mortality statistics have grown more variable, early targeted evacuation of epidural hematomas still remains critical for improved patient outcomes. In austere conditions with limited resources, improvisation with interosseous drills and needles can improve patient outcomes and achieve the target therapy for epidural hematomas. References Haselsberger K, Pucher R, Auer LM. Prognosis after acute subdural or epidural haemorrhage. Acta Neurochir (Wien). 1988;90(3-4):111-116. doi:10.1007/BF01560563 Hawryluk GWJ, Nielson JL, Huie JR, et al. Analysis of Normal High-Frequency Intracranial Pressure Values and Treatment Threshold in Neurocritical Care Patients: Insights into Normal Values and a Potential Treatment Threshold. JAMA Neurol. 2020;77(9):1150-1158. doi:10.1001/jamaneurol.2020.1310 Pisică D, Volovici V, Yue JK, et al. Clinical and Imaging Characteristics, Care Pathways, and Outcomes of Traumatic Epidural Hematomas: A Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury Study. Neurosurgery. 2024;95(5):986-999. doi:10.1227/neu.0000000000002982 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

A conversation with Dr. Sergej Marasanov. Thank you to Elekta for sponsoring this conversation!

The Smart 7 is an award winning daily podcast, in association with METRO that gives you everything you need to know in 7 minutes, at 7am, 7 days a week...With over 19 million downloads and consistently charting, including as No. 1 News Podcast on Spotify, we're a trusted source for people every day and the Sunday 7 won a Gold Award as “Best Conversation Starter” in the International Signal Podcast Awards If you're enjoying it, please follow, share, or even post a review, it all helps...Today's episode includes the following guests:Donald Trump - President of the United States of America Kate Brintworth - Chief Midwifery Officer for NHS EnglandDr Debra Houry - Former Chief Medical Officer and Deputy Director for Programme and Science at America's CDCDoctor Owasi Durrani - Emergency Medical Physician based in Houston TexasWill Guyatt - The Smart 7's Tech Guru Professor Johnny Chan - Atmospheric Scientist at the City University of Hong Kong Antonio Guterres - UN Secretary General Xi Jinping - President of the People's Republic of China Professor Myles Allen - Head of Atmospheric, Oceanic & Planetary Physics at Oxford UniversityProfessor Sarah Tabrizi - Director of University College London Huntington's Disease Centre Professor Edward Wild - Consultant Neurologist at the National Hospital for Neurology and Neurosurgery at UCLH Doctor Chris Van Tulleken - doctor, author and TV presenter Reid Wiseman - NASA Astronaut and Commander of Artemis Moon mission Christine Koch - NASA Astronaut and soon to be the First Woman on the MoonFrank Quevedo - Environmental Scientist and the Executive Director of the South Fork Natural History MuseumContact us over @TheSmart7pod or visit www.thesmart7.com or find out more at www.metro.co.uk Presented by Ciara Revins, written by Liam Thompson, researched by Lucie Lewis and produced by Daft Doris. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we explore Carthera, a French biotech company developing novel ultrasound-based technologies to improve drug delivery to the brain. Based in Paris and spun out from academic research, Carthera is best known for its implantable device, SonoCloud, which uses low-intensity pulsed ultrasound to temporarily open the blood-brain barrier. This allows for increased drug penetration into brain tumors, addressing one of the major challenges in treating diseases like glioblastoma. This episode features leadership and key collaborators from Carthera, including CEO Frédéric Sottilini, who shares how his background in therapeutic ultrasound and medical device development helped guide the company's path from concept to clinical trials. We are also joined by Professor Alexandre Carpentier, MD, PhD, the neurosurgeon who founded Carthera, and Michael Vogelbaum, MD, PhD, Chief of Neurosurgery at Moffitt Cancer Center, who offers his perspective as a clinical investigator working with the company's technology. This episode offers insight into the intersection of engineering, neurosurgery, and translational research, and the collaborative effort required to develop new treatment tools for brain tumor patients. Learn more at https://carthera.eu/ This episode is intended for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider for guidance specific to your health or treatment plan.

In this episode, we discuss how Gamma Knife radiosurgery is transforming care for patients with brain tumors and arteriovenous malformations.  Learn more about Bradley Weprin, MD

What does a neurosurgeon actually do—and how can fast action save brain function? In this episode, Dr. Omofoye (neurosurgeon at Tidelands Health, Myrtle Beach, SC; training at UNC School of Medicine, UC Davis, Boston Medical Center, and a CAST-approved skull base fellowship in Los Angeles) sits down with Dr. Tamara Beckford to translate complex brain and spine topics into plain English.We unpack:Neurosurgery vs. Neurology—who treats what, and when surgery is neededStroke 101: ischemic vs. hemorrhagic, time-sensitive treatments (thrombolysis, mechanical thrombectomy)Aneurysms: why they form, genetic risk, rupture danger, and treatments (clipping, coiling)Traumatic brain bleeds in falls and car crashes (epidural, subdural, contusions)Spine surgery basics for herniated discs and sciaticaDeep Brain Stimulation (DBS) for Parkinson's—how an implanted electrode can stop tremorsClear warning signs to call 911 fast: face droop, arm weakness, speech changes, sudden severe headachePrevention you can control: blood pressure, cholesterol, smoking cessation, and follow-up imaging when aneurysms are foundPerfect for patients, caregivers, and health-curious listeners who want evidence-based guidance without the jargon.

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Edward Chang is a neurosurgeon, scientist, and a pioneering leader in functional neurosurgery and brain-computer interface technology, whose work spans the operating room, the research lab, and the engineering bench to restore speech and movement for patients who have lost these capabilities. In this episode, Edward explains the evolution of modern neurosurgery and its dramatic reduction in collateral damage, the experience of awake brain surgery, real-time mapping to protect critical functions, and the split-second decisions surgeons make. He also discusses breakthroughs in brain-computer interfaces and functional electrical stimulation systems, strategies for improving outcomes in glioblastoma, and his vision for slimmer, safer implants that could turn devastating conditions like ALS, spinal cord injury, and aggressive brain tumors into more manageable chronic illnesses. We discuss: The evolution of neurosurgery and the shift toward minimally invasive techniques [2:30]; Glioblastomas: biology, current treatments, and emerging strategies to overcome its challenges [10:45]; How brain mapping has advanced from preserving function during surgery to revealing how neurons encode language and cognition [16:30]; How awake brain surgery is performed [22:00]; How brain redundancy and plasticity allow some regions to be safely resected, the role of the corpus callosum in epilepsy surgery, and the clinical and philosophical implications of disconnecting the hemispheres [26:15]; How neural engineering may restore lost functions in neurodegenerative disease, how thought mapping varies across individuals, and how sensory decline contributes to cognitive aging [39:15]; Brain–computer interfaces explained: EEG vs. ECoG vs. single-cell electrodes and their trade-offs [48:30]; Edward's clinical trial using ECoG to restore speech to a stroke patient [1:01:00]; How a stroke patient regained speech through brain–computer interfaces: training, AI decoding, and the path to scalable technology [1:10:45]; Using brain-computer interfaces to restore breathing, movement, and broader function in ALS patients [1:28:15]; The 2030 outlook for brain–computer interfaces [1:34:00]; The potential of stem cell and cell-based therapies for regenerating lost brain function [1:38:00]; Edward's vision for how neurosurgery and treatments for glioblastoma, Parkinson's disease, and Alzheimer's disease may evolve by 2040 [1:42:15]; The rare but dangerous risk of vertebral artery dissections from chiropractic neck adjustments and high-velocity movements [1:44:45]; How Harvey Cushing might view modern neurosurgery, and how the field has shifted from damage avoidance to unlocking the brain's functions [1:46:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

A conversation with Dr. Manjul Tripathi. Thank you to Elekta for sponsoring this conversation! Find the novel Krodh at https://tinyurl.com/5n84sh7h

In this episode, Dr. Xiaofei Zhou, Associate Program Director of Neurosurgery at University Hospitals, discusses her journey into endoscopic spine surgery, her priorities for advancing education and patient care, and how collaboration and innovation are shaping the future of minimally invasive spine procedures.

Army neurosurgeon LTC Ryan Morton, MD, joins us for a compelling discussion on the high-stakes environment of combat neurosurgery. We delve into the strategies crucial for managing head trauma on the battlefield, where preventing hypoxia and hypotension is paramount for saving lives. Dr. Morton shares invaluable insights on how military medical teams maintain vigilance against these conditions despite the lack of advanced imaging capabilities. From arterial blood pressure monitoring to oxygen therapy, we cover the proactive measures used to manage intracranial pressure effectively, ensuring that even in the toughest settings, soldiers receive the best possible care.     Our conversation evolves into a detailed exploration of the surgical techniques employed in trauma response. We discuss the significance of patient positioning, the careful balancing of resuscitation efforts, and the pivotal role of Roll 3 hospitals with their advanced CT scanning capabilities. The episode also shines a light on the logistical aspects of performing complex procedures like spine surgeries and managing traumatic vasospasm in military environments. Dr. Morton touches on the challenges of treating severe injuries in combat zones and the thoughtful considerations involved in using endovascular techniques for managing carotid injuries. Join us for an episode packed with expert insights and real-world solutions for the unique challenges faced in military medical care.   Chapters:   (00:02) Combat Neurosurgery (11:14) Surgical Techniques in Trauma Response (17:18) Combat Medical Care and Consultation   Chapter Summaries:   (00:02) Combat Neurosurgery   Managing head trauma in combat zones requires vigilance against hypoxia and hypotension, with measures such as blood pressure monitoring and oxygen therapy.   (11:14) Surgical Techniques in Trauma Response    Maintaining brain health in trauma management through proper positioning, blood coagulation, and advanced capabilities of Roll 3 hospitals.   (17:18) Combat Medical Care and Consultation    Logistics of spine fusions, protocols for head trauma, challenges of treating vasospasm, and endovascular techniques for carotid injuries.   Take Home Messages: Combat neurosurgery requires a proactive approach to managing head trauma on the battlefield, emphasizing the prevention of hypoxia and hypotension. Despite the lack of advanced imaging capabilities, military medical teams can effectively monitor and manage intracranial pressure through vigilant use of arterial blood pressure monitoring and oxygen therapy.   Patient positioning, such as using the reverse Trendelenburg position, plays a crucial role in reducing intracranial pressure in trauma cases. Maintaining proper blood coagulation and sodium levels is essential to avoid complications, and the advanced capabilities of Roll 3 hospitals, like CT scanning, are vital for determining the appropriate neurosurgical interventions.   While immediate spine surgeries may be necessary in combat zones, complex procedures are often preferred to be performed in more sterile environments such as Landstuhl, Walter Reed, or BAMC. These facilities provide the necessary resources and expertise to manage severe injuries and offer comprehensive care.   The use of seizure prophylaxis, such as Keppra or Dilantin, should be carefully considered in cases of suspected head trauma. However, it is typically not an immediate priority unless the patient is actively seizing. If a severe traumatic brain injury is confirmed, seizure prophylaxis may be beneficial for a limited period.   Endovascular techniques for managing carotid injuries, such as deploying covered stents or performing balloon test occlusions, require careful consideration and are best performed in well-equipped facilities away from the battlefield. The treatment of traumatic vasospasm, which can occur days after the initial trauma, should be managed in specialized centers to ensure optimal patient outcomes.   Episode Keywords: combat neurosurgery, military head trauma, battlefield brain surgery, surgical techniques in combat, military medical care, head trauma management, Roll 3 hospitals, military neurosurgeon insights, intracranial pressure management, trauma care in austere settings, endovascular techniques in military, preventing hypoxia and hypotension, trauma surgery in military environments, Lieutenant Colonel Ryan Morton, War Docs podcast   Hashtags: #MilitaryMedicine #CombatNeurosurgery #BattlefieldTrauma #HeadTraumaCare #MilitarySurgery #NeurosurgeonInsights #CombatMedicalResponse #MilitaryHealthcare #WarDocsPodcast #TraumaSurgery   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

A conversation with Prof. Hani Marcus

    Army neurosurgeon LTC Ryan Morton, MD, takes us on an extraordinary journey through his military medicine career, sharing insights and personal stories that shaped his path. From the influence of his father's military service and choosing the ROTC HPSP route to fund his education at Notre Dame, to his pivotal decision to pursue neurosurgery over cardiology, Dr. Morton's narrative is both inspiring and enlightening. His experiences in building a neuro-neurosurgery program and witnessing the advancements in trauma and stroke care over the past decade provide a unique perspective on both the challenges and triumphs in military medicine.     Discover the groundbreaking work at Brooke Army Medical Center, where Dr. Morton played a key role in expanding stroke care capabilities and performed the center's first thrombectomies. His dedication to maintaining his skills through moonlighting and exploring endovascular techniques for battlefield applications underscores the complexity of military neurosurgery. One particularly impactful case involving an active-duty pilot with a large arterial venous malformation highlights the crucial balance between medical risks and personal aspirations, offering a poignant look at the decision-making processes in such high-stakes scenarios.      As Dr. Morton reflects on his training at major trauma centers like Harborview, which ignited his passion for trauma care, he also shares his vision for the future of Army military neurosurgery. Emphasizing mission readiness and comprehensive training for neurosurgeons, he highlights the importance of partnerships between military and civilian centers. With excitement about enhanced stroke care capabilities and a hopeful outlook on the evolving landscape of neurosurgery, Dr. Morton provides valuable insights into how experience and high-quality studies will continue to shape the field.   Chapters: (00:04) Military Neurosurgery (11:11) Endovascular Neurosurgery in Military Medicine (20:28) Traumatic Brain Injury Management Overview (33:54) Evolution of Military Neurosurgery   Chapter Summaries: (00:04) Military Neurosurgery     Army neurosurgeon Dr. Ryan Morton shares his journey and experiences in building a neuro-neurosurgery program, inspired by his military upbringing and chance encounter with neurosurgery during medical school.   (11:11) Endovascular Neurosurgery in Military Medicine    Expanding stroke care at Brook Army Medical Center, performing first thrombectomies, potential for endovascular neurosurgery on battlefield, and operating on complex AVM case.   (20:28) Traumatic Brain Injury Management Overview    Neurosurgery's critical role in trauma care, prioritizing cases based on severity, collaboration with trauma teams, and criteria for operative intervention.   (33:54) Evolution of Military Neurosurgery    Military neurosurgery's evolution, trauma care training, role in combat zones, and potential for enhanced stroke care.   Take Home Messages: Pathway to Military Medicine: The journey into military medicine can be deeply influenced by personal experiences and family backgrounds. Choosing pathways like the ROTC, HPSP route can provide valuable opportunities to fund education while also serving one's country.   Advancements in Military Neurosurgery: Over the past decade, significant advancements have been made in military neurosurgery, particularly in the fields of trauma and stroke care. Building specialized programs within military medical centers is crucial for keeping up with these developments.   Importance of Interdisciplinary Collaboration: The successful management of traumatic brain injuries and other complex neurosurgical cases often requires close collaboration between neurosurgeons and trauma teams. This synergy allows for effective handling of polytrauma patients and simultaneous surgical interventions.   Endovascular Techniques in Combat Zones: The potential application of endovascular neurosurgery techniques on the battlefield offers promising possibilities for managing traumatic injuries. Maintaining and expanding stroke care capabilities within military medical centers is vital for both civilian and military patient outcomes.   Future Vision for Military Neurosurgery: Ensuring mission readiness and comprehensive training for neurosurgeons is essential for the future of military medicine. Strengthening partnerships between military and civilian centers, as well as leveraging the reserves, can help maintain high standards of care and enhance neurosurgical capabilities in combat zones.   Episode Keywords: Military neurosurgery, Army neurosurgeon, Dr. Ryan Morton, stroke care, trauma care, Brooke Army Medical Center, thrombectomies, endovascular techniques, battlefield medicine, military-civilian partnerships, ROTC, HPSP, Notre Dame, interventional neurosurgery, traumatic brain injury, Harborview, Madigan, combat zones, mission readiness, pioneering stroke care, medical advancements, neurosurgical excellence, WarDocs podcast   Hashtags: #MilitaryMedicine #Neurosurgery #ArmyNeurosurgeon #StrokeCare #TraumaCare #EndovascularSurgery #BrookeArmyMedicalCenter #CombatMedicine #MedicalInnovation #WarDocsPodcast     Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Harness the power of suggestion for well-being, pain management, and mental health.   Dr. Amir Raz is a world-renowned expert on the science of suggestion with recent positions as Canada Research Chair, Professor of Psychiatry, Neurology and Neurosurgery, and Psychology at McGill University, and as Founding Director of The Institute for Interdisciplinary Brain and Behavioral Sciences at Chapman University. His most recent book is The Suggestible Brain: The Science and Magic of How We Make Up Our Minds. In this episode we talk about: How Dr. Raz transitioned from a career in magic to neuroscience  The science of suggestibility, how it's defined, and its relation to hypnosis  Stage  hypnosis vs medical hypnosis How the power of suggestion could be  therapeutically harnessed to impact our physiology, behavior, and well-being Practical exercises for increasing thought control The "magical ingredient" when it comes to dealing with life's challenges Why placebos may work even when you know you're taking them How we protect ourselves against mis–and–disinformation And much more   Join Dan's online community here Follow Dan on social: Instagram, TikTok Subscribe to our YouTube Channel To advertise on the show, contact sales@advertisecast.com or visit https://advertising.libsyn.com/10HappierwithDanHarris.