Prashanth Rao

Neurosurgeons detox

@atmghn All the time! Works a charm in 30-40% and helps in another 30 %

Is it only me who orders SPECT but isn’t smarter than before in 90% of the cases?

@profesterman @ABCaustralia Such a legend! A big loss for oz. RIP

@spineopine @drtintin99 @neuro_at_ic @e1v1m1 @BASStrainees @virtualspine Left L4/5 epidural. Physio . Fu

@drtintin99 @neuro_at_ic @e1v1m1 @BASStrainees @virtualspine Microdiscectomy. In this market, if you don’t do it, someone else will.

A very common cause - young and fit patient, normally very active, presenting in ED with 1 week of significant L leg pain, unable to weight-bear on it. What would you offer? #MorningPaper @neuro_at_ic @e1v1m1 @BASStrainees @virtualspine

@atmghn If fit , MIS 3 up and 3 down, palliative surgery anyway for pain

90yo female patient, hx of many minor falls, known AS for decades, c-spine fracture in the mid 1980s, obviously conservatively healed TL fracture is presented with intractable pain since one week (!), no neurologic deficit. ASA 4. any thoughts? surgery? palliation?

@atmghn @drmikeselby @virtualspine @NaderDahdaleh @MGalganoMD @Physiologyguy @jrasouli @JohnHShinMD @KhoiThanMD @WendeNGibbs You stole my words!

@drmikeselby @virtualspine @NaderDahdaleh @MGalganoMD @Physiologyguy @jrasouli @JohnHShinMD @KhoiThanMD @WendeNGibbs I have activated all my ALIF-suppressor genes and will promote kyphosing TLIF the whole conference!!! (((Gee… not all suppressor genes fully regulated up by now… maybe by tomorrow…))) beautiful TLIF… I meant beautiful TLIF!!!

Join us on February 2nd at 6 PM ET for ALIF vs TLIF with Dr. Micheal Prim. zoom.us/meeting/regist… #Neurosurgery #neurotwitter #Orthopedics #orthotwitter #ALIF #TLIF

@virtualspine @NaderDahdaleh @atmghn @drmikeselby @MGalganoMD @Physiologyguy @jrasouli @JohnHShinMD @KhoiThanMD @WendeNGibbs Interesting!! Anyone for endoscopic TLIF?

@FahidRasul @alibaajmd @virtualspine @Saleh_BaeesaMD @MGalganoMD @atmghn @drmikeselby @drtintin99 @sashinahuja @BASSspine Great case ! ALIF and perc screws for me. I take the edge of the L5 as mentioned by @drmikeselby and others. Although I mention to every patient that I may fail to access anteriorly- has not happened yet! One day …

Young lady previous ballet dancer with lower backache and pins/needles worsening over years. Tried all non-operative measures. What would be your operative strategy? @alibaajmd @virtualspine @Saleh_BaeesaMD @MGalganoMD @atmghn @drmikeselby @drtintin99 @sashinahuja @BASSspine

@atmghn A disc replacement with rods at the back! ?and dont know about those things on the ilium😳

Q: which operations were exactly performed, when you say: „patient had prior surgeries“? A: „all of them“

@atmghn @drmikeselby 👏👏👏

@drprashanthrao @drmikeselby Thanks a lot!!! I will for sure visit Australia! I hope before I complete turn into Gandalf-mode 🤣

I’ve had a big discussion, what’s the best potable companion if you have to go into the OR late evening/at night?? What’s your recommendation #surgery #medtwitter?

@atmghn @drmikeselby You need a trip to Oz!! Happy to send an invite!

@drprashanthrao @drmikeselby you can have burgers and pizza in Australia at 3am… ???

@drmikeselby @atmghn Coffee first , pizza later!!

@atmghn H20 before. Burgers after. Save the ☕️ for the next morning …

@alibaajmd Our article from 2009. I generally tend to operate within 4 weeks of onset.

#WeekendSpinePoll: 30F presents with 1 week of severe left leg pain. No bowel/bladder/sexual dysfunction. No saddle anesthesia. Motor 3/5 left DF/EHL. MRI shows large left paracentral HNP at L4/5 level. What would you do next?

@WendeNGibbs A wide road for the fluid!! Needs Sx!

@WendeNGibbs Placebo at best and doesnt do anything

@WendeNGibbs @atmghn @RadioGraphics Give us some guidance @WendeNGibbs !

@atmghn Discussing strategies to mitigate artifact (CT and MR) with hardware in the next @RadioGraphics podcast. Maybe it will help! 😎

In ACDF, if you want to see or prove a solid fusion, order a CT scan they say. Me:…

@WendeNGibbs @PeterGKranz @neurokinghippo I had the privilege to work with this legend! Has a baritone voice as well!

Such a great article, have to share - from an expert, with masterful use of language and in real life a bit feisty - the best possible combination of traits 😁 @PeterGKranz @neurokinghippo #neurorad #radres

I don’t appreciate being interrupted while speaking on serious risks of repeated covid infections. I particularly don’t appreciate being interrupted by shouting LNP MPs who refuse to wear masks. We all have a duty to look after each other. Here & everywhere. Put your mask on!

For adjacent segment disease with a pure radiculopathy at the level below, what’s your preferred method if the prior levels are well fused? @ViljoenMd @NaderDahdaleh @DavidSXu @AliBaajMD @atmghn @drmikeselby @MGalganoMD @ElswickClay @MichaelYangMD @NeurosurgeryOSU @OhioStateMed

This Thursday on @virtualspine I will host Drs. Karin Muraszko & Osama Kashlan of @umichneuro to discuss an important topic: adult tethered cord! #neurosurgery #spine @AliBaajMD @JohnHShinMD @NaderDahdaleh @WendeNGibbs @jrasouli @drmikeselby @Physiologyguy @atmghn @MGalganoMD