Jonathan A. Tangsrivimol, MD

@neurosurg_taku Congrat!!! 👏👏👏 Takuma

Just published! link.springer.com/10.1007/s10143…

When Artificial Intelligence Begins to Understand Brain Surgery We developed an AI framework that recognizes 12 surgical steps in MCA aneurysm clipping — one of the most detailed step-classification models published to date. As open clipping cases decline, structured AI-driven learning may help preserve microsurgical mastery for the next generation. Grateful to Prof. Lawton , Prof. Preul, Prof. Li, Jiuxu Chen, Thomas On, Xu Yuan, and the NeuroPub team at BNI for making this possible. AI won’t replace surgeons—it will elevate surgical education. 🔗 Paper in comments. @BarrowNeuro @mtlawton @ontj12 @cns @NeurosurgeryCNS

Like Times Square in Manhattan, there’s one spot in the cranium where so many things intersect & being there reveals so much: anterior clinoid process. It’s the crossroads of carotid artery, cranial nerves, cavernous sinus, etc. Neurosurgeons, learn clinoid anatomy & clinoidectomy dissection steps…

Distal intracranial aneurysms, away from the artery’s origin, are rare, have a predilection for cerebellar arteries, are often nonsaccular or fusiform. Still, many that seem unclippable can be clipped. With PICA aneurysms, it’s always good to go in with bypass options in mind…

Always excited every time I get to attend a lecture by my mentor @Prevedellodanny His teaching, vision, and passion for skull base surgery continue to inspire me every day. @NeurosurgeryOSU @WFNSHQ @GlobalNeuroSurg @OSUWexMed @NASBSorg #WFNS2025 #dubai #premeeting #skullbase #OSUskullbaseteam #NASBS

Our premeeting #skullbase course is underway @GlobalNeuroSurg @WFNSHQ @dubai @TumorSection @NASBSorg

Join us in Park City, UT for our CNS Complication Course — real cases, honest discussion, practical solutions. The only course designed for any phase of your career. Limited spots. #Neurosurgery @CNS_Update

Key maneuvers in brain surgery must happen fast & rachet up the pressure, like clipping thrombotic aneurysms. These require temporary trapping & thrombus removal to empty the neck of clot & prepare the aneurysm for clipping. Solid mass transforms to soft sac w/ a bit of courage…

Some pathology is so complex & also so rare that it’s difficult to figure out – like spinal AVMs. I think we finally have a better way to classify these (stay tuned), but there are some that defy classification, often b/c they’ve been transformed iatrogenically with embolization…

New academic year, next batch of residents, bright eyes in the OR. Doing this case w/my chiefs, I was struck by their visceral reactions to dissecting a ruptured aneurysm – the probing questions, anxieties, thirst for confidence, fascination. Getting trainees to grow is a magical process…

Perfect clip placement sometimes requires repositioning the clip, & other times pulling aneurysm tissue thru the blades of a relaxed clip with the sucker. This technique requires skillful use of suction and achieves the right contouring of the neck closure with the clip blades…

Olive is the medulla’s most identifiable surface landmark, draped by hypoglossal rootlets in front & accessory-vagus rootlets in back. When expanded by a bleeding cavernoma, it’s esp. prominent. And far lateral craniotomy expose this pathology so perfectly thru vago-accessory triangle …

Here’s the 5th of the #1KPubMed articles to go with today’s Seven Series video, which discusses how we neurosurgeons should maximize our unique surgical access to the human brain to study and understand how it functions as the mind… pubmed.ncbi.nlm.nih.gov/39889294/

I love descriptive neurosurgical jargon, esp. in French: “le coup de poignard rachidien” translates to “stab in the back,” which describes sudden radicular pain from spinal hemorrhage. This pt presented w/rupture of rare dissecting radicular artery aneurysm, 1 of only 6 spinal aneurysms I’ve ever seen…

Retaining the Doximity #1 ranking as the top Neurosurgery residency training program in America is a huge deal. @BarrowNeuro, we strive to create a culture of technical excellence, innovative training, & close mentorship to attract talent, bring out the best in residents, & produce tomorrow’s leaders.

@KyleWuMD @PrevedelloDanny @NeurosurgeryOSU Congratulation! Prof. Prevedello.

Congratulations to my friend and mentor @PrevedelloDanny — on becoming one of the first foreign medical graduates in the country to achieve neurosurgical board certification! An inspiring journey and incredible achievement. @NeurosurgeryOSU

What’s the best way to repair a lateral sphenoid encephalocele? Endonasal transpterygoid or transorbital? I used to think it was the former but now I’ve changed my mind. @AANSNeuro @NASBSorg @CNS_Update @WorldNeurosurg @EANSonline50