Some Audience Reactions

- The Irish data on clinical rotations was interesting and quite low. Would be good to see what the Scottish picture looks like alongside it.

- Conferences like this one really do make a difference. I picked neurosurgery after going to one as a third-year medical student.

- My university in the UK only has 2 weeks of neurology and neurosurgery combined

Some Audience Reactions

- The Irish data on clinical rotations was interesting and quite low. Would be good to see what the Scottish picture looks like alongside it.

- Conferences like this one really do make a difference. I picked neurosurgery after going to one as a third-year medical student.

- My university in the UK only has 2 weeks of neurology and neurosurgery combined

Part 1 covers the Anatomy of the Extra-cranial approaches. (85 Minutes)

Part 2 is a detailed Discussion of the anatomy the CP Angle (56 minutes)

Part 3 is a discussion among Drs. Malkasian, Ausman, and Himstead on the Future of Neurosurgery by 2100 for the young neurosurgeon who wants to plan his future and “how to figure out how to provide value to the world and seek meaning and purpose in ones life” as Dr. Himstead says. (22 minutes ). (JIA)

Some Audience Reactions

- Genuinely interesting write-up of a rare case. Really liked the discussions generated by Professor Walters

- Important reminder that these tumours don’t always look like what you expect on imaging.

- The point about the 2022 reclassification is well made. A lot of clinicians still call these paragangliomas out of habit.

Some Audience Reactions

- 598 patients is quite a large dataset. Probably one of the largest UK series I’ve seen on pineal cysts.

- We need to be aware that for a lot of these cysts, clinicians won’t refer or follow up

- The female predominance is interesting and matches what’s been hinted at in smaller series. Worth a follow-up paper on its own.

- Worth seeing the numbers on the correlation with headaches

Some Audience Reactions

- I’d love to bring this format to my own university. Happy to chat offline about how the structure worked.

- Good example of student-led intervention with measurable impact. Should be published as a short report in a medical education focused.

- The fact that you reached students across 20 universities is quite impressive on its own.

Using “fear” propaganda in violation of individual rights and the Nuremberg Code, people lost their rights to privacy, informed consent, choices as individuals and were coerced to accept the injections. All these changes were willingly accepted by the “anointed” science community, which included Medicine, the Science community, as well as the public health agencies. Hospitals were paid large sums of money for providing a fake Covid diagnosis. And no autopsies were performed to study the disease which is highly unusual scientifically. The public surrendered their privacy rights through manufactured, propagandized fear. These rights were turned over to world governments that, in turn, controlled the public with unproven restrictions on its freedoms for unproven “scientific” reasons. Eventually the pandemic was recognized by many as fraudulent. Furthermore, it was revealed that the vaccines contained graphene, a conductive metal, for no explained reason, but disclosed by authorities in the field as suspicious of an injected metal responsive to external microwave signaling. This established link remains denied by the media and government agencies but has not been discussed as to its properties and why it was added to the injection. 

Attempts to force digital IDs on the people were resisted in the UK. The corruption of the Justice system, by its politicization and targeting of its enemies of the Deep State, as occurred in the USA, is a prelude to the loss of Justice and full disclosure under a Technocracy. In a Technocracy, as in China, all freedoms are eliminated by the totalitarian state. Dr. Hughes gives examples of how these goals are being achieved transnationally.

Dr. Hughes provides the background data on those who make up this Transnational Deep State as the ultra-rich, occupying positions of influence within major banks, hedge funds, the UN, NATO, World Economic Forum, and in particular Global Public /Private partnerships. Also included are Gates, Soros, and other individuals, major USA Foundations (Ford and Rockefeller and others), the Trilateral Commission inner circle, the Bilderberger’s steering committee and others in positions of power. All are all working to achieve central control in a unified self-appointed government of technocracy over the people. Further details are in his books. 

Dr. Hughes states that this conflict among the people and the Deep State can be resolved by 1) fighting and Chaos, 2) by resisting submission to the Deep State, or by 3) by the public uniting to reject the proposals of the Deep State for dominance. He outlines 19 points of how these actions can be achieved which are described in the Video and Podcast versions of this two-part program and are listed in his e-book These actions by the technocrats cannot be forced by the Deep State upon an unwilling, informed public. So far, the Deep State controlled the media and has not provided any of this information to the public. Are these events happening? The references will provide data supporting these statements. 

It is obvious that all these above descriptions and statements can be discarded as “Conspiracy Theory” but as you will read and see, the shocking reality is that these are events and plans that are occurring for us to see worldwide. This information is not reported in the Press or Media. You are not being told the Truth. “Connect the Dots”. SNI Digital® is bringing this information to you so that you can make your own decision about “What is the Truth?”  You decide. 

In our view, the recorded actions of this Transnational Deep State, seen in these videos, and in Dr. Hughes’ research, disclose a secretive, malevolent plan to control the world by a self-selected few people, using technology for evil. What is happening in the world around you? Why?  We are facing serious challenges. The people behind these plans believe that wealth, money, and power give them the right to decide what the Creator has given all mankind. It is an incredible seizure of freedoms of each person, a violation of human rights, the USA Constitution, and the desires of mankind who fought and died to gain independence that these misguided people grew to enjoy and now wish to deprive others from having. Bluntly, these are “Crimes against Humanity” and are treasonous and deserve no less than the exclusion from the humanity they seek to destroy and surrender of all their assets to the People from whom their wealth and power were taken. (54 Minutes Discussion)

You will not read or hear about these things elsewhere.   

James I. Ausman and Russell L. Blaylock 

In Part 2, Dr. Blaylock explains how surgery triggers a major metabolic crisis in the body and leads to post-operative complications. Your Medical consultant may not be aware of these essential deficiencies, so it is up to you to know about it for your patients. He discusses why we do not know about these concerns, the part the pharmaceutical indicatory plays in keeping this information from you so you stay in a chronic disease state, dependent on their drugs. Yes, it sounds evil but those are the facts. There are other causes also. 

I just read that the Pharmaceutical Industries are contributing millions of dollars to keep the government shut down so that Medicare is not changed to diminish the governments purchases from drug companies. You are trying to do what is best for your patient while others are more interested in profits and not the patient welfare. The Covid-19 scandal is another example of this same attitude. Learn from Dr. Blaylock what are the Facts. This piece below is an excerpt from an article published in Breitbart News this week: 

         “Health insurers have never had it so good. Their stocks are up more than 1,000 percent since Obamacare passed, and they now receive roughly a trillion dollars per year in federal subsidies …. With that much taxpayer money at stake, politics inevitably follows the cash—and lately the industry has taken a hard-left turn…. Newsom’s Prop. 50 won last week, increasing the chances of Democrats retaking the House and enacting their radical agenda, which includes impeaching President Donald Trump…. The strategy appears to be paying off. Democrats in Congress are repaying the favor by shutting down the government to keep $400 billion in Obamacare subsidies flowing from the American taxpayer to the insurance companies—and thus back to Democrats.” (Breitbart November 8, 2025; “Obamacare Insurers bet $400 Billion on Shutdown Democrats” from American Resolve.) 

What is the Truth?

See and hear SNI Digital’s programs which bring you the Facts for you to decide the truth. All without leaving your home to attend expensive meetings where Drug companies promote their products to you. And all of this is Free Education to you from snidigital.org. Copy and send it to your friends. (See how to share these programs or send this Blast on to others.)  (29 minutes) 

Bosnjak R, Benedicic M. Endoscopic endonasal approach to pituitary adenoma with invasion to the cavernous sinus. Endosk rev [Internet]; Endoskopska revija /Endoscopic review. 2011;16(33):3–11. ISSN 1318-8941. Available online: http://www.dlib.si/details/URN:NBN:SI:doc-AXH0BGUN

Short attacks of lancinating electric like pain, triggers and evidence of neurovascular conflict in MRA imaging constitute basics for MVD indication.

Endoscope enables close, side and angled view and enhances identification of neurovascular conflict.

The patient is operated on in supine position, the head rotated to the contralateral side and slightly elevated. The endoscope was held by an assistant.

The 12-15 mm burrhole is drilled with a diamond ball exactly in the corner between transversus and sigmoid sinus. The blue lines at superior and lateral margins in the hole should be visible when dura is exposed. Two small triangular flaps are flipped up and lateral to expose cerebellar cortex in the angle between Transversus and Sigmoid sinus. With the use of cottonoid strip, the the cerebellum is gently pushed down and medially, exposing tentorium up and the corner between tentorium and posterior pyramidal wall. Once CSF is released, everything becomes easier and more spacious. Normal anatomy is then presented: internal auditory canal with seventh and eight nerve (and labyrinthine artery), sixth nerve entering Dorello’s canal, the petrous vein, trigeminal nerve from brainstem to the dural entrance (ostium) into cavum Meckeli. The fourth nerve floats along the tentorial margin. The axilla of the trigeminal nerve is explored first from inferior and superior aspect for any arterial, venous or arachnoid band contact with the nerve.  The whole length of the nerve should be checked.

In this case, the conflict was found in the superior aspect of the nerve in a form of two parallel arteries, most probably from superior cerebellar artery. These were relocated and secured in new position away from the nerve  with Tachosil and Teflon patch (not shown in this video).  

Enjoy the anatomy.

Leave a comment!

You may also see Neurosurgery: Trigeminal neuralgia - endoscope-assisted microvascular decompression - Dr. Bosnjak (April 2013)

Presentation includes detailed close-view of anatomical details of suprasellar region. Preserved arachnoid plane makes dissection easier and safer. Arachnoid protects microvasculature to anterior optic apparatus, to stalk and optic nerves and chiasm and results in better outcome. At the end of slide show, there is a bonus video of another opposite early case from 2012, where arachnoid was invaded and dissection of meningioma from the flattened optic nerves and chiasm and preservation of chiasmatic vasculature was more challenging and difficult (resulted in new bitemporal hemianopsia). Opening of the dural sleeve of optic nerve and it relation to distal dural ring is shown. The dural attachment of TBS meningioma (the outgrowth point), tipically from tuberculum sellae dura medial to optic nerve, was excised (no recidiv till today - after 14 years). The evolution of surgical technique is also obvious. Debulking first is always recommended and would ease removal.

Suggested literature

BOŠNJAK, Roman. Endoscopic endonasal excision of meningiomas. In: DEOPUJARI, Chandrashekhar (ur.), QURESHI, Mahmood (ur.), THOMBRE, Bhushan (ur.). WFNS guide for neuroendoscopy. Mumbai: Salubris Medical Publishers, 2022. Str. 113-124, ilustr. ISBN 978-81-956012-2-6. [COBISS.SI-ID 203555587]
Link: www.neurosurgery-prof-bosnjak.com (see Publications)

Khan OH, Krischek B, Holliman D, et al. Pure endoscopic expanded endonasal approach for olfactory groove and tuberculum sellae meningiomas. J Clin Neurosci. 2014;21:927-933

Magill ST, Morshed RA, Lucas CG, Aghi MK, Theodosopoulos PV, Berger MS, de Divitiis O et al. Tuberculum sellae meningiomas: grading scale to assess surgical outcomes using the transcranial versus transsphenoidal approach. Neurosurg Focus. 2018 Apr;44(4):E9. doi: 10.3171/2018.1.FOCUS17753.

Giammattei L , Starnoni D , Cossu G, Bruneau M, Cavallo LM, Cappabianca P et al. Surgical management of tuberculum sellae meningiomas: Myths, facts, and controversies. Acta Neurochir (Wien) 2020 Mar;162(3):631-640. doi: 10.1007/s00701-019-04114-w.

Khan OH, Anand VK, Schwartz TH. Endoscopic endonasal resection of skull base meningiomas: the significance of a "cortical cuff" and brain edema compared with careful case selection and surgical experience in predicting morbidity and extent of resection. Neurosurg Focus 2014;37(4):E7. doi: 10.3171/2014.7.FOCUS14321.  

Kong, D.-S., Hong, C.-K., Hong, S. D., Nam, D.-H., Lee, J.-I., Seol, H. J., … Kim, Y. H. (2018). Selection of endoscopic or transcranial surgery for tuberculum sellae meningiomas according to specific anatomical features: a retrospective multicenter analysis (KOSEN-002). J Neurosurg 2018 May 18;130(3):838-847, doi:10.3171/2017.11.jns171337

Wang EW, Zanation AM, Gardner PA, Schwartz TH, Eloy JA, Adappa ND, et al. ICAR: endoscopic skull base surgery. Int Forum Allergy Rhinol. 2019 Jul;9(S3):S145-S365. doi: 10.1002/alr.22326.

Xiao L, Xie S, Tang B, Hu J, Hong T. Endoscopic endonasal anterior clinoidectomy: surgical anatomy, technique nuance, and case series. J Neurosurg. 2019 Jul 5:1-11. doi: 10.3171/2019.4.JNS183213. Online ahead of print.                           

Rather than succumb to the "brain drain" which led many physicians not return to their countries of origin, Nim did return to Kenya, "to make a Difference" that he believed he would hot have made by any other choice. He became Head of Neurosurgery at the University of Kenya, developed many training programs in hospitals and has fulfulled his expectations of training many neurosurgeons in Africa. He led to the development of modern neurosurgery with subspecialties in Kenya.

In my experience knowing Nim and attending African Grand Rounds, monthly, for almost 2 years, I find the neurosurgeons there to be very intelligent, practical, with terrific judgment and experience, obviously at different levels depending upon the resources in each of the 50 SubSaharan African countries. As Nim says, because of the over 1 billion Subsaharan African population, their neurosurgical exposure is far greater than those in the developed world. What they need in Africa is people help them develop the subspecialties, and residents from outside Africa to become involved with the large number of patients they see. They have seen and treated the complex cases not experienced in the developed world, but need the subspecialty expertise to reach a higher level. They have the talented people.

Can you imagine the millions of people he has directly and indirectly affected from his work in Neurosurgery? You will be surprised by his recommendation for neurosurgeons to become involved POLIITICS, because they will make better decisions than those non-medical people in those positions. His experiences are priceless to see and hear as he describes the evolution of his life as a neurosurgeon. His life story is engaging. His accomplishments are outstanding. One person Can Make a Difference and Professor Mwang'ombe has.

Outstanding, inspiring video. (75 minutes). Good for Video and Podcast; You will not hear this story elsewhere. What is your goal in life? If you want to save yourself, devote your life to helping others. "Love thy fellow as yourself", is the biblical directive. Which becomes the "Golden Rule" of life. (JIA)

He presents a case of a woman, who is a language specialist, with a tumor in Broca’s speech area of the brain. From preoperative neuro-psychological testing and also intra op and post op, his testing for crucial white matter tracts at surgery including his knowledge from preoperative imaging and anatomy, he was able to avoid interfering with these important tracts which allow the interconnection of brain functions that provide quality of life. In his patient he found that the speech areas where located elsewhere from changes and was able to grossly resect the tumor in the patient’s “Broca’s Area” without a speech deficit. He discussed in detail all of these above concepts which provide the basis of his future lecture discussions. There is extensive interaction among the members of the audience and the speaker to reach a high understanding of his revolutionary surgery. We believe that his approach will be essential in all neurosurgical training programs and that future brain surgery cannot be done without its use. (90 minutes of lecture and discussion.) Excellent for Video and has value for Podcast in the discussion.

Pineal cyst are often present on brain MRI imaging, but are rarely symptomatic and rarely there are indications for surgery. Size is important parameter in pineal cysts! Small cysts <10 mm in diameter, surrounded with CSF layer, certainly can not have any compressive effect. There are also cysts larger than 10 mm and asymptomatic.  

These are hard neurological signs which represent absolute criteria for surgery: hydrocephalus or asymmetrical ventriculomegaly with signs of compression of lamina tecti and aqueduct stenosis, dorsal midbrain symptoms, diplopia, Parinaud syndrome, positional headache with foggy vision, papilloedema..….Also benign cyst may rarely bleed inside and become compressive (symptoms may resolve with blood absorption).

Some radiological signs may rise suspicion of tumor rather that benign cyst: irregular thick or nodular wall, solid components, irregular enhancement, diffusion restriction, invasion/edema to LQ, progress in size….  

Headache alone is not indication, also if accompanied with some soft signs, but not linked to hard signs, such as: intermittent ill defined subjective vision & sleep problems, dizziness, fatigue, cognitive symptoms, attention problems, study problems,.…………………..although symptoms improvement may follow the surgery in more than 90 % of such soft-signs-cases & > 10 mm diameter, but have 23% complication rate.

Selective patients with severe, refractory symptoms and cyst at least > 10 mm, with decrease quality of life may have benefit from surgery (evidence emerging). Young women between 20-30 are mostly affected. Some young patients may be very persistent and insist on surgery, despite the neurosurgeon can't find firm indication; the presence of cyst is considered by some patients as source of their problems, as something is wrong in the head (should not be there) and thus see a pineal cyst removal as a solution of their problems. The trust between patient and neurosurgeon can easily be lost. Very rarely, pineal cysts were reported to contribute to sleep disturbances, which in turn can worsen or trigger psychiatric symptoms.

Asymtomatic cysts are observed, MRI repeated at 12 months, if there is something suspicious, repeat MRI first at 3-6 mo, then at 6 mo and if stable at 12 mo, later stop follow up).  

SURGICAL APPROACHES    

Microsurgical approaches enable complete or near complete cyst removal, good controlled exposure of pineal veins, qudrigeminal cistern and tectal plate, in some positions (sitting, semisitting) gravitiy effect helps to self-expansion of the corridor– but danger of air pulmonary embolism. 

1 paramedian supracerebellar infratentorial corridor (sitting, semissiting, prone concorde)

2 occipital transtentorial (park bench, semiprone)

Endoscopic transventricular approach – ETV (if hydrocephalus or obstruction to CSF flow), sometimes - in larger cyst protruding into 3rd ventricle - enables also biopsy and fenestration of the cyst (flexible endoscope can be used alone or in combination with shaft of the rigid endoscope). This surgery bear risk of fornix injury and are problematic with normal, narrow ventricles (despite navigation device caudate and thalamus can be contuded). 

Purely endoscopic supracerebellar- infratentorial approach (eSCIT) enable an access performed through a paramedian suboccipital keyhole (subtorcular) craniotomy, with an assistant holding the endoscope while the surgeon performs bimanual microdissection. Endoscopic surgery can be done in prone, sitting / semisitting / park‑bench /semiprone positions. There are two variants of prone position:

prone – concorde (head in flexion, surgeon sits behind the head and works in reversed anatomy)

prone – anticoncorde (prone with head extension and right-sided rotation; surgeon sits lateral at patient's left shoulder)

Advantages of anticoncorde head position: gravity‑assisted cerebellar relaxation similar to the sitting position, improved venous drainage, reduced risk of venous air embolism compared with sitting/semi‑sitting approaches, panoramic view, safer bimanual dissection through pineal veins, complete microsurgical removal possible.    

 SUGGESTED READING

Spazzapan P, Velnar T, Bosnjak R. Endoscopic supracerebellar infratentorial approach to pineal and posterior third ventricle lesions in prone position with head extension: a technical note. Neurol Res. 2020 Dec;42(12):1070-1073. doi: 10.1080/01616412.2020.1805926. Epub 2020 Sep 5. PMID: 32892737.

Hua W, Xu H, Zhang X, Yu G, Wang X, Zhang J, Pan Z, Zhu W. Pure endoscopic resection of pineal region tumors through supracerebellar infratentorial approach with 'head-up' park-bench position. Neurol Res. 2023 Apr;45(4):354-362. doi: 10.1080/01616412.2022.2146266. Epub 2022 Dec 12. PMID: 36509700.

Uschold T, Abla AA, Fusco D, Bristol RE, Nakaji P. Supracerebellar infratentorial endoscopically controlled resection of pineal lesions: case series and operative technique. J Neurosurg Pediatr. 2011 Dec;8(6):554-64. doi: 10.3171/2011.8.PEDS1157. PMID: 22132912.

The procedure highlights the step-by-step approach to intraventricular tumor resection, emphasizing the importance of precise anatomical navigation and the use of advanced neurosurgical tools - an automated continuous aspiration device (no clogging). Headaches, ipsilateral enlarged ventricular size, close proximity to foramen of Monro and proposed avascular tumor (subependimoma) indicated the surgery and type of minimal invasive surgery (endoscopic). The mini trephination (22-25mm) instead of burr hole at Kocher's point has been chosen as it enables immediate switch to endoscopic transtubular procedure (eg. bleeding that can't be controlled by full endoscopy, large clot...). The insertion of the subependimoma was on the laterobasal aspect of the wall of the ventricle (between caudate nucleus and thalamus) just anterior to the venous point (separation of thalamostriatal vein from internal cerebral vein). The thalamostriate vein goes just posterior of the subependimoma origin.

The video aims to enhance the understanding of the surgical techniques involved in ventricle-based tumors, with an emphasis on minimizing damage to surrounding neural structures. By the end of this presentation, viewers will be equipped with knowledge regarding effective surgical practices and patient outcomes in cases of subependymoma.

Additional reading:

BOŠNJAK, Roman. Advanced neuroendoscopy : [automated & continuous aspiration of tumors and intracerebral hematomas in open microsurgery or endoscopy : our first experience with Nico Myriad]. [San Bruno]: YouTube [distributer], 2022. 1 spletni vir (1 videodatoteka (28 min 11 sek)), barve, zvok. https://www.youtube.com/watch?v=oJ3-KwrUjcE&rco=1. [COBISS.SI-ID 218398723]

For pure endoscopic transtubular (via endoport or PVC roll) removal of subependymoma see other video in my collection.

Although many commercial endoports exist today, this 2012 video demonstrates my original expandable PVC roll concept (no-cost improvisation).
A vinyl sheet, measuring 4 x 7 cm, is wrapped 3-4x around the tip of a navigation pointer or endoscope, and secured with a 7 cm long plastic straw cut longitudinally to function as a cuff. You can cut out the transparent vynil plate from the sterilisation bag.

In this case, a 3 cm subependymoma was removed through the tube under endoscopic vision from the left lateral ventricle, 6 cm deep.
A mini‑trephination, 20 x 25 cm, was performed in the left forehead.
Navigation was used to position the mini-trephination so that a symptomatic chronic subdural hematoma could also be evacuated during the same procedure.
The subependymoma itself was an incidental finding in this 64‑year‑old male patient.

A 5 mm transparent vinyl roll was first inserted, wrapped around the endoscope tip and guided stereotactically.
The cuff was then removed with forceps, and the endoscope withdrawn, leaving the empty roll in place.
The vinyl roll was subsequently unrolled and expanded using gradual Fogarty balloon inflation to a diameter of 10-12 mm.

A 4mm, 0‑degree endoscope was introduced into the expanded tube at the 12 o’clock position, accompanied by two instruments at 8 and 4 o’clock — an aspirator and a grasping forceps.
The tumor was removed completely using a piece‑meal technique, fragment by fragment and with suction.
The septum pellucidum was perforated to establish communication between the lateral ventricles.
At the end of tumor removal, the foramen of Monro, as well as the septal and thalamostriatal veins, were clearly visible.

The skin incision was placed within a natural forehead wrinkle, rendering it completely invisible and providing an excellent cosmetic result.
The procedure was uneventful.

Additional reading:

BOŠNJAK, Roman, ANTOLIN, Alenka, JEGLIČ, Arne, FELBABIĆ, Tomislav, VELNAR, Tomaž. Navigated endoport in the purely endoscopic microsurgery of intraventricular and other deep-seated brain lesions : a case report. V: Symposium Neuro-oncological aspects in modern neurosurgery of 21st century, 31 January 2020, Sarajevo. Sarajevo: Academy of Sciences and Arts of Bosnia and Herzegovina, 2020. Vol. 49, suppl. 1, str. 70-77, ilustr. Acta Medica Academica, vol. 49, suppl. 1 (2020). ISSN 1840-1848. http://www.ama.ba/index.php/ama/article/view/427/pdf, DOI: 10.5644/ama2006-124.309. [COBISS.SI-ID 51061251]

BOŠNJAK, Roman. Endoport-guided endoscopic transchoroidal fissure approach to the posterior third ventricle : WFNS Neuroendoscopy Committee, Webinar Series Session 14 - WFNS Neurosurgical Anatomy, 17th November 2021. [COBISS.SI-ID 85813251]

SUMMARY: 

3f1f2234-b52e-41e1-94a4-c23143e84994Mon, 25 May 2026 09:32:46 -070054:46falsefullLets Talk Series, #1: An Intergenerational Discussion on how to provide the best in healthcare to impoverished areas. Let''s Talk Series; #1;71722f7c-3983-4eee-a0b2-6d7109e39a7cMon, 25 May 2026 09:32:22 -070001:06:37falsefullA 6 minute summary of how to get the most out of SNI Digital™: 10 minute introduction to SNI Digital&reg; and its features which will ave you time on learning what is new in Neurosurgery and what is practical to use as of February 2024.69d3a5c0-a112-4f59-b792-eb1afb3fc94fMon, 25 May 2026 09:31:57 -070006:14falsefullHow to build an inexpensive NeuroNavigation System for the OR from the Internet; New ergonomically designed hand instruments for surgeons. Moneer K Faraj, MD; Head of Neurosurgery. Baghdad, Iraq.: University of Baghdad; Iraq; lecture 29 min; Discussion 7 minutes; > 100 attendees; 18 countries; 5/5 rating.7b8d1473-4a13-4043-b034-c09e9c3db170Mon, 25 May 2026 09:31:52 -070035:57falsefullHow to establish a World-class Stereotactic and Functional program in a LMIC.: Hiba Abdulamir; Neurosurgeon; Lecture 23 min; Discussion 7 min; Rating 5/5; 100 attendees; 18 countries984e5b42-1262-48e3-939d-a03b7c1f5b9bMon, 25 May 2026 09:30:08 -070036:45falsefullRoman BOSNJAK: How I approach 3rd ventricle using an endoscopic transchoroidal routeSummary: Excellent video of Neuroendoscopic approach to the posterior third ventricle using the transchoroidal route. 6 minutes; Subtitles only, no verbal audio.

]]>Summary: Excellent video of Neuroendoscopic approach to the posterior third ventricle using the transchoroidal route. 6 minutes; Subtitles only, no verbal audio.

]]>1d48935c-cb3b-4e3b-bb64-82f3cd1ba83eMon, 25 May 2026 09:29:53 -070005:54falsefullRoman BOSNJAK: Endonasal Endoscopic resection of Lateral Cavernous Sinus Adenoma with Dural Ring Resection and medicalization of Carotid ArterySUMMARY:  Dr. Roman Bosnjak, a world recognized expert in Neuroendoscopy describes his original approach to the endonasal endoscopic removal of a cavernous sinus adenoma in the lateral cavernous sinus compartment with proximal dural ring resection and ICA medialization. He shows his steps to removal of this tumor with closed caption comments on the case. (7 minutes). (JIA)

More reading:

BOŠNJAK, Roman, BENEDIČIČ, Mitja. Endoscopic endonasal approach to pituitary adenoma with invasion to the cavernous sinus = Endoskopska endonazalna odstranitev hipofiznega adenoma s širjenjem v kavernozni sinus. Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije. May 2011, vol. 16, no. 33, str. 3-11, ilustr. ISSN 1318-8941. Available online: http://www.dlib.si/?URN=URN:NBN:SI:doc-AXH0BGUN

]]>SUMMARY:  Dr. Roman Bosnjak, a world recognized expert in Neuroendoscopy describes his original approach to the endonasal endoscopic removal of a cavernous sinus adenoma in the lateral cavernous sinus compartment with proximal dural ring resection and ICA medialization. He shows his steps to removal of this tumor with closed caption comments on the case. (7 minutes). (JIA)

More reading:

BOŠNJAK, Roman, BENEDIČIČ, Mitja. Endoscopic endonasal approach to pituitary adenoma with invasion to the cavernous sinus = Endoskopska endonazalna odstranitev hipofiznega adenoma s širjenjem v kavernozni sinus. Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije. May 2011, vol. 16, no. 33, str. 3-11, ilustr. ISSN 1318-8941. Available online: http://www.dlib.si/?URN=URN:NBN:SI:doc-AXH0BGUN

]]>52c7f850-7276-426c-82c0-0390c58e9647Mon, 25 May 2026 09:27:20 -070007:41falsefullIntra operative Ultra sound in Neurosurgery; Neuro-oncology; Dr. Wameedth Matti;a7f13905-24f0-4698-a3bc-f95f4f97093aMon, 25 May 2026 09:25:14 -070035:39falsefullSurgical approaches to the Pineal Region; Samer Elbabaa6e9fa9dc-c290-4c64-86aa-8b492bf4d411Mon, 25 May 2026 09:24:45 -070040:49falsefullLower Cervical Spine Trauma; Dr. Nancy Epstein;bc322887-629d-4e2f-936c-542177e8289eMon, 25 May 2026 09:22:35 -070036:20falsefullCorporate Medicine; Neurosurgery, Neuroanesthesia; Dr. Ramsis Ghaly90692d05-685e-45c9-81e4-4164cdb6b036Mon, 25 May 2026 09:22:18 -070001:13:09falsefullTraining Neurosurgeons in Iraq of Dr. Al-Khafaji; personal experienceb14e880d-6303-4c42-b755-9fb97a09e471Mon, 25 May 2026 09:20:13 -070025:40falsefullDr. Hugues Duffau; Future of Brain Surgery; Staged resections for low grade glioma; Principles of SurgerySUMMARY: Dr. Hugues Duffau presents case based examples in his continuing lecture series on the use of Functional Pre- ,intra-, and post op neuropsychological assessments of brain functions with anatomical knowledge of white matter fiber tracts supplemented by imaging information to create a real time functional map of the patients functioning brain. He places an interest in the brain function before the brain tumor to guide his awake resections. Quality of life thru preservation of essential functions for the patient is the Key to his surgery. He allows time for the brain to undergo neuroplastic changes in his subsequent resections. Even if the histology has changed to a higher grade of glioma, he will resect the tumor preserving brain function to achieve his long term quality of life survivals. Learn what is the value of Radiation and Chemotherapy after recurrence and resection. Does radiation prolong quality of life or shorten it? Excellent case examples to illustrate his successes with questions from the audience and an interesting Discussion. This presentation will totally alter your thinking about brain surgery for neoplasms. It illustrates why this detailed functional surgery will be an essential part of the knowledge of Neurosurgery in the future. It is more than anatomy which does not tell function. Excellent for video and good for Podcast. Superb presentation. Highly recommended

]]>SUMMARY: Dr. Hugues Duffau presents case based examples in his continuing lecture series on the use of Functional Pre- ,intra-, and post op neuropsychological assessments of brain functions with anatomical knowledge of white matter fiber tracts supplemented by imaging information to create a real time functional map of the patients functioning brain. He places an interest in the brain function before the brain tumor to guide his awake resections. Quality of life thru preservation of essential functions for the patient is the Key to his surgery. He allows time for the brain to undergo neuroplastic changes in his subsequent resections. Even if the histology has changed to a higher grade of glioma, he will resect the tumor preserving brain function to achieve his long term quality of life survivals. Learn what is the value of Radiation and Chemotherapy after recurrence and resection. Does radiation prolong quality of life or shorten it? Excellent case examples to illustrate his successes with questions from the audience and an interesting Discussion. This presentation will totally alter your thinking about brain surgery for neoplasms. It illustrates why this detailed functional surgery will be an essential part of the knowledge of Neurosurgery in the future. It is more than anatomy which does not tell function. Excellent for video and good for Podcast. Superb presentation. Highly recommended

]]>5d04b992-46d8-4bb5-8bb5-dc916f5ec96eThu, 21 May 2026 09:43:00 -070001:24:42falsefullHugues Duffau, MD, PhD Lecture series; How I Do It?; Future of Brain Surgery; Session # 2SUMMARY: In this 2nd Lecture in his 9 session series on Professor Hugues Duffau on Brain Surgery of the Future, discusses Awake Functional-Guided Surgery; A masterclass on How I do it". He describes his operative set up, the intra-operative Neuropsychological Testing which is performed as he does the surgery. He uses no microscope, no subcortical coagulation. He is guided by his integrated knowledge of the the anatomical tracts, preoperative imaging (which has its limitations in brain shift and neuro-plasticity), Neuropsychological testing pre-and intra-operatively, and his identification of the fiber tract connections related to the individual's desires for Quality of Life Survival. His presentation is followed by a Q and A session with the audience regarding many points of his work. This is an excellent follow up of his previous lecture in this series. (90 minutes of Lecture and Discussion) Good for Video and Podcast.

]]>SUMMARY: In this 2nd Lecture in his 9 session series on Professor Hugues Duffau on Brain Surgery of the Future, discusses Awake Functional-Guided Surgery; A masterclass on How I do it". He describes his operative set up, the intra-operative Neuropsychological Testing which is performed as he does the surgery. He uses no microscope, no subcortical coagulation. He is guided by his integrated knowledge of the the anatomical tracts, preoperative imaging (which has its limitations in brain shift and neuro-plasticity), Neuropsychological testing pre-and intra-operatively, and his identification of the fiber tract connections related to the individual's desires for Quality of Life Survival. His presentation is followed by a Q and A session with the audience regarding many points of his work. This is an excellent follow up of his previous lecture in this series. (90 minutes of Lecture and Discussion) Good for Video and Podcast.

]]>8edce5b7-0079-459b-8ea9-122d6d517295Wed, 20 May 2026 09:39:00 -070001:38:19falsefullConversation with a Visionary In Science; Russell Blaylock, MDSUMMARY: Dr. Ausman interviews Dr Russell Blaylock about his visionary discoveries shoutout his career. Before medical school he became interested in the biochemistry of Disease and was ahead of most at that time in understanding the role of biochemistry in disease. He learned on his own over the years meeting with scientists ion other disciplines and wrote about the toxicity of Fluoride, Aluminum, inflammation underlying disease, Autistic Disorders which he correctly predicted was an inflammatory diseases of the CNS as was Parkinsons. He participated in the discovery of trauma as the trauma as the cause of disease. He was against the use of stain drugs which did not lower cholesterol, and the excessive consumption of Glutamine in a diet which added to obesity and led to burning out the islet cells of the pancreas leading to drug dependent diabetes. He has written about the radiation in cell phones causing brain tumors. For years she has stated Cancer is a metabolic disease all of which have subsequently been proof correct. He is responsible for many other discoveries in medicine. Yet, he is not recognized as he should be. See and listen to this interview with Dr. Blaylock to get an appreciate of what he has contributed to medicine and see the multiple videos read the papers he has contribute to SNI Digital and SNI. 30 minutes of meeting with a visionary. Excellent for video and Podcast.

]]>SUMMARY: Dr. Ausman interviews Dr Russell Blaylock about his visionary discoveries shoutout his career. Before medical school he became interested in the biochemistry of Disease and was ahead of most at that time in understanding the role of biochemistry in disease. He learned on his own over the years meeting with scientists ion other disciplines and wrote about the toxicity of Fluoride, Aluminum, inflammation underlying disease, Autistic Disorders which he correctly predicted was an inflammatory diseases of the CNS as was Parkinsons. He participated in the discovery of trauma as the trauma as the cause of disease. He was against the use of stain drugs which did not lower cholesterol, and the excessive consumption of Glutamine in a diet which added to obesity and led to burning out the islet cells of the pancreas leading to drug dependent diabetes. He has written about the radiation in cell phones causing brain tumors. For years she has stated Cancer is a metabolic disease all of which have subsequently been proof correct. He is responsible for many other discoveries in medicine. Yet, he is not recognized as he should be. See and listen to this interview with Dr. Blaylock to get an appreciate of what he has contributed to medicine and see the multiple videos read the papers he has contribute to SNI Digital and SNI. 30 minutes of meeting with a visionary. Excellent for video and Podcast.

]]>8d035a3e-8e67-4872-940f-11f7523d762aWed, 20 May 2026 09:04:00 -070033:42falsefullUnderstanding Cauda Equina Syndrome: Legal Implications and Malpractice RisksThis educational video delves into Cauda Equina Syndrome (CES), focusing on its clinical presentation, diagnosis, and the critical timelines for intervention. It highlights the importance of timely recognition and management of CES to prevent devastating outcomes for patients, emphasizing the neurologic and functional implications of delayed treatment. Additionally, the video discusses the legal ramifications associated with malpractice in cases of Cauda Equina Syndrome. It covers case studies that illustrate common pitfalls in clinical practice, including misdiagnosis and inadequate response to symptoms. Viewers will gain insights into the standard of care expected in these situations and learn how to navigate the complex interplay between medical practice and legal accountability.

]]>This educational video delves into Cauda Equina Syndrome (CES), focusing on its clinical presentation, diagnosis, and the critical timelines for intervention. It highlights the importance of timely recognition and management of CES to prevent devastating outcomes for patients, emphasizing the neurologic and functional implications of delayed treatment. Additionally, the video discusses the legal ramifications associated with malpractice in cases of Cauda Equina Syndrome. It covers case studies that illustrate common pitfalls in clinical practice, including misdiagnosis and inadequate response to symptoms. Viewers will gain insights into the standard of care expected in these situations and learn how to navigate the complex interplay between medical practice and legal accountability.

]]>7deda240-7500-4e58-bf7d-87b664573b05Mon, 11 May 2026 09:40:00 -070051:33falsefullInterview with Dr. Samuel Chukwunonyerem Ohaegbulam, a Leading World Neurosurgeon from Nigeria;SUMMARY: Dr. Ohaegbulam, is from Southern Nigeria, now in Enugu, and founder of the Memfys Multispecialty Hospital in that city. He grew up in Southern Nigeria and rode his bike to school that was distant from his home. He attended medical school in Cairo, Egypt graduated with exposure to Neurosurgery and had further training in the UK including the advanced Atkinson-Morely Hospital where he was exposed to high level neurosurgery and the introduction of the CT scanner, the first in the world. After further work in the UK he returned to Nigeria, which had gone through internal strife during his time away, to develop neurosurgery in his country. He had various academic positions including Deputy Vice-Chancellor of the University of Nigeria, and was awarded the country's highest academic honor, the Nigeria National Order of Merit award (NNOM). He left to create his own private now multi-specialty hospital in Enugu which is a leading medical center in Nigeria. It is an ultramodern, technologically advanced, and the first Private Hospital that rapidly earned full Accreditation for postgraduate neurosurgery training. MHN has provided short-term posting and full training for over 180 postgraduate doctors. To date, forty-six neurosurgeons have graduated from MHN and another seven are at various stages of their training. He traveled the world to find excellence in neurosurgery, developed neurosurgical associations in Africa. He did pioneering work in studying the Cavernous Sinus and its anatomy among his research publications. He is a leader in medicine and neurosurgery in Africa and the world. He is married to Marcelle, they are blessed with three sons, and one is a Harvard trained neurosurgeon. His story is inspiring in demonstrating that one person can make a difference with excellence as his goal. 60 minutes (Good for Video and Podcast)

]]>SUMMARY: Dr. Ohaegbulam, is from Southern Nigeria, now in Enugu, and founder of the Memfys Multispecialty Hospital in that city. He grew up in Southern Nigeria and rode his bike to school that was distant from his home. He attended medical school in Cairo, Egypt graduated with exposure to Neurosurgery and had further training in the UK including the advanced Atkinson-Morely Hospital where he was exposed to high level neurosurgery and the introduction of the CT scanner, the first in the world. After further work in the UK he returned to Nigeria, which had gone through internal strife during his time away, to develop neurosurgery in his country. He had various academic positions including Deputy Vice-Chancellor of the University of Nigeria, and was awarded the country's highest academic honor, the Nigeria National Order of Merit award (NNOM). He left to create his own private now multi-specialty hospital in Enugu which is a leading medical center in Nigeria. It is an ultramodern, technologically advanced, and the first Private Hospital that rapidly earned full Accreditation for postgraduate neurosurgery training. MHN has provided short-term posting and full training for over 180 postgraduate doctors. To date, forty-six neurosurgeons have graduated from MHN and another seven are at various stages of their training. He traveled the world to find excellence in neurosurgery, developed neurosurgical associations in Africa. He did pioneering work in studying the Cavernous Sinus and its anatomy among his research publications. He is a leader in medicine and neurosurgery in Africa and the world. He is married to Marcelle, they are blessed with three sons, and one is a Harvard trained neurosurgeon. His story is inspiring in demonstrating that one person can make a difference with excellence as his goal. 60 minutes (Good for Video and Podcast)

]]>1897dc7f-a900-49ee-90fb-972e08fe3378Mon, 11 May 2026 09:13:00 -070001:06:58falsefullCancer: Causes, Metabolism, Viral Basis; New Treatments; Revolutionary Concepts; Russell Blaylock, MDSUMMARY: Russell Blaylock, MD, presents his literature based investigations into the Cause of Cancer. Is cancer caused by Genetic changes-NO, Cellular damage-YES, Viruses-YES, Radiation-YES, and /or Chemotherapy-YES? If cancer is a genetic disease, how can the body have many cancers with different chromosomes that lead to common changes changes and to a fundamental uniform pathway to the formation of cancers from a mixed genetic background? Not likely. What is the Crucial evidence that proves Cancer is a Metabolic disease, first discovered two. decades ago, but ignored. Hear and see Dr. Blaylock's innovative ideas on the advances in cancer research which have shown that the major cause of Cancer is the activation of Latent Viruses located in stem cells. Everyone has some infection with these viruses that can program the development of cancer cell from a normal cell coma cancer cell in an inflammatory environment. Are there changes in the Cancer cell metabolism that lead to the development of Cancer? Yes, major changes. Is it really important you should know this information? It is a fundamental concept in the science that likely you have not heard about. Is it worth 80 minutes of Discussion with an expert to learn what is really new? Will this information change your practice; It should. This is a major innovative idea that will change your thinking about these common diseases seen world wide. Excellent , Informative Discussion for Video and Podcast. 80 minutes for detailed review of this topic.

]]>SUMMARY: Russell Blaylock, MD, presents his literature based investigations into the Cause of Cancer. Is cancer caused by Genetic changes-NO, Cellular damage-YES, Viruses-YES, Radiation-YES, and /or Chemotherapy-YES? If cancer is a genetic disease, how can the body have many cancers with different chromosomes that lead to common changes changes and to a fundamental uniform pathway to the formation of cancers from a mixed genetic background? Not likely. What is the Crucial evidence that proves Cancer is a Metabolic disease, first discovered two. decades ago, but ignored. Hear and see Dr. Blaylock's innovative ideas on the advances in cancer research which have shown that the major cause of Cancer is the activation of Latent Viruses located in stem cells. Everyone has some infection with these viruses that can program the development of cancer cell from a normal cell coma cancer cell in an inflammatory environment. Are there changes in the Cancer cell metabolism that lead to the development of Cancer? Yes, major changes. Is it really important you should know this information? It is a fundamental concept in the science that likely you have not heard about. Is it worth 80 minutes of Discussion with an expert to learn what is really new? Will this information change your practice; It should. This is a major innovative idea that will change your thinking about these common diseases seen world wide. Excellent , Informative Discussion for Video and Podcast. 80 minutes for detailed review of this topic.

]]>f5c50875-bd7c-488e-8470-145e430dcad2Mon, 11 May 2026 09:12:00 -070001:20:03falsefullManagement of Acoustic Neuroma; Anatomy, Molecular Biology; Clinical Judgment; UCIrvine Skull Base Surgery series; Frank Hsu, MD.SUMMARY: Drs Frank Hsu-Neurosurgeon, Ed Kuan-Otolaryngologist-Anterior Skull Base, Dennis Malkkasian-Neurosurgeon, Molecular Biologist, and Aleander Himsted-Neurosurgeon-Resident from the University of California at Irvine Skull Base team present their approach to Acoustic Neuromas considering the anatomy, molecular biology and clinical judgment aspects of surgery. Anatomically, what is the correct approach to the CPAngle for these lesions? What is the anatomy of the cranial nerves in this region? Why are cranial nerve deficits so devastating? How to avoid a 7th, 9th, 10th, 11th, and 12th nerve palsies. Detailed anatomical discussion of this region. What is the Quality of Life of patients with these deficits? What kinds of monitoring is necessary in surgery? How should you surgically deal with the internal auditory canal? Should the whole tumor be removed? What is the risk? Is Post-op radiation necessary and when? When is the Middle Fossa Approach justified? How should you deal with a recurrence and how should it be followed? Can a 7th nerve palsy be justified today? Are other approaches to tumors in this location acceptable? When do you stop the resection? Excellent graphics, videos, and discussion. (47 minutes Good for Video and Podcast but images are very helpful in video). (JIA)

]]>SUMMARY: Drs Frank Hsu-Neurosurgeon, Ed Kuan-Otolaryngologist-Anterior Skull Base, Dennis Malkkasian-Neurosurgeon, Molecular Biologist, and Aleander Himsted-Neurosurgeon-Resident from the University of California at Irvine Skull Base team present their approach to Acoustic Neuromas considering the anatomy, molecular biology and clinical judgment aspects of surgery. Anatomically, what is the correct approach to the CPAngle for these lesions? What is the anatomy of the cranial nerves in this region? Why are cranial nerve deficits so devastating? How to avoid a 7th, 9th, 10th, 11th, and 12th nerve palsies. Detailed anatomical discussion of this region. What is the Quality of Life of patients with these deficits? What kinds of monitoring is necessary in surgery? How should you surgically deal with the internal auditory canal? Should the whole tumor be removed? What is the risk? Is Post-op radiation necessary and when? When is the Middle Fossa Approach justified? How should you deal with a recurrence and how should it be followed? Can a 7th nerve palsy be justified today? Are other approaches to tumors in this location acceptable? When do you stop the resection? Excellent graphics, videos, and discussion. (47 minutes Good for Video and Podcast but images are very helpful in video). (JIA)

]]>90d6a4b6-3c74-41f2-aa33-5f93e5867b65Wed, 25 Feb 2026 09:00:00 -070047:46falsefull13403401Olfactory Groove Meningiomas; Management: UCIrvine; Frank HsuSUMMARY: Dr. Frank Hsu and the UCIrvine Interdisciplinary Skull Base Surgery Group present their approach to Olfactory Groove meningiomas. (Drs. Hsu-neurosurgeon, Kuan-otolaryngologist, Malkasian-neurosurgeon-molecular biologist, Himsted -neurosurgeon-resident and others as consultants.) “Should the transnasal or intracranial approach be utilized?” Is discussed. How does the patient present to the clinician? Does the general neurological examination reveal the extent of the neurological deficits? What does more detailed otolaryngeal testing reveal? What fiber tracts are affected by tumors in this location? Taste, smell, and executive functions? Imaging. Is the dissection different from the intracranial vs transnasal approach. How should the surgeon manage the parts of the tumor he/she cannot see directly? What about post-op CSF leak? How is that managed transnasally? What are the complications with the intracranial approach? Their transnasal CSF leak rate is 1%. How is that achieved? Which approach does the patient like? What are the risks of each approach? Is either approach for removal similar in results? What is the outcome and Quality of Life? Excellent graphics, video and discussion. Good for Video and podcast but images are very helpful.

]]>SUMMARY: Dr. Frank Hsu and the UCIrvine Interdisciplinary Skull Base Surgery Group present their approach to Olfactory Groove meningiomas. (Drs. Hsu-neurosurgeon, Kuan-otolaryngologist, Malkasian-neurosurgeon-molecular biologist, Himsted -neurosurgeon-resident and others as consultants.) “Should the transnasal or intracranial approach be utilized?” Is discussed. How does the patient present to the clinician? Does the general neurological examination reveal the extent of the neurological deficits? What does more detailed otolaryngeal testing reveal? What fiber tracts are affected by tumors in this location? Taste, smell, and executive functions? Imaging. Is the dissection different from the intracranial vs transnasal approach. How should the surgeon manage the parts of the tumor he/she cannot see directly? What about post-op CSF leak? How is that managed transnasally? What are the complications with the intracranial approach? Their transnasal CSF leak rate is 1%. How is that achieved? Which approach does the patient like? What are the risks of each approach? Is either approach for removal similar in results? What is the outcome and Quality of Life? Excellent graphics, video and discussion. Good for Video and podcast but images are very helpful.

]]>38fbbfca-0cd6-42c3-bec9-988c047de078Wed, 25 Feb 2026 09:00:00 -070034:41falsefull13393391Cancer is a Metabolic Disease; Latent Virus Cause; Part #3 Russell Blaylock, MDSUMMARY: In Part 3 of Dr. Blaylock’s presentation on Cancer is a Metabolic Disease, he discusses a concept not comply heard that latent viruses in stem cells are fundamental to the development of a cancer cell. These viruses like the Cytomegalic Virus, Herpes virus and other viruses which and internalized by a person from the air and environment. The virus then is taken by the blood stream and enters cell where it lives off of the cellular cytoplasm and energy sources to multiply. These viruses can be latent and not active until activated by a toxic agent as described in Program #2. The activation process involves inflammation and immuno-excito-toxicity, which is a key inflammatory cascade in activating the virus in an inflammatory environment. The virus RNA or DNA then direct the cell and its processes to develop proteins which change the cell metabolism to making more viruses and also proteins which inhibit the inflammatory cells in the extra-cellular space, shot of the cell suicide genes so it will survive a long time, extend the life of the chromosomes so the cell will also live longer, and direct the cell to form more tumor cells as the the tumor develops. With this are vascular growth factor proteins which allow the blood vessels to grow and supply more oxygen to the rapidly growing tumor cells…

He discusses that anticancer agents and radiation produce more cell damage and only increase inflammation. He suggests other agents to stop the metallic changes from free radical formation coming from the increased chemical reactions, and to modify the metabolic changes in the cell produced by the virus RNA and DNA. Viruses are found in 100% of Glioblastomas and in many other cells in the body producing other tumors. The viruses attack the stem cells and can covert their metabolism to the cancer cell metabolism, The stem cells then make more tumor cells, so infection of all cells is not necessary. This is a new concept to the general public and to many doctors, but is written about defensively in the literature which he quotes. Excellent series on Cancer is a Metabolic disease. 60 minutes. Good for Video and Podcast (JIA)

]]>SUMMARY: In Part 3 of Dr. Blaylock’s presentation on Cancer is a Metabolic Disease, he discusses a concept not comply heard that latent viruses in stem cells are fundamental to the development of a cancer cell. These viruses like the Cytomegalic Virus, Herpes virus and other viruses which and internalized by a person from the air and environment. The virus then is taken by the blood stream and enters cell where it lives off of the cellular cytoplasm and energy sources to multiply. These viruses can be latent and not active until activated by a toxic agent as described in Program #2. The activation process involves inflammation and immuno-excito-toxicity, which is a key inflammatory cascade in activating the virus in an inflammatory environment. The virus RNA or DNA then direct the cell and its processes to develop proteins which change the cell metabolism to making more viruses and also proteins which inhibit the inflammatory cells in the extra-cellular space, shot of the cell suicide genes so it will survive a long time, extend the life of the chromosomes so the cell will also live longer, and direct the cell to form more tumor cells as the the tumor develops. With this are vascular growth factor proteins which allow the blood vessels to grow and supply more oxygen to the rapidly growing tumor cells…

He discusses that anticancer agents and radiation produce more cell damage and only increase inflammation. He suggests other agents to stop the metallic changes from free radical formation coming from the increased chemical reactions, and to modify the metabolic changes in the cell produced by the virus RNA and DNA. Viruses are found in 100% of Glioblastomas and in many other cells in the body producing other tumors. The viruses attack the stem cells and can covert their metabolism to the cancer cell metabolism, The stem cells then make more tumor cells, so infection of all cells is not necessary. This is a new concept to the general public and to many doctors, but is written about defensively in the literature which he quotes. Excellent series on Cancer is a Metabolic disease. 60 minutes. Good for Video and Podcast (JIA)

]]>e3811aac-eb07-4208-8cc0-224194477e4eMon, 16 Feb 2026 09:00:00 -070001:02:27falsefull13353351Cancer is a Metabolic Disease: Part 2; Causes, inflammation, and paths to malignancy. Russell Blaylock, MD.SUMMARY: CANCER IS A METABOLIC DISEASE: PART 2. CAUSES AND METABOLIC PATHWAYS TO CANCER AND MALIGNANCY

Dr. Russell Blaylock describes the agents causing cancer. Agents include toxic metals as Aluminum, Flouride, Mercury, Pesticides, Microwave Radiation, anti-cancer agents, Radiation in all forms, traumatic injury to name a few. Each of these agents causes cellular damage to the CNS or body organs, and initiates an inflammatory reaction. The first stage is a cellular inflammatory response followed by an excito-toxic phrase as anti-inflammatory cascade occurs with the release of signaling proteins, glutamate, agents to produce cell death or to change its metabolism. This process is called immuno-excito toxicity, a term named by Dr. Blaylock years ago. This inflammatory process in most cases leads to an activation of latent viruses found in stem cells all over the body, which then use the RNA/DNA viral program to take over control of the cell which Dr. Blaylock describes in Part 3 in this series.

These are controversial ideas that are not commonly known but are fully reported in the literature, some of which Dr. Blaylock has attached to the program. There is abundant evidence to support this hypothesis from experiments in the literature. General information suggests that Cancer forms from nuclear DNA mutations. This concept has been dismissed by the work of Dr. Seyfried, described in this problem in which he takes a nucleus from a cancer cell and implants it in a nor cell cytoplasm without the formation of a cancer. Additionally, he takes a nucleus from a normal cell and implants it in a cancer cell cytoplasm with its normal nucleus removed and finds the cells to grow as a cancer. Thus the key to cancer development is in the cytoplasm and was found to be located in the mitochondria. A whole cancer process ten develops with a programmed set of reactions likely from the RNA/DNA of the latent virus. Excellent information; New concepts; 70 minutes of Discussion. Good for Video and Podcast.

]]>SUMMARY: CANCER IS A METABOLIC DISEASE: PART 2. CAUSES AND METABOLIC PATHWAYS TO CANCER AND MALIGNANCY

Dr. Russell Blaylock describes the agents causing cancer. Agents include toxic metals as Aluminum, Flouride, Mercury, Pesticides, Microwave Radiation, anti-cancer agents, Radiation in all forms, traumatic injury to name a few. Each of these agents causes cellular damage to the CNS or body organs, and initiates an inflammatory reaction. The first stage is a cellular inflammatory response followed by an excito-toxic phrase as anti-inflammatory cascade occurs with the release of signaling proteins, glutamate, agents to produce cell death or to change its metabolism. This process is called immuno-excito toxicity, a term named by Dr. Blaylock years ago. This inflammatory process in most cases leads to an activation of latent viruses found in stem cells all over the body, which then use the RNA/DNA viral program to take over control of the cell which Dr. Blaylock describes in Part 3 in this series.

These are controversial ideas that are not commonly known but are fully reported in the literature, some of which Dr. Blaylock has attached to the program. There is abundant evidence to support this hypothesis from experiments in the literature. General information suggests that Cancer forms from nuclear DNA mutations. This concept has been dismissed by the work of Dr. Seyfried, described in this problem in which he takes a nucleus from a cancer cell and implants it in a nor cell cytoplasm without the formation of a cancer. Additionally, he takes a nucleus from a normal cell and implants it in a cancer cell cytoplasm with its normal nucleus removed and finds the cells to grow as a cancer. Thus the key to cancer development is in the cytoplasm and was found to be located in the mitochondria. A whole cancer process ten develops with a programmed set of reactions likely from the RNA/DNA of the latent virus. Excellent information; New concepts; 70 minutes of Discussion. Good for Video and Podcast.

]]>a7c08844-1b3b-4b13-9b8a-4b1909c64643Mon, 16 Feb 2026 09:00:00 -070001:21:49falsefull13343341Mechanical Thrombectomy for Cerebral Venous Thrombosis(CVST) in Pregnancy: Case Report and Review of Literature; Khalif Abdifatah, MD. KenyaSUMMARY: Dr. Khalif Abdifatah presents a challenging case of Cerebral Venous Sinus thrombosis in a woman in the 1st trimester of pregnancy. She presented with Seizures, a venous infarct, could not take heparin, and was deteriorating. What would you do depending upon what resources you have? This is an excellent presentation with lots of discussion covering the details of treatment of this disease and its challenges. How did the patient do? What are the usual statistics for this disease? What can you do in your location to treat these patients? Excellent, interesting discussion. From the Subsaharan African Grand Rounds. Good teaching for YNSS and Residents. (90 minutes) Good for Video: Podcast missing images but discussion is interesting. (JIA)

]]>SUMMARY: Dr. Khalif Abdifatah presents a challenging case of Cerebral Venous Sinus thrombosis in a woman in the 1st trimester of pregnancy. She presented with Seizures, a venous infarct, could not take heparin, and was deteriorating. What would you do depending upon what resources you have? This is an excellent presentation with lots of discussion covering the details of treatment of this disease and its challenges. How did the patient do? What are the usual statistics for this disease? What can you do in your location to treat these patients? Excellent, interesting discussion. From the Subsaharan African Grand Rounds. Good teaching for YNSS and Residents. (90 minutes) Good for Video: Podcast missing images but discussion is interesting. (JIA)

]]>707c647b-abac-4915-880e-c91eaa2877e7Mon, 16 Feb 2026 09:00:00 -070001:24:17falsefull13323321Neuroradiology Pitfalls; Skull base Disease; Noriko Salamon, MD, PhDSUMMARY: Dr. Noriko Salamon reviews a series of cases of Skull base lesions from their radiographic appearance. These are well presented and Dr. Salamon points out the challenges in their appearance on Imaging. Excellent talk. 60 Minutes Best for Video.

]]>SUMMARY: Dr. Noriko Salamon reviews a series of cases of Skull base lesions from their radiographic appearance. These are well presented and Dr. Salamon points out the challenges in their appearance on Imaging. Excellent talk. 60 Minutes Best for Video.

]]>3b536505-9ee1-411f-9ecf-3b2ca46da79dMon, 16 Feb 2026 09:00:00 -070001:05:48falsefull133133111st Latin American Neurosurgery Grand Rounds; MCA Aneurysms; Surgery; Part 1; Surgery; Dr. Kléber Eduardo González Echiverria of Ecuador; Dr. Joham Choque-Velasquez; Organizer.SUMMARY: This is the recording of the 1st Latin American International Grand Rounds with SNI Digital® and the Latin American Neurosurgeons exchanging their experiences with a world audience. This meeting was organized by Joham Choque-Velasquez, MD, PhD of Cuzco, Peru. The title of the presentations were “Management of Middle Cerebral Aneurysms: Microsurgery vs Interventional Neurosurgery.”

The first lecture discussion was given by Dr. Kléber Eduardo González Echiverria of Ecuador. Dr Gonzales-Echiverria discussed the anatomy of the Middle Cerebral vessels and his use of a Pterional or a Supra-orbital approaches related to cerebral swelling.He mentioned he uses intra-operative neuronal monitoring-evoked potentials, to help him determine the length of temporary clipping. There was a wide discussion of the use of brain protection measures for temporary clipping from none, to intermittent clip release, to chemical cardiac arrest, which Professor Hernesniemi used frequently with success. Joham describe this technique in detail and Ramisis Ghaly, a boarded neurosurgeon, anesthesiologist and Critical care and Pain specialist, commented on the use of Cardiac Arrest during aneurysm surgery. Also discussed was how to treat SAH with an aneurym and AVM.

The second lecture was given by Dr. Giancarlo Saal Zapata MD, of Lima, Peru who has a very large experience with interventional neurosurgery techniques. He presented a series of cases of MCA aneurysms and reviewed his experience with coiling , etc, which was very good. There is some selection in his series because of referrals. Yet his experience is very good. There was a wide discussion with the international audience on how each approached Middle Cerebral Aneurysm Management. Each neurosurgeon has to do what his/her environment and resources will allow, anywhere. Given the best surgeon and interventional doctor's approaches, coiling appears to be the first choice, but many factors have to be considered in each case separately. There is no consensus because there are too many variables to consider. Like for basilar tip aneurysms, intervention is the preferred choice and each aneurysm location may have a preferred choice; See SNI Digital discussion among neurosurgeons on this subject:

Excellent Discussion of a controversial topic everywhere. Best for Video; Images needed for podcast but Discussion is valuable. In two parts 60 minutes each for 120 minutes total. Need to be seen together to benefit from the Discussion. (JIA)

]]>SUMMARY: This is the recording of the 1st Latin American International Grand Rounds with SNI Digital® and the Latin American Neurosurgeons exchanging their experiences with a world audience. This meeting was organized by Joham Choque-Velasquez, MD, PhD of Cuzco, Peru. The title of the presentations were “Management of Middle Cerebral Aneurysms: Microsurgery vs Interventional Neurosurgery.”

The first lecture discussion was given by Dr. Kléber Eduardo González Echiverria of Ecuador. Dr Gonzales-Echiverria discussed the anatomy of the Middle Cerebral vessels and his use of a Pterional or a Supra-orbital approaches related to cerebral swelling.He mentioned he uses intra-operative neuronal monitoring-evoked potentials, to help him determine the length of temporary clipping. There was a wide discussion of the use of brain protection measures for temporary clipping from none, to intermittent clip release, to chemical cardiac arrest, which Professor Hernesniemi used frequently with success. Joham describe this technique in detail and Ramisis Ghaly, a boarded neurosurgeon, anesthesiologist and Critical care and Pain specialist, commented on the use of Cardiac Arrest during aneurysm surgery. Also discussed was how to treat SAH with an aneurym and AVM.

The second lecture was given by Dr. Giancarlo Saal Zapata MD, of Lima, Peru who has a very large experience with interventional neurosurgery techniques. He presented a series of cases of MCA aneurysms and reviewed his experience with coiling , etc, which was very good. There is some selection in his series because of referrals. Yet his experience is very good. There was a wide discussion with the international audience on how each approached Middle Cerebral Aneurysm Management. Each neurosurgeon has to do what his/her environment and resources will allow, anywhere. Given the best surgeon and interventional doctor's approaches, coiling appears to be the first choice, but many factors have to be considered in each case separately. There is no consensus because there are too many variables to consider. Like for basilar tip aneurysms, intervention is the preferred choice and each aneurysm location may have a preferred choice; See SNI Digital discussion among neurosurgeons on this subject:

Excellent Discussion of a controversial topic everywhere. Best for Video; Images needed for podcast but Discussion is valuable. In two parts 60 minutes each for 120 minutes total. Need to be seen together to benefit from the Discussion. (JIA)

]]>42e92ffb-5d0d-497a-9f24-8b34d1b8697aMon, 16 Feb 2026 09:00:00 -070001:05:47falsefull13303301Deep Brainstem Cavernous Malformations; How I do It. Gary Steinberg, MD, PhDSUMMARY: Dr. Gary Steinberg describes how he treats deep brainstem cavernous malformations with Drs.Eric Nussbaum and James Ausman as Co-Discussants. Dr. Steinberg presents a series of cases of brainstem cavernous malformations that are in deep locations, which were formerly untreatable. Using meticulous surgical technique and detailed preplanning with MR imaging and tractography, and after choosing a neuro-navigation pathway, he approaches these lesions through a 3 mm incision in the brainstem to reach the lesion. Using a unique needle shaped laser which coagulates small vessels, he removes these lesions. Patients may awake with some deficits related to the location but improve rapidly so that he obtains good clinical results.

He then discusses how he removes AVMs in sensitive locations using intra-operative stimulation to locate the white matter tracts.

He discusses his views on the future of neurosurgery groups as interdisciplinary and multi-specialty including basic to clinical scientists and how these teams will help recovery of neurological function. A very stimulating and interesting discussion among the three neurosurgeons. Good for Video but the images should be seen if Podcast are chosen. 57 minutes. (JIA)

]]>SUMMARY: Dr. Gary Steinberg describes how he treats deep brainstem cavernous malformations with Drs.Eric Nussbaum and James Ausman as Co-Discussants. Dr. Steinberg presents a series of cases of brainstem cavernous malformations that are in deep locations, which were formerly untreatable. Using meticulous surgical technique and detailed preplanning with MR imaging and tractography, and after choosing a neuro-navigation pathway, he approaches these lesions through a 3 mm incision in the brainstem to reach the lesion. Using a unique needle shaped laser which coagulates small vessels, he removes these lesions. Patients may awake with some deficits related to the location but improve rapidly so that he obtains good clinical results.

He then discusses how he removes AVMs in sensitive locations using intra-operative stimulation to locate the white matter tracts.

He discusses his views on the future of neurosurgery groups as interdisciplinary and multi-specialty including basic to clinical scientists and how these teams will help recovery of neurological function. A very stimulating and interesting discussion among the three neurosurgeons. Good for Video but the images should be seen if Podcast are chosen. 57 minutes. (JIA)

]]>c6abc0b9-e572-4a29-9dee-f8c47ae8df7cMon, 16 Feb 2026 09:00:00 -070001:03:32falsefull13263261Cancer is a Metabolic Disease; Part 1; Russell Blaylock, MDSUMMARY: Dr. Russell Blaylock, interviewed by Dr. Ausman, describes the new direction the understanding of the causes of Cancer are taking. In the past, we believed that Cancer was a genetic disease, and so, the genetic composition of many cancers has been studied extensively. What was found was that there were wide variations in genetic abnormalities of cancers while one would expect that there might be similarities in the genetic pattern that would explain how cells became cancerous. Dr. Thomas Seyfried performed an experiment in which a tumor cell nucleus was transferred to a cell with a normal cytoplasm, believing that the genetic changes in the nucleus would be expressed in the cell as it grew to become a cancer cell. But, the cell continued to be a normal cell. Yet, when a normal cell nucleus was transplanted into a tumor cell cytoplasm, a tumor grew. This experiment indicated that for a cancer to grow, molecular contents of the cytoplasm of the cell were necessary to support a cancer growth.

Over time it was discovered that many different agents caused cancers. What was common to all of these agents was an immunologic- inflammatory-excitatory cascade in the cell cytoplasm to toxic agents which initiated these cancer changes by causing disruptions in the metabolism of the cell and mitochondrial energy sources. Actually as Dr. Otto Warburg found in 1931, cancer cells find alternate ways of growing by taking over the cell metabolism from the usual cytoplasmic glycolytic and mitochondrial tri-carboxylic acid cycles and using alternate routes of metabolism forming pyruvate to lactic acid. Along the way the new tumor cell metabolism blocks all the normal cell protective systems that keep it a normal cell and allow the tumor cell to grow into a large tumor. Some of the agents initiating these toxic inflammatory changes in the cell are smoking, some vaccinations, all kinds of toxins, alcohol consumption, toxic metals, microwave radiation from cell phones, anticancer drugs, radiation, and Covid 19 vaccine.

Cancer cells thrive on glutamine which is common in our high sugar diets. Glutamine is converted to glutamate in the body which stimulates the growth and invasion of the cancers. The cells effected are the small population of Stem Cells, or multi potential basic cells, which are everywhere in the body that grow into these cancer cells and produce more cancer cells. Dr. Blaylock explains in more detail in this and a second video what happens to convert a normal cell to a cancer cell and how to prevent that change with naturally occurring agents. Chemotherapeutic agents and Radiation treatments used to prevent cancer can accelerate it as they initiate cell damage and then the immuno-excito-toxic pathway leading to disrupted cell metabolism and initiating cancer growth. Excellent presentation for Video and Podcast (47 minutes) This will change your perspective on cancer. (JIA)

]]>SUMMARY: Dr. Russell Blaylock, interviewed by Dr. Ausman, describes the new direction the understanding of the causes of Cancer are taking. In the past, we believed that Cancer was a genetic disease, and so, the genetic composition of many cancers has been studied extensively. What was found was that there were wide variations in genetic abnormalities of cancers while one would expect that there might be similarities in the genetic pattern that would explain how cells became cancerous. Dr. Thomas Seyfried performed an experiment in which a tumor cell nucleus was transferred to a cell with a normal cytoplasm, believing that the genetic changes in the nucleus would be expressed in the cell as it grew to become a cancer cell. But, the cell continued to be a normal cell. Yet, when a normal cell nucleus was transplanted into a tumor cell cytoplasm, a tumor grew. This experiment indicated that for a cancer to grow, molecular contents of the cytoplasm of the cell were necessary to support a cancer growth.

Over time it was discovered that many different agents caused cancers. What was common to all of these agents was an immunologic- inflammatory-excitatory cascade in the cell cytoplasm to toxic agents which initiated these cancer changes by causing disruptions in the metabolism of the cell and mitochondrial energy sources. Actually as Dr. Otto Warburg found in 1931, cancer cells find alternate ways of growing by taking over the cell metabolism from the usual cytoplasmic glycolytic and mitochondrial tri-carboxylic acid cycles and using alternate routes of metabolism forming pyruvate to lactic acid. Along the way the new tumor cell metabolism blocks all the normal cell protective systems that keep it a normal cell and allow the tumor cell to grow into a large tumor. Some of the agents initiating these toxic inflammatory changes in the cell are smoking, some vaccinations, all kinds of toxins, alcohol consumption, toxic metals, microwave radiation from cell phones, anticancer drugs, radiation, and Covid 19 vaccine.

Cancer cells thrive on glutamine which is common in our high sugar diets. Glutamine is converted to glutamate in the body which stimulates the growth and invasion of the cancers. The cells effected are the small population of Stem Cells, or multi potential basic cells, which are everywhere in the body that grow into these cancer cells and produce more cancer cells. Dr. Blaylock explains in more detail in this and a second video what happens to convert a normal cell to a cancer cell and how to prevent that change with naturally occurring agents. Chemotherapeutic agents and Radiation treatments used to prevent cancer can accelerate it as they initiate cell damage and then the immuno-excito-toxic pathway leading to disrupted cell metabolism and initiating cancer growth. Excellent presentation for Video and Podcast (47 minutes) This will change your perspective on cancer. (JIA)

]]>f1d028e4-1a8d-4a39-b3f8-4dd773b99acaMon, 16 Feb 2026 09:00:00 -070052:05falsefull13253251Dangers of Surgical Preps for the Patient; Complications of surgery; Nancy Epstein, MD.SUMMARY: How would you like to have surgery and lose your hearing or vision as a result? Not good. How does that happen? Dr. Nancy Epstein describes how these complications can happen with the solutions used in preparing the patient for surgery. They act while you are doing surgery and the patients wake up blind or deaf. Chlorhexidine Gluconate (CHG), Hibiclens, and Chloraprep (i.e. CHG-based solutions) are often used as skin preparations near the face/eyes/spine (i.e., particularly anterior/posterior cervical procedures). However, if these solutions come in contact with the eyes, corneal irritation, abrasions, and even blindness may result. Alternatively, PI non-detergent solutions demonstrate safety/minimal oculotoxicity/ototoxicity, while frequently showing comparable efficacy against surgical site infections. These are unacceptable life changing complictations of surgery. (40 minutes) Good for Video and Podcast

]]>SUMMARY: How would you like to have surgery and lose your hearing or vision as a result? Not good. How does that happen? Dr. Nancy Epstein describes how these complications can happen with the solutions used in preparing the patient for surgery. They act while you are doing surgery and the patients wake up blind or deaf. Chlorhexidine Gluconate (CHG), Hibiclens, and Chloraprep (i.e. CHG-based solutions) are often used as skin preparations near the face/eyes/spine (i.e., particularly anterior/posterior cervical procedures). However, if these solutions come in contact with the eyes, corneal irritation, abrasions, and even blindness may result. Alternatively, PI non-detergent solutions demonstrate safety/minimal oculotoxicity/ototoxicity, while frequently showing comparable efficacy against surgical site infections. These are unacceptable life changing complictations of surgery. (40 minutes) Good for Video and Podcast

]]>2220db04-7550-4717-a338-eb9d28ab47dfMon, 16 Feb 2026 09:00:00 -070043:42falsefull13243241Autism Spectrum Disorders; Dr. Russell Blaylock Short ReportsSUMMARY: Dr. Russell Blaylock provides a short update in Autism Spectrum. Disorders, a disease now commonly seen in young children with no previous known causes. Robert F. Kennedy, Jr , Secretary of Health and Human Services has made a priority of solving this disease that affects 1/12 young children. Dr. Blaylock has studied this disease for over 20 years because of his interest in the biochemical basis of human disease. He proposed in multiple publications and on SNI Digital® Investigative Reports that the disease is a result of the over reaction of he "primed microglia" in the CNS to toxins and trauma, producing a degeneration of the CNS Neurons after repeated injuries, similar to the Parkinson's disease found in football and boxing sports. He named the process as "Immuno- Excito-Toxicity" reported recently in SNI Digital®. Recently, Tylenol has been implicated as a toxic agent for this disease. Immuno-excito-toxicity is a fundamental factor in the production of CNS Degernative diseases as Alzhemirer's, ALS, Parkinsons and MS as reported by Dr. Blaylock. For Video and Podcast. 24 minutes.

]]>SUMMARY: Dr. Russell Blaylock provides a short update in Autism Spectrum. Disorders, a disease now commonly seen in young children with no previous known causes. Robert F. Kennedy, Jr , Secretary of Health and Human Services has made a priority of solving this disease that affects 1/12 young children. Dr. Blaylock has studied this disease for over 20 years because of his interest in the biochemical basis of human disease. He proposed in multiple publications and on SNI Digital® Investigative Reports that the disease is a result of the over reaction of he "primed microglia" in the CNS to toxins and trauma, producing a degeneration of the CNS Neurons after repeated injuries, similar to the Parkinson's disease found in football and boxing sports. He named the process as "Immuno- Excito-Toxicity" reported recently in SNI Digital®. Recently, Tylenol has been implicated as a toxic agent for this disease. Immuno-excito-toxicity is a fundamental factor in the production of CNS Degernative diseases as Alzhemirer's, ALS, Parkinsons and MS as reported by Dr. Blaylock. For Video and Podcast. 24 minutes.

]]>13493045-4d21-4648-8317-1751049d2182Mon, 16 Feb 2026 09:00:00 -070026:44falsefull13223221Dr. Abdul Hadi Al -Khalili Interview; Neuroscience Expert; Role ModelSUMMARY: Dr. Abdul Hadi Al-Khalili, who is an honored and highly recognized neurosurgeon. in the Middle East and around the world is interviewed by Dr. Ausman. Dr. Al Khalili describes his 50-year career in coming from a 6-generation family of Iraqi Medicine physicians overcoming multiple obstacles along the way, to graduating medical school in Baghdad, learning ophthalmology in the UK changing to neurosurgery, attaining a Master’s Degree in Philosophy. He received more experience and training in centers throughout the world with leaders in Germany, Canada, Switzerland, and US. He returned to Iraq and established many innovative programs, the only orbital surgery center at the time, and trained many leading neurosurgeons in Iraq practicing today. Because of his leadership successes which were threatening to others, he was abducted and ransomed and left Iraq for the USA where he continues to work to help his country. He is a Role Model for everyman and physicians in his determination to succeed and his accomplishments. His success is rooted in a moral Muslim background and a desire to provide compassionate care for his patients. This interview is profound and should be watched or heard by all in its entirety to the end for its message for life, which is meaningful to all. 60 minutes plus Introduction and Close. (JIA)

]]>SUMMARY: Dr. Abdul Hadi Al-Khalili, who is an honored and highly recognized neurosurgeon. in the Middle East and around the world is interviewed by Dr. Ausman. Dr. Al Khalili describes his 50-year career in coming from a 6-generation family of Iraqi Medicine physicians overcoming multiple obstacles along the way, to graduating medical school in Baghdad, learning ophthalmology in the UK changing to neurosurgery, attaining a Master’s Degree in Philosophy. He received more experience and training in centers throughout the world with leaders in Germany, Canada, Switzerland, and US. He returned to Iraq and established many innovative programs, the only orbital surgery center at the time, and trained many leading neurosurgeons in Iraq practicing today. Because of his leadership successes which were threatening to others, he was abducted and ransomed and left Iraq for the USA where he continues to work to help his country. He is a Role Model for everyman and physicians in his determination to succeed and his accomplishments. His success is rooted in a moral Muslim background and a desire to provide compassionate care for his patients. This interview is profound and should be watched or heard by all in its entirety to the end for its message for life, which is meaningful to all. 60 minutes plus Introduction and Close. (JIA)

]]>e9c77ef9-edf4-4023-b4c4-8e0941ca5810Mon, 16 Feb 2026 09:00:00 -070001:23:35falsefull13213211Education of Student, Resident and Young Neurosurgeon-2025; Dr. Richard ByrneSUMMARY:

Dr. RIch Byrne discusses the challenges faced by those in medical school, residency, and postgraduate training and in practice. In Medical school the application process for residency consumes hours and days of time applying to a large number of programs, travel expenses, interviewing either in person or by Zoom, or in some selection mode, and the match. What are the flaws in this process and how can it be improved? How do we select the best people for Neurosurgery? Is it scores, recommendations, externships? How can programs pre-screen applicants? Even then, 1 in 5 residents do not complete the training which becomes a loss for all involved. How is that fixed?

How are the residents evaluated in their training? How do you measure character, soul, and personality in the computer age? You cannot. Are letters of recommendation reliable? Is the personal visit valuable? How can that time be used to determine more about the applicants? What about mentorship in training? Is there enough and is it quality? How do you solve that concern?

What about their performance after residency in practice? How is that evaluated. What place does the American Board of Neurosurgery have? It does not look like they know except for the data submitted and the interview process. Too late! Are we lowering the bar to accept people into neurosurgery at Board examination time? Some say yes! What is done about the neurosurgeon who is not well trained? Why does this happen? Are the choices for practice uniformed? Are the residents under stresses? Is there mentorship in the practice? Does huge debt force residents to make surgical choices for money? Is it a bad job choice? We will have a deficit of 10,000 physicians a year in the USA? How is that problem solved? Lots of questions that are discussed and answered. What are yours?

55 minutes of Discussion. Good for Video and Podcast. (JIA)

]]>SUMMARY:

Dr. RIch Byrne discusses the challenges faced by those in medical school, residency, and postgraduate training and in practice. In Medical school the application process for residency consumes hours and days of time applying to a large number of programs, travel expenses, interviewing either in person or by Zoom, or in some selection mode, and the match. What are the flaws in this process and how can it be improved? How do we select the best people for Neurosurgery? Is it scores, recommendations, externships? How can programs pre-screen applicants? Even then, 1 in 5 residents do not complete the training which becomes a loss for all involved. How is that fixed?

How are the residents evaluated in their training? How do you measure character, soul, and personality in the computer age? You cannot. Are letters of recommendation reliable? Is the personal visit valuable? How can that time be used to determine more about the applicants? What about mentorship in training? Is there enough and is it quality? How do you solve that concern?

What about their performance after residency in practice? How is that evaluated. What place does the American Board of Neurosurgery have? It does not look like they know except for the data submitted and the interview process. Too late! Are we lowering the bar to accept people into neurosurgery at Board examination time? Some say yes! What is done about the neurosurgeon who is not well trained? Why does this happen? Are the choices for practice uniformed? Are the residents under stresses? Is there mentorship in the practice? Does huge debt force residents to make surgical choices for money? Is it a bad job choice? We will have a deficit of 10,000 physicians a year in the USA? How is that problem solved? Lots of questions that are discussed and answered. What are yours?

55 minutes of Discussion. Good for Video and Podcast. (JIA)

]]>3191a9f5-9a6e-48f5-9db0-ee754f5e2298Mon, 16 Feb 2026 09:00:00 -070055:18falsefull13203201Principles of Microneurosurgery; James Ausman, MD, PhD

SUMMARY: In an interview with Dr. Richard Byrne, Dr. Ausman reviews the principles of micro-neurosurgery, and implementing Operations Analysis theories to the performance of surgery with the goal to reducing the probability of error to zero. Dr. Ausman describes all the components of achieving excellent results from preplanning of the operation, research on each case, operating room organization and personnel management, breaking the surgery in to packages or steps, each to be error free. An understanding of the family and patient is crucial. The final stage of the surgery is the part with different possible outcomes once the pathology is encountered. Planning for each of those possibilities must be made in preoperative planning.The risks are taken by the patient not the surgeon. If an unexpected difficult problem is encountered in the surgery that would effect and change the outcome for the patient which was not discussed with the patient before surgery, this must be discussed with the family or the operation stopped so that the patient can make that personal choice for his/her life. It is not the doctors to decide another's life. Mathematically, the complications are a summation of the errors of each step. To achieve success one must reduce the errors to zero mathematically for each case. Blood loss and transfusion are complications. Meticulous hemostasis must be achieved at each step. Complications for the patient can be life changing. A third nerve deficit for a neurosurgeon undergoing surgery is career changing. Think about any deficit for the patient. Even a urinary infection is a complication that will require treatment with its own complications. Every detail must be perfectly executed for the patent to have a good result. Surgery is a team effort. So the team must know of all the details of the procedure to participate 100%. A plan of the operation is posted on the wall before each operation and given to the member of the team so that they know the steps and can prepare for them. Proper performance of surgery is an Artistic achievement and unblemished beauty for a result. There is only one chance for a perfect result. The patent has entrusted his/her life to you. No mistakes. The goal is Excellence. Good For Video and Podcast (JIA) 26 minutes

]]>

SUMMARY: In an interview with Dr. Richard Byrne, Dr. Ausman reviews the principles of micro-neurosurgery, and implementing Operations Analysis theories to the performance of surgery with the goal to reducing the probability of error to zero. Dr. Ausman describes all the components of achieving excellent results from preplanning of the operation, research on each case, operating room organization and personnel management, breaking the surgery in to packages or steps, each to be error free. An understanding of the family and patient is crucial. The final stage of the surgery is the part with different possible outcomes once the pathology is encountered. Planning for each of those possibilities must be made in preoperative planning.The risks are taken by the patient not the surgeon. If an unexpected difficult problem is encountered in the surgery that would effect and change the outcome for the patient which was not discussed with the patient before surgery, this must be discussed with the family or the operation stopped so that the patient can make that personal choice for his/her life. It is not the doctors to decide another's life. Mathematically, the complications are a summation of the errors of each step. To achieve success one must reduce the errors to zero mathematically for each case. Blood loss and transfusion are complications. Meticulous hemostasis must be achieved at each step. Complications for the patient can be life changing. A third nerve deficit for a neurosurgeon undergoing surgery is career changing. Think about any deficit for the patient. Even a urinary infection is a complication that will require treatment with its own complications. Every detail must be perfectly executed for the patent to have a good result. Surgery is a team effort. So the team must know of all the details of the procedure to participate 100%. A plan of the operation is posted on the wall before each operation and given to the member of the team so that they know the steps and can prepare for them. Proper performance of surgery is an Artistic achievement and unblemished beauty for a result. There is only one chance for a perfect result. The patent has entrusted his/her life to you. No mistakes. The goal is Excellence. Good For Video and Podcast (JIA) 26 minutes

]]>29573ec6-4ab4-4d4f-80b7-0a62c4704d14Mon, 16 Feb 2026 09:00:00 -070026:21falsefull13193191AI and LLM ( Large Language Models) in Neurosurgery-2025; RIchard Byrne, MDSUMMARY: Richard Byrne , MD From Mayo Clinic in Florida discusses the influence of AI and LLM on medicine in the future.

AI will have a significant impact but in a longer time frame that we think. AI is math which deals with data and numbers. LLM (Large Language Models) are language based deals with words. AI is excellent in dealing with data. “Large Language Model (LLM) is an advanced AI trained on massive amounts of text data to understand, generate, and process human language, acting like a super-powered autocomplete that predicts the next most likely word or sequence of words in response to a prompt, enabling tasks like answering questions, summarizing, translating, and writing…” (Google search) Clinic notes can now be summarized at high level. Scribe jobs lost to AI. AI will replace jobs; Recently 11% of jobs now in the USA can be done by AI.

Parts of AI are over hyped. Medicine deals with massive data sets: EEG, EKG which need detailed analysis. The use of AI can predict how a protein will fold and what will be its active sites and then used to design drugs to fit that configuration. “MatterGen successfully generates stable, novel materials with desired chemistry, symmetry, as well as mechanical, electronic and magnetic properties…We believe that the quality of generated materials and the breadth of MatterGen's capabilities represent a major advancement towards creating a universal generative model for materials design.” (Zeni et al Material Science;

https://doi.org/10.48550/arXiv.2312.03687)) ; (https://arxiv.org/abs/2312.03687

Mattergen will allow the creation of drugs and agents to make better products to solve different diseases, We are moving toward a molecular future in Medicine. Trauma, stroke, spinal cord injury, GBM, regenerative medicine; AI will be one of the solutions.Team medicine is the future involving multiple disciplines from basic research to clinical specialization

A major concern for the future is the amount of time spent residency and student debt. 40% of students before medical school and residency are taking “Gap Years” off to pay debts making training longer. Some graduate with $500,000 debt, then, get jobs that take a long time to pay debts. All of this results in a financial incentive to make medicine pay and do more procedures than needed. Need to make residency shorter rather than longer.

Good for Video and Podcast, (27 minutes discussion).

]]>SUMMARY: Richard Byrne , MD From Mayo Clinic in Florida discusses the influence of AI and LLM on medicine in the future.

AI will have a significant impact but in a longer time frame that we think. AI is math which deals with data and numbers. LLM (Large Language Models) are language based deals with words. AI is excellent in dealing with data. “Large Language Model (LLM) is an advanced AI trained on massive amounts of text data to understand, generate, and process human language, acting like a super-powered autocomplete that predicts the next most likely word or sequence of words in response to a prompt, enabling tasks like answering questions, summarizing, translating, and writing…” (Google search) Clinic notes can now be summarized at high level. Scribe jobs lost to AI. AI will replace jobs; Recently 11% of jobs now in the USA can be done by AI.

Parts of AI are over hyped. Medicine deals with massive data sets: EEG, EKG which need detailed analysis. The use of AI can predict how a protein will fold and what will be its active sites and then used to design drugs to fit that configuration. “MatterGen successfully generates stable, novel materials with desired chemistry, symmetry, as well as mechanical, electronic and magnetic properties…We believe that the quality of generated materials and the breadth of MatterGen's capabilities represent a major advancement towards creating a universal generative model for materials design.” (Zeni et al Material Science;

https://doi.org/10.48550/arXiv.2312.03687)) ; (https://arxiv.org/abs/2312.03687

Mattergen will allow the creation of drugs and agents to make better products to solve different diseases, We are moving toward a molecular future in Medicine. Trauma, stroke, spinal cord injury, GBM, regenerative medicine; AI will be one of the solutions.Team medicine is the future involving multiple disciplines from basic research to clinical specialization

A major concern for the future is the amount of time spent residency and student debt. 40% of students before medical school and residency are taking “Gap Years” off to pay debts making training longer. Some graduate with $500,000 debt, then, get jobs that take a long time to pay debts. All of this results in a financial incentive to make medicine pay and do more procedures than needed. Need to make residency shorter rather than longer.

Good for Video and Podcast, (27 minutes discussion).

]]>5888e266-f93f-4660-a5e3-71616e23eb44Mon, 16 Feb 2026 09:00:00 -070027:45falsefull13163161Thalamic Tumors; Case Report and Review of Literature; Dr. Al-hassan Dasana Andani,SUMMARY From the SubSaharan African Ground Rounds, Dr. Al-hassan Dasana Andani, a resident neurosurgeon in the Greater Accra Regional Hospital in Accra, Ghana, makes a wonderful presentation of a challenging case they saw in their Department of Neurosurgery of a patient with a multi-cystic thalamic mass in a deteriorating young patient. What should be done. Dr. Andani reviews the details of the presentation, laboratory values and imaging on this patient. He also reviews the literature on the management of these difficult lesions. What should be done In Africa with economic limitations and in countries that are have more resources. Does any of that matter? He descirbes the surgical approaches for the anatomy of the thalamic region. And there is an extensive interesting discussion by member of the international audience about what should be done. The Discussion is very informative and covers the history of the treatment of these types of lesions. You will hear the answer at the end of the discussion about the pathology. What would you do with this clinical problem? Can better results be obtained with more resources? An outstanding prevention and case discussion from our colleagues in Ghana.

]]>SUMMARY From the SubSaharan African Ground Rounds, Dr. Al-hassan Dasana Andani, a resident neurosurgeon in the Greater Accra Regional Hospital in Accra, Ghana, makes a wonderful presentation of a challenging case they saw in their Department of Neurosurgery of a patient with a multi-cystic thalamic mass in a deteriorating young patient. What should be done. Dr. Andani reviews the details of the presentation, laboratory values and imaging on this patient. He also reviews the literature on the management of these difficult lesions. What should be done In Africa with economic limitations and in countries that are have more resources. Does any of that matter? He descirbes the surgical approaches for the anatomy of the thalamic region. And there is an extensive interesting discussion by member of the international audience about what should be done. The Discussion is very informative and covers the history of the treatment of these types of lesions. You will hear the answer at the end of the discussion about the pathology. What would you do with this clinical problem? Can better results be obtained with more resources? An outstanding prevention and case discussion from our colleagues in Ghana.

]]>7cdd99ff-6c2f-40e1-a639-ae74474d6542Mon, 16 Feb 2026 09:00:00 -070001:07:57falsefull13153151Diagnostic and Management Challenges of Prolactinomas; Dr. Marvin Bergsneider; SubSaharan African Grand RoundsSUMMARY Dr. Marvin Bergsneider, who Co-Head of the Pituitary and Skull Base Surgery Section of Neurosurgery at UCLA discusses Pituitary tumors. For those of us who have forgotten pituitary physiology, all the 8 hormones related to the pituitary, come from control centers in the hypothalamus around the third ventricle. For the posterior pituitary, there are direct neural connections from the hypothalamus to the posterior pituitary for production of ADH (antidiuretic hormone) and oxytocin for lactation and uterine contractions. The Anterior pituitary is a collection of cells wrapped around the Posterior lobe embryologically from Rathke’s pouch. 5 different protein releasing factors originate from hypothalamus which stimulate the anterior lobe pituitary cells. The hormones produced by the 5 cell types in the pituitary gland control the thyroid, bone growth, liver and insulin production, adrenal and reproductive glands. The last hormone produced inhibits the production of Prolactin from the cells in the anterior lobe of the pituitary.

Tumors of these cells are called PitNET (Pituitary NeuroEndocrineTumors). All these target cells in the pituitary can form tumors, but the most common tumor site is from the prolactin producing cells. Prolactin producing cells make up 30% of pituitary tumors. Another 30% are clinically non-functional (CNF) tumors, all of which represent 20% of all the brain tumors. His talk and the discussion center on the prolactin producing cells which relate to lactation in the female and have limited clinical expression in the male, and how to distinguish them from CNF tumors.

There are many causes of hyperprolactinemia making the symptoms non-specific. In the male hyper-function of prolactin from tumors can present with erectile dysfunction or gynecomastia or from mass effect on the other hormone producing cells in the pituitary. Males usually are asymptomatic but can present late with symptoms. Females present with disturbed or absent menstruation, low libido, and/or abnormal lactation. Physicians have measured prolactin blood levels which in males can reach a high of 60 ng/ml, while in females it can be variable but is abnormal over 400 ng/ml. High levels of Prolactin are usually diagnostic of prolactinoma. The diagnostic difficulty comes with lower levels of prolactin. Dr. Bergsneider discusses the prolactin levels and sex differences in detail.

Cabergoline, a dopamine like agonist, is given to suppress the prolactin production in the pituitary cells and can shrink the tumor in 75% of patients. One third are cured with this biochemical treatment after a year. Persistence of hyper-prolactin levels occurs in the rest of the cases. Those who cannot tolerate the drug, should have surgery. In cases where the female wants pregnancy, Cabergoline must be stopped. Other reasons for surgery are mass effect and disruption of other pituitary function cells.

The explanation for the elevated prolactin levels in the past was attributed to the “Stalk Effect” or compression of the pituitary stalk. This compression prevented the hypothalamus produced Prolactin inhibiting factor (PIF) from traveling down the stalk to inhibit prolactin production at the cellular level. As a result, the uninhibited cells produce more Prolactin, leading to elevated Prolactin levels. This idea has now been replaced by the research that finds rising intra-sellar pressure from unrestricted tumor growth eventually causes other pituitary cells to dysfunction and failing pituitary hormonal production later in 85% of cases as the tumor enlarges. This is called the “Triphasic effect “ from Dr. Bergsneider’s research.

The tumor is grossly removed, endoscopically, with a high percentage of cure. Remnants can regrow; so complete removal is necessary. He shows an intra-operative video of his procedure and discusses the details of his surgery. Most places in the world can measure prolactin levels, but if that is not possible, treatment then relates to mass effect. Radiation can be used for resistant tumors. So, prolactin becomes a key to measuring the function of a large percentage of pituitary tumors. Tumors of the other pituitary gland cells can be tested for specific physiologic functions with their own specific treatments. After 100 years of work on pituitary tumors, little is still known about the origin of tumors in this small special area of the body with such a concentration of active cells at the base of the skull. How can we strop the growth of tumors in one cell line without effecting the others? Getting the specific tumor growth to stabilize metabolically or to regress by molecular treatment seems to be the most likely avenue of research to cure this disease without surgery. Does surgery make sense in the long term? From the SubSaharan African Grand Rounds. Excellent Talk; Common Problem; Video Excellent; Podcast Good but imaging helps. (Lecture 35 min Discussion 15 min). (JIA)

]]>SUMMARY Dr. Marvin Bergsneider, who Co-Head of the Pituitary and Skull Base Surgery Section of Neurosurgery at UCLA discusses Pituitary tumors. For those of us who have forgotten pituitary physiology, all the 8 hormones related to the pituitary, come from control centers in the hypothalamus around the third ventricle. For the posterior pituitary, there are direct neural connections from the hypothalamus to the posterior pituitary for production of ADH (antidiuretic hormone) and oxytocin for lactation and uterine contractions. The Anterior pituitary is a collection of cells wrapped around the Posterior lobe embryologically from Rathke’s pouch. 5 different protein releasing factors originate from hypothalamus which stimulate the anterior lobe pituitary cells. The hormones produced by the 5 cell types in the pituitary gland control the thyroid, bone growth, liver and insulin production, adrenal and reproductive glands. The last hormone produced inhibits the production of Prolactin from the cells in the anterior lobe of the pituitary.

Tumors of these cells are called PitNET (Pituitary NeuroEndocrineTumors). All these target cells in the pituitary can form tumors, but the most common tumor site is from the prolactin producing cells. Prolactin producing cells make up 30% of pituitary tumors. Another 30% are clinically non-functional (CNF) tumors, all of which represent 20% of all the brain tumors. His talk and the discussion center on the prolactin producing cells which relate to lactation in the female and have limited clinical expression in the male, and how to distinguish them from CNF tumors.

There are many causes of hyperprolactinemia making the symptoms non-specific. In the male hyper-function of prolactin from tumors can present with erectile dysfunction or gynecomastia or from mass effect on the other hormone producing cells in the pituitary. Males usually are asymptomatic but can present late with symptoms. Females present with disturbed or absent menstruation, low libido, and/or abnormal lactation. Physicians have measured prolactin blood levels which in males can reach a high of 60 ng/ml, while in females it can be variable but is abnormal over 400 ng/ml. High levels of Prolactin are usually diagnostic of prolactinoma. The diagnostic difficulty comes with lower levels of prolactin. Dr. Bergsneider discusses the prolactin levels and sex differences in detail.

Cabergoline, a dopamine like agonist, is given to suppress the prolactin production in the pituitary cells and can shrink the tumor in 75% of patients. One third are cured with this biochemical treatment after a year. Persistence of hyper-prolactin levels occurs in the rest of the cases. Those who cannot tolerate the drug, should have surgery. In cases where the female wants pregnancy, Cabergoline must be stopped. Other reasons for surgery are mass effect and disruption of other pituitary function cells.

The explanation for the elevated prolactin levels in the past was attributed to the “Stalk Effect” or compression of the pituitary stalk. This compression prevented the hypothalamus produced Prolactin inhibiting factor (PIF) from traveling down the stalk to inhibit prolactin production at the cellular level. As a result, the uninhibited cells produce more Prolactin, leading to elevated Prolactin levels. This idea has now been replaced by the research that finds rising intra-sellar pressure from unrestricted tumor growth eventually causes other pituitary cells to dysfunction and failing pituitary hormonal production later in 85% of cases as the tumor enlarges. This is called the “Triphasic effect “ from Dr. Bergsneider’s research.

The tumor is grossly removed, endoscopically, with a high percentage of cure. Remnants can regrow; so complete removal is necessary. He shows an intra-operative video of his procedure and discusses the details of his surgery. Most places in the world can measure prolactin levels, but if that is not possible, treatment then relates to mass effect. Radiation can be used for resistant tumors. So, prolactin becomes a key to measuring the function of a large percentage of pituitary tumors. Tumors of the other pituitary gland cells can be tested for specific physiologic functions with their own specific treatments. After 100 years of work on pituitary tumors, little is still known about the origin of tumors in this small special area of the body with such a concentration of active cells at the base of the skull. How can we strop the growth of tumors in one cell line without effecting the others? Getting the specific tumor growth to stabilize metabolically or to regress by molecular treatment seems to be the most likely avenue of research to cure this disease without surgery. Does surgery make sense in the long term? From the SubSaharan African Grand Rounds. Excellent Talk; Common Problem; Video Excellent; Podcast Good but imaging helps. (Lecture 35 min Discussion 15 min). (JIA)

]]>fc50c67b-6c3b-4b1b-ab6a-e68f83916b18Mon, 16 Feb 2026 09:00:00 -070058:40falsefull131431411st Latin American Grand Rounds-Part 2 Endovascular Treatment MCA Aneurysms; Dr. Giancarlo Saal Zapata MD; Johan Choque Velasquez MD, PhD., OrganizerSUMMARY: This is the recording of the 1st Latin American International Grand Rounds with SNI Digital® and the Latin American Neurosurgeons exchanging their experiences with a world audience. This meeting was organized by Joham Choque-Velasquez, MD, PhD of Cuzco, Peru. The title of the presentations were “Management of Middle Cerebral Aneurysms: Microsurgery vs Interventional Neurosurgery.”

The first lecture discussion was given by Dr. Kléber Eduardo González Echiverria of Ecuador. Dr Gonzales-Echiverria discussed the anatomy of the Middle Cerebral vessels and his use of a Pterional or a Supra-orbital approaches related to cerebral swelling.He mentioned he uses intra-operative neuronal monitoring-evoked potentials, to help him determine the length of temporary clipping. There was a wide discussion of the use of brain protection measures for temporary clipping from none, to intermittent clip release, to chemical cardiac arrest, which Professor Hernesniemi used frequently with success. Joham describe this technique in detail and Ramisis Ghaly, a boarded neurosurgeon, anesthesiologist and Critical care and Pain specialist, commented on the use of Cardiac Arrest during aneurysm surgery. Also discussed was how to treat SAH with an aneurym and AVM.

The second lecture was given by Dr. Giancarlo Saal Zapata MD, of Lima, Peru who has a very large experience with interventional neurosurgery techniques. He presented a series of cases of MCA aneurysms and reviewed his experience with coiling , etc, which was very good. There is some selection in his series because of referrals. Yet his experience is very good. There was a wide discussion with the international audience on how each approached Middle Cerebral Aneurysm Management. Each neurosurgeon has to do what his/her environment and resources will allow, anywhere. Given the best surgeon and interventional doctor's approaches, coiling appears to be the first choice, but many factors have to be considered in each case separately. There is no consensus because there are too many variables to consider. Like for basilar tip aneurysms, intervention is the preferred choice and each aneurysm location may have a preferred choice; See SNI Digital discussion among neurosurgeons on this subject: https://snidigital.org/video/243/Clipping-vs-Endovascular-Treatment-of-Intracranial-Aneurysms-Retreatment-failures-20-in-endovascular

Excellent Discussion of a controversial topic everywhere. Best for Video; Images needed for podcast but Discussion is valuable. In two parts 60 minutes each for 120 minutes total. Need to be seen together to benefit from the Discussion. (JIA)

]]>SUMMARY: This is the recording of the 1st Latin American International Grand Rounds with SNI Digital® and the Latin American Neurosurgeons exchanging their experiences with a world audience. This meeting was organized by Joham Choque-Velasquez, MD, PhD of Cuzco, Peru. The title of the presentations were “Management of Middle Cerebral Aneurysms: Microsurgery vs Interventional Neurosurgery.”

The first lecture discussion was given by Dr. Kléber Eduardo González Echiverria of Ecuador. Dr Gonzales-Echiverria discussed the anatomy of the Middle Cerebral vessels and his use of a Pterional or a Supra-orbital approaches related to cerebral swelling.He mentioned he uses intra-operative neuronal monitoring-evoked potentials, to help him determine the length of temporary clipping. There was a wide discussion of the use of brain protection measures for temporary clipping from none, to intermittent clip release, to chemical cardiac arrest, which Professor Hernesniemi used frequently with success. Joham describe this technique in detail and Ramisis Ghaly, a boarded neurosurgeon, anesthesiologist and Critical care and Pain specialist, commented on the use of Cardiac Arrest during aneurysm surgery. Also discussed was how to treat SAH with an aneurym and AVM.

The second lecture was given by Dr. Giancarlo Saal Zapata MD, of Lima, Peru who has a very large experience with interventional neurosurgery techniques. He presented a series of cases of MCA aneurysms and reviewed his experience with coiling , etc, which was very good. There is some selection in his series because of referrals. Yet his experience is very good. There was a wide discussion with the international audience on how each approached Middle Cerebral Aneurysm Management. Each neurosurgeon has to do what his/her environment and resources will allow, anywhere. Given the best surgeon and interventional doctor's approaches, coiling appears to be the first choice, but many factors have to be considered in each case separately. There is no consensus because there are too many variables to consider. Like for basilar tip aneurysms, intervention is the preferred choice and each aneurysm location may have a preferred choice; See SNI Digital discussion among neurosurgeons on this subject: https://snidigital.org/video/243/Clipping-vs-Endovascular-Treatment-of-Intracranial-Aneurysms-Retreatment-failures-20-in-endovascular

Excellent Discussion of a controversial topic everywhere. Best for Video; Images needed for podcast but Discussion is valuable. In two parts 60 minutes each for 120 minutes total. Need to be seen together to benefit from the Discussion. (JIA)

]]>7cfc677a-3e67-461e-8279-5a823258b985Sun, 25 Jan 2026 09:00:00 -070001:11:20falsefull13283281"Let's Talk": Women in Neurosurgery; Part 2; Glasgow NeuroSUMMARY; See Part 1 summary

]]>SUMMARY; See Part 1 summary

]]>1f6ea940-8fe8-4a7b-9bfd-4a56db2f36e2Mon, 24 Nov 2025 09:00:00 -070001:00:48falsefull13133131"Let's Talk"; Women in Neurosurgery; Part 1; Glasgow NeuroSUMMARY: Parts 1 & 2. “Let’s Talk” Discussion on the topic of “Women in Neurosurgery”. In a wide-ranging discussion with a panel of women and men neurosurgeons, the challenges faced by women (and men) choosing neurosurgery as a career are discussed. Drs. Nancy Epstein, Kathrin Whitehouse, Saqiba Jadoon, Eric and Leslie Nussbaum and James Ausman, provide their perspectives on a number of questions submitted by an audience of young neurosurgeons, residents, and medical students. Are women better neurosurgeons than men? Do women have more empathy? Are they technically better? What is the Imposter Syndrome? (Should I be here?)

  

Who is your competition? How do you balance family life and medical obligations? Should you have children before you compete your residency? Should the state pay for childcare for your children? Should you FAKE IT TILL YOU MAKE IT? What comes first ? your job, your spouse, your children, your pet, studying, the patient? How do you balance all of these obligations. Can you be the best neurosurgeon? What does it take? Are you happy? Is money your goal? John F. Kennedy (President of USA in the 1960s) said  “Ask not what your country can do for you, what can you do for your country?” Do you believe this? What if you do not? What if everyone does not? Does Socialistic thinking affect your career, choices, motivation, commitment?

Should you get training outside your country? What does the patient want from you as a doctor? Is the patient important as a person or just a number? What is your unwritten contract with the patient? What would you expect from the doctor if you were the patient? Would you expect the best doctor? One who tells you the Truth and is Competent? In today’s society? 

  

Comments from the audience: “Amazing discussion, diverse panel, open, candid, honestly refreshing, have we been deceived by socialism? enlightening, breadth I don’t really get in other webinars, rare to hear neurosurgeons speak so openly about culture, bias, and things that do not get acknowledged in training, inspiring, liked roundtable discussion, greatly overdue, not afraid to agree or disagree with each other, fantastic……Very popular. And much more for 90 minutes. Part 1 is 48 minutes and Part 2 is 60 minutes. Excellent for Podcast and Video on snidigital.org (JIA) 

]]>SUMMARY: Parts 1 & 2. “Let’s Talk” Discussion on the topic of “Women in Neurosurgery”. In a wide-ranging discussion with a panel of women and men neurosurgeons, the challenges faced by women (and men) choosing neurosurgery as a career are discussed. Drs. Nancy Epstein, Kathrin Whitehouse, Saqiba Jadoon, Eric and Leslie Nussbaum and James Ausman, provide their perspectives on a number of questions submitted by an audience of young neurosurgeons, residents, and medical students. Are women better neurosurgeons than men? Do women have more empathy? Are they technically better? What is the Imposter Syndrome? (Should I be here?)

  

Who is your competition? How do you balance family life and medical obligations? Should you have children before you compete your residency? Should the state pay for childcare for your children? Should you FAKE IT TILL YOU MAKE IT? What comes first ? your job, your spouse, your children, your pet, studying, the patient? How do you balance all of these obligations. Can you be the best neurosurgeon? What does it take? Are you happy? Is money your goal? John F. Kennedy (President of USA in the 1960s) said  “Ask not what your country can do for you, what can you do for your country?” Do you believe this? What if you do not? What if everyone does not? Does Socialistic thinking affect your career, choices, motivation, commitment?

Should you get training outside your country? What does the patient want from you as a doctor? Is the patient important as a person or just a number? What is your unwritten contract with the patient? What would you expect from the doctor if you were the patient? Would you expect the best doctor? One who tells you the Truth and is Competent? In today’s society? 

  

Comments from the audience: “Amazing discussion, diverse panel, open, candid, honestly refreshing, have we been deceived by socialism? enlightening, breadth I don’t really get in other webinars, rare to hear neurosurgeons speak so openly about culture, bias, and things that do not get acknowledged in training, inspiring, liked roundtable discussion, greatly overdue, not afraid to agree or disagree with each other, fantastic……Very popular. And much more for 90 minutes. Part 1 is 48 minutes and Part 2 is 60 minutes. Excellent for Podcast and Video on snidigital.org (JIA) 

]]>05159f14-f258-41af-85ba-161a6c6897d6Mon, 24 Nov 2025 09:00:00 -070047:43falsefull13123121How we do it: Treatment of Clival Chordoma and giant Anterior and Middle Fossa Meningiomas; UC Irvine Skull Base team SurgerySUMMARY: Management of Clival Chordoma and giant Anterior and Middle Fossa Meningiomas: How we do it. From UC Irvine Skull Base Surgery Team; Frank Hsu, Edward Kuan, Dennis Malkasian; Alexander Himstead. CHORDOMA: history and examination; outstanding imaging, preoperative planning; Anatomical Diagrams, Choosing best approach to eliminate complications, endoscopy, microsurgery techniques, when to stop surgery, how to deal with tumor remnant; meticulous closure, post operative management. Excellent outcome. Discussion of molecular and genetic basis of chordomas and future treatments. (40 minutes with discussion). 

GIANT ANTERIOR AND MIDDLE FOSSA MENINGIOMA: Subtile clinical presentation; imaging and interpretation, preoperative planning, angiography, embolization options, surgical strategy attacking blood supply, dissection and removal of tumor; closure, post operative management. What neural deficits did the patient actually have in retrospect. How do we measure impaired cerebral function? Our limited ability, as neurosurgeons, to understand neurological impairments. Imaging does not describe function; why the classic neurological examination can reveal what we miss as surgeons. Are these subtile deficits crucial to the patient? What would you be like if you had subtile neurological deficits? Could you function as a neurosurgeon? Could AI help in providing that information? Does fiber tract imaging tell us the answer? No. Is detailed neuropsychological testing important? What we do not know and what can we do better? Is Excellence your goal? (20 minutes with discussion). (JIA)

]]>SUMMARY: Management of Clival Chordoma and giant Anterior and Middle Fossa Meningiomas: How we do it. From UC Irvine Skull Base Surgery Team; Frank Hsu, Edward Kuan, Dennis Malkasian; Alexander Himstead. CHORDOMA: history and examination; outstanding imaging, preoperative planning; Anatomical Diagrams, Choosing best approach to eliminate complications, endoscopy, microsurgery techniques, when to stop surgery, how to deal with tumor remnant; meticulous closure, post operative management. Excellent outcome. Discussion of molecular and genetic basis of chordomas and future treatments. (40 minutes with discussion). 

GIANT ANTERIOR AND MIDDLE FOSSA MENINGIOMA: Subtile clinical presentation; imaging and interpretation, preoperative planning, angiography, embolization options, surgical strategy attacking blood supply, dissection and removal of tumor; closure, post operative management. What neural deficits did the patient actually have in retrospect. How do we measure impaired cerebral function? Our limited ability, as neurosurgeons, to understand neurological impairments. Imaging does not describe function; why the classic neurological examination can reveal what we miss as surgeons. Are these subtile deficits crucial to the patient? What would you be like if you had subtile neurological deficits? Could you function as a neurosurgeon? Could AI help in providing that information? Does fiber tract imaging tell us the answer? No. Is detailed neuropsychological testing important? What we do not know and what can we do better? Is Excellence your goal? (20 minutes with discussion). (JIA)

]]>3c9ec39c-222a-4697-b696-371bdd6e52d4Fri, 14 Nov 2025 09:00:00 -070001:03:10falsefull13113111Skull Base Surgery: Present and Future; Drs. Frank Hsu, Edward Kuan, Dennis Malkasian, Alexander Himstead. University of California, Irvine.SUMMARY: Drs Frank Hsu, Head of Neurosurgery at UC Irvine; Edward Kuan Professor of Otolaryngology and Co-director of the Comprehensive Skull Base program; Dennis Malkasian, Neurosurgeon, Molecular Biologist, and Anatomist, and Alexander Himstead, PGY 4 in Neurosurgery, moderated by Dr. Ausman, have an intergenerational discussion on the Present and Future of Skull Base surgery. The panel’s ages range from 30 to 80’s with a wide surgical experience. The field has grown from the gross removal of these tumors in complex locations to using minimal retraction, different corridors to reach the lesion, using advancing technology, and better understanding of the biology of the lesions to quality of life considerations and multimodality treatment. 

With about 17,000 new primary brain tumors a year of which ~25% are acoustic and pituitary lesions, and 110 academic programs in the USA with skull base programs, are there enough cases to train competent skull base surgeons for the future? How is over-treatment controlled? Are Multi-Disciplinary teams of specialists the future of Skull base surgery? What are the limits of surgery? Is Proton Beam therapy with focused radiation only on the lesion, the future? What about the biology of the neoplasm? Will molecular treatments limit the use of surgery? NF2 acoustics have a genetic abnormality as do chordomas. Will DNA, RNA, or protein manipulation be the future? Should this interdisciplinary approach to managing complex medical problems be suited for academia rather than competing with the practicing physicians over routine cases? Should geneticists be part of a multidisciplinary team to mange these lesions? Will expansion into orbital lesions add a new dimension to the field? Is total removal the goal or quality of life and limited morbidity? When does a surgeon stop and why? In acoustic neuromas, is subtotal removal followed by radiation, sparing a 7th nerve deficit, lead to better outcomes? How aggressive should we be with benign disease? 

Do multidisciplinary teams have better outcomes? How are diverse people in these teams to be compensated? Are Skull Base fellowships filled, and what is the future for the young surgeon? How will advancing technology with 3D imaging, MR 7-Tesla angiography and detailed imaging change skull base surgery? Is the future more sub-specialization where we know more and more about less and less be satisfying? Will surgery be eliminated as a treatment by 2100? 85% of diseases in the world occur in 85% of the population that lives in developing countries. How can these advances be brought to billions of people who have no access to them? Is the high cost of treating these lesions justified? Because skull based lesions are fixed, image guided surgery can avoid brain shift and allow better imaging at surgery. Does technology make a better surgeon or is good surgical judgment an essential component of success? How do you teach Judgment? What is the importance of the anatomy laboratory in refining the surgeons knowledge to utilize all modalities at his/her disposal? Can AI solve all these questions? Is an excellent patient outcome the goal over surgical or other treatments? 

What are your answers to these questions which are fundamental to all of Medicine? Who is thinking about all of these factors and planning for the future? An outstanding discussion with many pearls of wisdom. See the upcoming video on the UCI team’s approach to chordomas and large meningiomas. How are all the above considerations used in the treatment of the patient? (60 minutes) Excellent for Video and Podcast. (JIA) 

]]>SUMMARY: Drs Frank Hsu, Head of Neurosurgery at UC Irvine; Edward Kuan Professor of Otolaryngology and Co-director of the Comprehensive Skull Base program; Dennis Malkasian, Neurosurgeon, Molecular Biologist, and Anatomist, and Alexander Himstead, PGY 4 in Neurosurgery, moderated by Dr. Ausman, have an intergenerational discussion on the Present and Future of Skull Base surgery. The panel’s ages range from 30 to 80’s with a wide surgical experience. The field has grown from the gross removal of these tumors in complex locations to using minimal retraction, different corridors to reach the lesion, using advancing technology, and better understanding of the biology of the lesions to quality of life considerations and multimodality treatment. 

With about 17,000 new primary brain tumors a year of which ~25% are acoustic and pituitary lesions, and 110 academic programs in the USA with skull base programs, are there enough cases to train competent skull base surgeons for the future? How is over-treatment controlled? Are Multi-Disciplinary teams of specialists the future of Skull base surgery? What are the limits of surgery? Is Proton Beam therapy with focused radiation only on the lesion, the future? What about the biology of the neoplasm? Will molecular treatments limit the use of surgery? NF2 acoustics have a genetic abnormality as do chordomas. Will DNA, RNA, or protein manipulation be the future? Should this interdisciplinary approach to managing complex medical problems be suited for academia rather than competing with the practicing physicians over routine cases? Should geneticists be part of a multidisciplinary team to mange these lesions? Will expansion into orbital lesions add a new dimension to the field? Is total removal the goal or quality of life and limited morbidity? When does a surgeon stop and why? In acoustic neuromas, is subtotal removal followed by radiation, sparing a 7th nerve deficit, lead to better outcomes? How aggressive should we be with benign disease? 

Do multidisciplinary teams have better outcomes? How are diverse people in these teams to be compensated? Are Skull Base fellowships filled, and what is the future for the young surgeon? How will advancing technology with 3D imaging, MR 7-Tesla angiography and detailed imaging change skull base surgery? Is the future more sub-specialization where we know more and more about less and less be satisfying? Will surgery be eliminated as a treatment by 2100? 85% of diseases in the world occur in 85% of the population that lives in developing countries. How can these advances be brought to billions of people who have no access to them? Is the high cost of treating these lesions justified? Because skull based lesions are fixed, image guided surgery can avoid brain shift and allow better imaging at surgery. Does technology make a better surgeon or is good surgical judgment an essential component of success? How do you teach Judgment? What is the importance of the anatomy laboratory in refining the surgeons knowledge to utilize all modalities at his/her disposal? Can AI solve all these questions? Is an excellent patient outcome the goal over surgical or other treatments? 

What are your answers to these questions which are fundamental to all of Medicine? Who is thinking about all of these factors and planning for the future? An outstanding discussion with many pearls of wisdom. See the upcoming video on the UCI team’s approach to chordomas and large meningiomas. How are all the above considerations used in the treatment of the patient? (60 minutes) Excellent for Video and Podcast. (JIA) 

]]>dffbf1d8-6313-4c27-ba70-8fe81ada0b57Fri, 14 Nov 2025 09:00:00 -070056:34falsefull13103101Omniwar; Part 1; Dr. David Hughes; Technocracy; the New Authoritarian Government;SUMMARY: WHAT IS YOUR FUTURE?

AN INTERVIEW WITH DR. DAVID HUGHES ON WW III, OR OMNIWAR, -

A FIGHT OF CENTRAL CONTROL VS INDIVIDUAL LIBERTY.  WHAT IT MEANS TO YOU. PART 1 

 

SUMMARY Part 1: At the time of the 1930s there was the Great Economic Depression and the rise of Naziism in Germany and Communism in the Soviet Union. In the 1930s, the “elitest” segment of the population, decided to create a “perfect society” to avoid what they considered the social and economic problems of that time. Concurrently, the wealthy “elite” controlled giant businesses and subsequently had developed significant influence over US government and the world governments, as well. They not only wanted to grow and preserve their own wealth and influence into the future, but they also desired to create a “New World Order”. In fact, this “New World Order” was introduced over 100 years earlier and carefully described in philosophical/political writings at that time. They had no faith that the people, in any way, were smart enough or technologically savvy enough to meet the coming challenges these elite envisioned globally. The elitists believed that the timing was conducive to launch the New World Order.”

 

In 1930’s technology began to emerge which would provide a means to influence the future. Over the succeeding decades, technological developments allowed everyone and everything to be interconnected, digitized, and controlled ‘from the molecular level of the cell to the stratosphere’. Research advances in technology allowed unprecedented control of the brain, an ability to produce vision in the blind, movement in paralyzed people, and eventually mind control. Technology became a tool to achieve a utopian society and was pursued largely outside of government by Non-Government Organizations (NGOs). Military technological research was conducted under the guise of ‘protecting the Nation’. It appears that this research and these organizations were supported by funds (the missing $21 trillion dollars) taken from the US Government resources (from taxpayer monies) and by money from the rich “elite” behind this utopian idea. 

 

These para-governmental organizations and influential people outside of government needed to destroy the existing governing systems to establish their totalitarian, technocratic system that would eventually control everything and erase personal privacy by extensive surveillance of the population. In a World Economic Forum chart, control of everything is listed except the local governments and religion. A Transnational Deep State using a Global Digital Network would be in total control of people and their privacy. Technical advances would be used to gather private personal information so that individual’s data including, medical, personal and economic, would be exposed and as a result, individual privacy would be lost. 

 

Dr. David Hughes, an expert in psychological warfare and technocracy, describes this as World War III, or an Omniwar for power and money, fought at multiple levels in society.  In the 1970s supported by David Rockefeller of the Rockefeller Foundation, who advocated a one world government, Communist China has become an example of a total Technocratic State, with subjugation of its population. The Ukraine-Russia war provided an opportunity to digitize all the state records of everything, as a first step in the West, leading to actual digitized states and a world of central government control. The democratic governments of the USA and Israel were opposed by the Transnational Deep State as Free Democracies in opposition its New World Order concept. The unprovoked October 7 attack on Isreal by Hamas and the neighboring Arab countries elicited a devastating counterattack by Isreal using advanced technology to defend itself against extermination by its enemies. This was a message of resistance to the New World Order in the use of technology for defense. 

 

In 2020 the Covid-19 false pandemic, first simulated in a computer trial in 2019, under the guidance of Bill Gates as a plan to thwart predicted future pandemics. The benign Covid Virus was unleashed on the public in China. However, the inadequately tested Covid Vaccine which followed, resulted in 20 million deaths in a world of 8 billion people, with many additional injured for life. This series of events demonstrated that the people would willingly surrender their freedoms in the face of a carefully crafted, programmed fear. The Covid-19 false pandemic was the largest major psychological operation against people in history and was initiated by coordinated international government activity and compliance. This series of events was unlikely to have been accidental. Who was behind this deeply organized transnational effort has never been revealed for obvious reasons of gross treason and murder.  

 

Presently, with the growing threat of AI, there is a concern that decisions could be made by machines, and not people, eliminating laws and regulations based on Constitutional mandates. This would be the end of politics as we know it.  In this Technocracy, people are irrelevant and dispensable. Dr. Hughes provides many examples to support this scenario, many of which are taking place in China today. These concerns were raised in this discussion between David Hughes and Dr. Blaylock as moderator, with Dr. Ausman, and Dr. Kaplan. Hughes’ book, “Covid-19”, Psychological Operations, and the War for Technocracy, Vol I, discusses the present “Omniwar” and is filled with excellent information. He also has three videos discussing this Omniwar with other experts in the field. (80 minutes of Discussion in each) (80 MINUTES -DISCUSSION) 

 

James I. Ausman and Russell L. Blaylock 

 

]]>SUMMARY: WHAT IS YOUR FUTURE?

AN INTERVIEW WITH DR. DAVID HUGHES ON WW III, OR OMNIWAR, -

A FIGHT OF CENTRAL CONTROL VS INDIVIDUAL LIBERTY.  WHAT IT MEANS TO YOU. PART 1 

 

SUMMARY Part 1: At the time of the 1930s there was the Great Economic Depression and the rise of Naziism in Germany and Communism in the Soviet Union. In the 1930s, the “elitest” segment of the population, decided to create a “perfect society” to avoid what they considered the social and economic problems of that time. Concurrently, the wealthy “elite” controlled giant businesses and subsequently had developed significant influence over US government and the world governments, as well. They not only wanted to grow and preserve their own wealth and influence into the future, but they also desired to create a “New World Order”. In fact, this “New World Order” was introduced over 100 years earlier and carefully described in philosophical/political writings at that time. They had no faith that the people, in any way, were smart enough or technologically savvy enough to meet the coming challenges these elite envisioned globally. The elitists believed that the timing was conducive to launch the New World Order.”

 

In 1930’s technology began to emerge which would provide a means to influence the future. Over the succeeding decades, technological developments allowed everyone and everything to be interconnected, digitized, and controlled ‘from the molecular level of the cell to the stratosphere’. Research advances in technology allowed unprecedented control of the brain, an ability to produce vision in the blind, movement in paralyzed people, and eventually mind control. Technology became a tool to achieve a utopian society and was pursued largely outside of government by Non-Government Organizations (NGOs). Military technological research was conducted under the guise of ‘protecting the Nation’. It appears that this research and these organizations were supported by funds (the missing $21 trillion dollars) taken from the US Government resources (from taxpayer monies) and by money from the rich “elite” behind this utopian idea. 

 

These para-governmental organizations and influential people outside of government needed to destroy the existing governing systems to establish their totalitarian, technocratic system that would eventually control everything and erase personal privacy by extensive surveillance of the population. In a World Economic Forum chart, control of everything is listed except the local governments and religion. A Transnational Deep State using a Global Digital Network would be in total control of people and their privacy. Technical advances would be used to gather private personal information so that individual’s data including, medical, personal and economic, would be exposed and as a result, individual privacy would be lost. 

 

Dr. David Hughes, an expert in psychological warfare and technocracy, describes this as World War III, or an Omniwar for power and money, fought at multiple levels in society.  In the 1970s supported by David Rockefeller of the Rockefeller Foundation, who advocated a one world government, Communist China has become an example of a total Technocratic State, with subjugation of its population. The Ukraine-Russia war provided an opportunity to digitize all the state records of everything, as a first step in the West, leading to actual digitized states and a world of central government control. The democratic governments of the USA and Israel were opposed by the Transnational Deep State as Free Democracies in opposition its New World Order concept. The unprovoked October 7 attack on Isreal by Hamas and the neighboring Arab countries elicited a devastating counterattack by Isreal using advanced technology to defend itself against extermination by its enemies. This was a message of resistance to the New World Order in the use of technology for defense. 

 

In 2020 the Covid-19 false pandemic, first simulated in a computer trial in 2019, under the guidance of Bill Gates as a plan to thwart predicted future pandemics. The benign Covid Virus was unleashed on the public in China. However, the inadequately tested Covid Vaccine which followed, resulted in 20 million deaths in a world of 8 billion people, with many additional injured for life. This series of events demonstrated that the people would willingly surrender their freedoms in the face of a carefully crafted, programmed fear. The Covid-19 false pandemic was the largest major psychological operation against people in history and was initiated by coordinated international government activity and compliance. This series of events was unlikely to have been accidental. Who was behind this deeply organized transnational effort has never been revealed for obvious reasons of gross treason and murder.  

 

Presently, with the growing threat of AI, there is a concern that decisions could be made by machines, and not people, eliminating laws and regulations based on Constitutional mandates. This would be the end of politics as we know it.  In this Technocracy, people are irrelevant and dispensable. Dr. Hughes provides many examples to support this scenario, many of which are taking place in China today. These concerns were raised in this discussion between David Hughes and Dr. Blaylock as moderator, with Dr. Ausman, and Dr. Kaplan. Hughes’ book, “Covid-19”, Psychological Operations, and the War for Technocracy, Vol I, discusses the present “Omniwar” and is filled with excellent information. He also has three videos discussing this Omniwar with other experts in the field. (80 minutes of Discussion in each) (80 MINUTES -DISCUSSION) 

 

James I. Ausman and Russell L. Blaylock 

 

]]>92f8d087-6df0-4747-a692-43da55ad4198Fri, 14 Nov 2025 09:00:00 -070001:21:44falsefull13033031Management of Giant Pituitary Tumors; Professor C. Ndubuisi ; Enugu Nigeria; Sub Saharan African Grand RoundsSUMMARY: Professor Chika Ndubuisi, Acting Head of Neurosurgery at Memfys Hospital in Enugu, Nigeria explains his groups experience with the management of Giant pituitary tumors (Ademonas) at his hospital. There are difficulties in some of the transmission but his message comes across on how to handle these cases. An active discussion follows that is informative. 41 minutes. Ok for video but some audio troubled for Podcasts. (JIA)

]]>SUMMARY: Professor Chika Ndubuisi, Acting Head of Neurosurgery at Memfys Hospital in Enugu, Nigeria explains his groups experience with the management of Giant pituitary tumors (Ademonas) at his hospital. There are difficulties in some of the transmission but his message comes across on how to handle these cases. An active discussion follows that is informative. 41 minutes. Ok for video but some audio troubled for Podcasts. (JIA)

]]>682e773c-5244-4fd2-905c-1580c9a7f581Sun, 02 Nov 2025 09:00:00 -070041:41falsefull13073071Management of Giant Brain Tumors; Dr. Eric NussbaumSUMMARY: At the 17th Monthly SubSaharan International Neurosurgery Grand Rounds meeting, the subject of the Management of Giant Brain tumors was discussed. These tumors are seen all over the world, usually related to people seeking medical care late in the disease. Dr. Eric Nussbaum, who has treated a number of these patents from outside the USA describes his experience with a patient who had a Giant Osteogenic Sarcoma and a second with an ossifying fibroma and Fibrous Dysplasia. Fibrous Dysphasia is a rare bone condition that happens when abnormal fibrous (scar-like) tissue replaces healthy bone tissue. It is not hereditary but is related to a GNAS1 gene changes after conception. This genetic change affects the osteoblasts.  Major deformities occur as a result of this disease. See how Eric managed these diseases. What would you do? The widely known and respected African Professor Nim Juniahs Mwang'ombe of Kenya, makes some excellent comments on his experience with these tumors. Excellent for video and OK for Podcast, but the images must be seen to be appreciated. With the rise in Medical Tourism, patients with these types of lesions are treated locally and in countries in the developing world for less cost than in the USA. (A message for the developed countries as a trend for the future) (70 minutes presentation and discussion) First rate. (JIA) 

]]>SUMMARY: At the 17th Monthly SubSaharan International Neurosurgery Grand Rounds meeting, the subject of the Management of Giant Brain tumors was discussed. These tumors are seen all over the world, usually related to people seeking medical care late in the disease. Dr. Eric Nussbaum, who has treated a number of these patents from outside the USA describes his experience with a patient who had a Giant Osteogenic Sarcoma and a second with an ossifying fibroma and Fibrous Dysplasia. Fibrous Dysphasia is a rare bone condition that happens when abnormal fibrous (scar-like) tissue replaces healthy bone tissue. It is not hereditary but is related to a GNAS1 gene changes after conception. This genetic change affects the osteoblasts.  Major deformities occur as a result of this disease. See how Eric managed these diseases. What would you do? The widely known and respected African Professor Nim Juniahs Mwang'ombe of Kenya, makes some excellent comments on his experience with these tumors. Excellent for video and OK for Podcast, but the images must be seen to be appreciated. With the rise in Medical Tourism, patients with these types of lesions are treated locally and in countries in the developing world for less cost than in the USA. (A message for the developed countries as a trend for the future) (70 minutes presentation and discussion) First rate. (JIA) 

]]>6d580276-1b44-4257-9a7e-7dd52ca644c9Sun, 02 Nov 2025 09:00:00 -070001:10:46falsefull13063061Richard Ellenbogen, MD; Neurosurgeon, Life and InterviewSUMMARY. Another interview with a successful Neurosurgeon-scientist you would never see or hear elsewhere. Dr Richard Ellenbogen is interviewed by Dr. James Ausman about how he got into Medicine, Neurosurgery, his time as Chair at Walter Reed Hospital, in the armed services. He now is Head of a large successful Department of Neurosurgery at the University of Washington, Seattle, that is highly ranked with outstanding people on faculty. Listen to what he considers important for success in Medicine and Life; How to work with people successfully; What he thinks about the future of Neurosurgery; and how important Soul is to a physician. The interview will grab your attention. Good tips for everyone. Well worth 60 minutes. Excellent for Podcasts and Video (JIA)

]]>SUMMARY. Another interview with a successful Neurosurgeon-scientist you would never see or hear elsewhere. Dr Richard Ellenbogen is interviewed by Dr. James Ausman about how he got into Medicine, Neurosurgery, his time as Chair at Walter Reed Hospital, in the armed services. He now is Head of a large successful Department of Neurosurgery at the University of Washington, Seattle, that is highly ranked with outstanding people on faculty. Listen to what he considers important for success in Medicine and Life; How to work with people successfully; What he thinks about the future of Neurosurgery; and how important Soul is to a physician. The interview will grab your attention. Good tips for everyone. Well worth 60 minutes. Excellent for Podcasts and Video (JIA)

]]>ec1f8832-ad1e-4a60-90ca-bc22ed7b7aa4Fri, 24 Oct 2025 09:00:00 -070001:05:41falsefull13053051Pain Management Strategies; Ramsis Ghaly, MD and Mabel BansonSUMMARY: Dr. Ramsis Ghaly, with Board certification as a Neurosurgeon, Anesthesiologist; Critical Care Specialist and Pain Medicine Specialist presents a complicated case of a woman who had multiple spine operations and cervical and lumbar fusions for back pain without relief. She became addicted to drugs for the pain. When she was seen by Dr. Ghaly he stopped her drugs, used spinal cord stimulation for her pain and she returned to work. The case is an example of how pain medicine treatments can be abused, patients harmed, and diagnosed a failed back syndrome. Dr. Ghaly reviews the entire spectrum of Drugs used to treat Chronic Pain and their complications; drugs of choice and the invasive treatments now being performed by pain specialists. globally. Dr. Banson, who is from Ghana, also specializes in Pain Management and describes the multiple treatment centers established in Ghana for patients with chronic pain problems. This is an outstanding review of the subject of Chronic Pain and its Management. As other specialists assume the invasive treatments, the potential for patient harm rises. Dr. Ghaly suggests a solution for this growing problem. Total presentation by two specialists 2 hours. Dr. Ghaly's talk could have been divided into 3 of 4 parts but I chose to present them together for continuity. Excellent for Video for Podcast (JIA)

]]>SUMMARY: Dr. Ramsis Ghaly, with Board certification as a Neurosurgeon, Anesthesiologist; Critical Care Specialist and Pain Medicine Specialist presents a complicated case of a woman who had multiple spine operations and cervical and lumbar fusions for back pain without relief. She became addicted to drugs for the pain. When she was seen by Dr. Ghaly he stopped her drugs, used spinal cord stimulation for her pain and she returned to work. The case is an example of how pain medicine treatments can be abused, patients harmed, and diagnosed a failed back syndrome. Dr. Ghaly reviews the entire spectrum of Drugs used to treat Chronic Pain and their complications; drugs of choice and the invasive treatments now being performed by pain specialists. globally. Dr. Banson, who is from Ghana, also specializes in Pain Management and describes the multiple treatment centers established in Ghana for patients with chronic pain problems. This is an outstanding review of the subject of Chronic Pain and its Management. As other specialists assume the invasive treatments, the potential for patient harm rises. Dr. Ghaly suggests a solution for this growing problem. Total presentation by two specialists 2 hours. Dr. Ghaly's talk could have been divided into 3 of 4 parts but I chose to present them together for continuity. Excellent for Video for Podcast (JIA)

]]>2e819c9b-1ede-4a7d-8c17-d57153a482e7Sun, 05 Oct 2025 09:00:00 -070001:46:17falsefull13023021How we built a Neuroscience and Stroke Center in Punjab Pakistan; Drs. Asif Bashir, Qasim Bashir; and Ghaus MalikSUMMARY: Drs Asif and Qasim Bashir with the mentoring of Dr Ghaus Malik, describe how they built a First Rate Stroke Center and Neuroscience Center in Punjab, Pakistan for 160 million people. Combining the needs of of the private sector with those of the large public population and using government and private funds, they have developed a leading practice, research and educational program that is a model for those in the LMIC. 85% of the world's population and 85% of global disease occurs in the LMIC. This program is an example of why the centers of disease management will shift from the HIC to the LMIC where billions of the world's population reside. It also describes how to attract and use public and private funds to address the health needs of the country. Both centers are being used as training grounds for those in the HIC, who do not have access to large volumes of clinical experience or for less costly but quality care medicine. (2 hours of Presentations and Discussions). Videos and Podcasts are also available in separate sections for independent viewing and listening. A must see and hear for those worldwide as an example of the future in Healthcare. Excellent for video or Podcast (JIA)

]]>SUMMARY: Drs Asif and Qasim Bashir with the mentoring of Dr Ghaus Malik, describe how they built a First Rate Stroke Center and Neuroscience Center in Punjab, Pakistan for 160 million people. Combining the needs of of the private sector with those of the large public population and using government and private funds, they have developed a leading practice, research and educational program that is a model for those in the LMIC. 85% of the world's population and 85% of global disease occurs in the LMIC. This program is an example of why the centers of disease management will shift from the HIC to the LMIC where billions of the world's population reside. It also describes how to attract and use public and private funds to address the health needs of the country. Both centers are being used as training grounds for those in the HIC, who do not have access to large volumes of clinical experience or for less costly but quality care medicine. (2 hours of Presentations and Discussions). Videos and Podcasts are also available in separate sections for independent viewing and listening. A must see and hear for those worldwide as an example of the future in Healthcare. Excellent for video or Podcast (JIA)

]]>f6dfec75-a2d1-4f02-a4af-cc10ed06df4dSat, 04 Oct 2025 09:00:00 -070002:13:23falsefull13013011Minimally Invasive Spine Surgery; Tubular Surgery vs Pure Endoscopic Surgery; SubSaharan African Grand RoundsSUMMARY: This Video is likely the best interactive teaching video in SNI Digital®. This cannot be produced in any other format. "Minimally Invasive Spine Surgery (MIS) on how I do it". Two different approaches used: 1) Interlaminar Tubular Lumbar Microdiscectomy by Dr. Wague from Senegal and 2) Full Endoscopic Approach using the "Borescope" without a Microscope by Dr. Joham Choque Velasquez from Helsinki and Peru. This program lasts 105 minutes and is full of pearls and tips from many surgeons in the audience and the speakers. Will the Interlaminar Tubular approach be replaced by the Borscope, an inexpensive endoscope with great illumination, for surgery done thru a smaller tube with less exposure, lower cost, less bleeding and faster patient recovery? The surgeon operates off of a computer screen. Pros and Cons discussed. Compare the differences in cost. Listen to the Discussion on the video which has some images and with the Podcast in which you can follow the discussion without video. Excellent learning experience with people giving their honest experience.

]]>SUMMARY: This Video is likely the best interactive teaching video in SNI Digital®. This cannot be produced in any other format. "Minimally Invasive Spine Surgery (MIS) on how I do it". Two different approaches used: 1) Interlaminar Tubular Lumbar Microdiscectomy by Dr. Wague from Senegal and 2) Full Endoscopic Approach using the "Borescope" without a Microscope by Dr. Joham Choque Velasquez from Helsinki and Peru. This program lasts 105 minutes and is full of pearls and tips from many surgeons in the audience and the speakers. Will the Interlaminar Tubular approach be replaced by the Borscope, an inexpensive endoscope with great illumination, for surgery done thru a smaller tube with less exposure, lower cost, less bleeding and faster patient recovery? The surgeon operates off of a computer screen. Pros and Cons discussed. Compare the differences in cost. Listen to the Discussion on the video which has some images and with the Podcast in which you can follow the discussion without video. Excellent learning experience with people giving their honest experience.

]]>309672f8-3ce9-4568-9588-59a9b636d3e2Sun, 07 Sep 2025 09:00:00 -070001:43:59falsefull12862861L5-S1 lumbar disc; What can go wrong? Workmans Compensation; Investigative Report; Dr. GhalySUMMARY: Dr Ramsis Ghaly, with Boards in Neurosurgery, Anesthesia, Critical Care, Pain medicine presents a personal case of a patient with classic L5/S1 disc disease from a work related injury. Microdiscectomy vs Endoscopic approaches?; Surgical tips; Total Healthcare System failure in supporting this patient with severe disabled pain; What went wrong? Why? Do you see these patients? Is treatment in Africa a better? Total failure of Workman's Compensation Insurance? What would you do with such a patient when the insurance is there but the system failed? Should you take these cases? Was Dr. Ghaly right to assume responsibility for the patient's care? What would you do? 30 minutes Lecture and 30 minutes Discussion. (JIA) 

]]>SUMMARY: Dr Ramsis Ghaly, with Boards in Neurosurgery, Anesthesia, Critical Care, Pain medicine presents a personal case of a patient with classic L5/S1 disc disease from a work related injury. Microdiscectomy vs Endoscopic approaches?; Surgical tips; Total Healthcare System failure in supporting this patient with severe disabled pain; What went wrong? Why? Do you see these patients? Is treatment in Africa a better? Total failure of Workman's Compensation Insurance? What would you do with such a patient when the insurance is there but the system failed? Should you take these cases? Was Dr. Ghaly right to assume responsibility for the patient's care? What would you do? 30 minutes Lecture and 30 minutes Discussion. (JIA) 

]]>eccfc652-d750-470d-8298-5c225832b6bdTue, 02 Sep 2025 09:00:00 -070001:01:22falsefull12852851Technocracy, Mind Control; Psychological Operations; Dr Blaylock ReportsSUMMARY: The Technocrats believe that all humans and social problems will be solved with Technology which will also control humans genetically by transhumanism. Is this true? Have you been confused by the following crises, recently? What does the Global Energy Crisis, War in Ukraine, Global Food Crisis, Dutch Farmers' strike, Canada's Truckers' strike, Global Debt and Banking Crisis, Government Cryptocurrency, Covid 19 Crisis, Control of the Media have in common? These were all attacks on the population driven by fear to produce conformity and destroy democratic governance. The end goal was to establish Technocracy to replace governing systems with a centrally controlled technology system and eventually rule over the people (Transhumanism). The Technocrats, using propaganda and mind control tools, justified these crises by fake scientism. The Media will not report it because technocracy controls the Media. So the public is mostly unaware of the real causes of these events. Patrick Cook and David Hughes, two world experts in Technocracy and Mind Control, outline their detailed research into these subjects. They explain the false science behind all these crises. It is well worth seeing or hearing. See the discussion with Drs. Blaylock and Ausman to learn about these events and the dangers some are plotting to control your life and future. Sound unbelievable? Yes, until you hear the progress these technocrats have made on fulfilling their agenda. Further reading of their books will prove more details. This may be the most important video you will see about the Future. It is part of SNI Digital®'s goals to expose you to information you may not have, to find the TRUTH. Yes, there are some crazy people in the world. The problem is to keep them from taking power from the people. Hear their suggestions to counter these trends. 70 minutes (JIA)  

]]>SUMMARY: The Technocrats believe that all humans and social problems will be solved with Technology which will also control humans genetically by transhumanism. Is this true? Have you been confused by the following crises, recently? What does the Global Energy Crisis, War in Ukraine, Global Food Crisis, Dutch Farmers' strike, Canada's Truckers' strike, Global Debt and Banking Crisis, Government Cryptocurrency, Covid 19 Crisis, Control of the Media have in common? These were all attacks on the population driven by fear to produce conformity and destroy democratic governance. The end goal was to establish Technocracy to replace governing systems with a centrally controlled technology system and eventually rule over the people (Transhumanism). The Technocrats, using propaganda and mind control tools, justified these crises by fake scientism. The Media will not report it because technocracy controls the Media. So the public is mostly unaware of the real causes of these events. Patrick Cook and David Hughes, two world experts in Technocracy and Mind Control, outline their detailed research into these subjects. They explain the false science behind all these crises. It is well worth seeing or hearing. See the discussion with Drs. Blaylock and Ausman to learn about these events and the dangers some are plotting to control your life and future. Sound unbelievable? Yes, until you hear the progress these technocrats have made on fulfilling their agenda. Further reading of their books will prove more details. This may be the most important video you will see about the Future. It is part of SNI Digital®'s goals to expose you to information you may not have, to find the TRUTH. Yes, there are some crazy people in the world. The problem is to keep them from taking power from the people. Hear their suggestions to counter these trends. 70 minutes (JIA)  

]]>38f8a3e0-adb3-4f68-a396-8605e34265d9Mon, 04 Aug 2025 09:00:00 -070001:20:13falsefull12832831Cranio Vertebral Junction abnormalities; Review of Management ; Kenya ExperienceSUMMARY: Professor Nimrod Mgwanb'ombe, challenges us with a complicated case of cranio-vertebral junction abnormalities presenting as an Chiari I problem symptomatically. However the pathology was complicated by the compaction of the brain stem through the foramen magnum and the posterior displacement of the dens impacting the brain stem and basilar invagination. See how this case management evolves and how it is a genetically related disorder with different anatomical lesions. It is only found in certain tribes in Africa. This is another fine scholarly presentation by Dr. Mgwamb'ombe. The patient failed three operations to decompress and stabilize the craniovertebral junction. Is this a developmental genetic disease effecting the brain, neurons, and bony structures. as Dr. Tom Milhorat suggested and Dr. Lazareff questioned being treated unsuccessfully surgically? How would you manage this case? 36 minutes (JIA)

]]>SUMMARY: Professor Nimrod Mgwanb'ombe, challenges us with a complicated case of cranio-vertebral junction abnormalities presenting as an Chiari I problem symptomatically. However the pathology was complicated by the compaction of the brain stem through the foramen magnum and the posterior displacement of the dens impacting the brain stem and basilar invagination. See how this case management evolves and how it is a genetically related disorder with different anatomical lesions. It is only found in certain tribes in Africa. This is another fine scholarly presentation by Dr. Mgwamb'ombe. The patient failed three operations to decompress and stabilize the craniovertebral junction. Is this a developmental genetic disease effecting the brain, neurons, and bony structures. as Dr. Tom Milhorat suggested and Dr. Lazareff questioned being treated unsuccessfully surgically? How would you manage this case? 36 minutes (JIA)

]]>fbe2a9d5-0178-46a3-ae38-54e01660b18cMon, 04 Aug 2025 09:00:00 -070035:13falsefull12802801Cauda Equina Syndrome; Cost Effective SurgerySUMMARY: Dr. Al-hassan Dasan Andani from Accra, Ghana presents a case in which a patient from a rural setting was referred to the Greater Accra Regional Hospital for care of a rapidly progressive weakness of the lower extremities and loss of bowel and bladder control. The surgeons diagnosed Cauda Equina Syndrome. The patient had very limited resources to pay. Even the use of a drill at surgery costs money. With the assistance of Estrada Bernard, MD, the surgeons used a creative approach to a minimally invasive procedure to reach the pathology. See what they did to create a cost effective surgery after which the patient was discharged the next day. Very creative use of resources. 38 minutes (JIA)

]]>SUMMARY: Dr. Al-hassan Dasan Andani from Accra, Ghana presents a case in which a patient from a rural setting was referred to the Greater Accra Regional Hospital for care of a rapidly progressive weakness of the lower extremities and loss of bowel and bladder control. The surgeons diagnosed Cauda Equina Syndrome. The patient had very limited resources to pay. Even the use of a drill at surgery costs money. With the assistance of Estrada Bernard, MD, the surgeons used a creative approach to a minimally invasive procedure to reach the pathology. See what they did to create a cost effective surgery after which the patient was discharged the next day. Very creative use of resources. 38 minutes (JIA)

]]>bea57ba1-f409-4d23-86a1-abd2cc32d1f1Mon, 04 Aug 2025 09:00:00 -070036:31falsefull12792791Chiari Type 1, Other Craniovertebral Junction disorders; cost effective treatment of Cauda Equina syndrome saving money; Subsaharan Grand Rounds; All presentationsSUMMARY: This video contains all the three presentations from the 14th International SubSaharan African Grand Rounds in Neurosurgery meeting. The first, by Jorge Lazareff, MD, is an excellent analysis of the evolution of surgical treatments and their basis in scientific fact and dangers in an incomplete understanding of the nature of the disease as we move from what we see to what we cannot see as causes of disease. The second by Nim Mgwamb'ombe, a neurosurgical leader in Africa from Kenya, on his life experience with craniovertebral junction disorders. The final presentation is how to treat an acute Cauda Equina Syndrome in a low resource environment in Ghana, where the patient has to personally pay for everything. How can the surgical treatment become cost effective? 2 hours total. (JIA)

]]>SUMMARY: This video contains all the three presentations from the 14th International SubSaharan African Grand Rounds in Neurosurgery meeting. The first, by Jorge Lazareff, MD, is an excellent analysis of the evolution of surgical treatments and their basis in scientific fact and dangers in an incomplete understanding of the nature of the disease as we move from what we see to what we cannot see as causes of disease. The second by Nim Mgwamb'ombe, a neurosurgical leader in Africa from Kenya, on his life experience with craniovertebral junction disorders. The final presentation is how to treat an acute Cauda Equina Syndrome in a low resource environment in Ghana, where the patient has to personally pay for everything. How can the surgical treatment become cost effective? 2 hours total. (JIA)

]]>596668b5-5e02-4d6c-8627-17ba71c219d8Mon, 04 Aug 2025 09:00:00 -070002:06:19falsefull12762761Chiari 1; Philosophy of Treatment; Jorge Lazareff, MDSUMMARY: 10 years ago I (Jim Ausman-JIA) was asked to visit Dr. Tom Milhorat in New York to review his work on Chiari abnormalities. I had known Tom from the NIH where he was an excellent scientist. He devoted his career to the study of CSF and Chiari Disorders. He and his interdisciplinary team of Neurologists and Neuroscientists studied the Chiari deformities in a large series of patients. He and his team took detailed histories of these patients, measured the dimensions of the posterior fossa in detail, categorized other anomalies they saw; recorded the psychological state of the patients, documented those with tethered cord and more. At the time no such exhaustive study of this disease had been made. He concluded that the Chiari disorders was spectrum of disorders, likely genetically based, with differing penetrance of clinical signs and symptoms. Included in this spectrum of disorders was craniosynostosis, Chiari 1,2 ,3, tethered cord, osteogenesis imperfecta, Cranial facial disorders, neurological signs of nystagmus, and cranial nerve disease, psychological disorders indicating brain neural development disorders, and syringomyelia . He was thoroughly criticized for his radical views of this disease spectrum and surgical treatments such as cutting the filum by the pediatric neurosurgical community. He was another pioneer whose ideas were ruthlessly rejected. Some, related to jealousy.

Dr. Jorge Lazareff in this challenging, thought provoking, analysis of reviews how the treatments for Chiari 1 developed over time based on clinical observations mostly centered in increased CSF pressure. Yet in his insightful analysis, not all of the symptoms and signs found with Chiari 1 disorders can be explained by increased intracranial pressure. Surgery is an answer in many cases but is seriously a deficient analysis of the cause of this disease. The disease has a much wider spectrum of presentations now most likely related to a genetic disorder (s) of the CNS, still not well recognized. Dr Milorhat was likely correct in his detailed studies. Dr. Lazareff describes how 'we come to believe what we believe is true' by being rewarded with some surgical successes for a disease that is not totally surgical, but has another cause. His analysis is humbling and shows how, in treating patients, we are trying to do the best we can without a full understanding of the disease and can make some serious mistakes. Like the. treatment of Epilepsy in the past for a disease which was not understood and believed related to Gods and Demons, feared and treated with isolation of the patients. How can one recognize these mistakes? See what you decide after seeing this outstanding challenging debate on the fundamentals of Medicine. What do we really know about the diseases we treat and how we are treating them? What about the treatment of back pain? One of the best "Lecture-Discussions" on SNI Digital®. Essential viewing for all physicians and students at all levels. 60 minutes (JIA) From the Subsaharan African Grand Rounds meeting sponsored by SNI Digital and the Subsaharan Neurosurgeons. 

]]>SUMMARY: 10 years ago I (Jim Ausman-JIA) was asked to visit Dr. Tom Milhorat in New York to review his work on Chiari abnormalities. I had known Tom from the NIH where he was an excellent scientist. He devoted his career to the study of CSF and Chiari Disorders. He and his interdisciplinary team of Neurologists and Neuroscientists studied the Chiari deformities in a large series of patients. He and his team took detailed histories of these patients, measured the dimensions of the posterior fossa in detail, categorized other anomalies they saw; recorded the psychological state of the patients, documented those with tethered cord and more. At the time no such exhaustive study of this disease had been made. He concluded that the Chiari disorders was spectrum of disorders, likely genetically based, with differing penetrance of clinical signs and symptoms. Included in this spectrum of disorders was craniosynostosis, Chiari 1,2 ,3, tethered cord, osteogenesis imperfecta, Cranial facial disorders, neurological signs of nystagmus, and cranial nerve disease, psychological disorders indicating brain neural development disorders, and syringomyelia . He was thoroughly criticized for his radical views of this disease spectrum and surgical treatments such as cutting the filum by the pediatric neurosurgical community. He was another pioneer whose ideas were ruthlessly rejected. Some, related to jealousy.

Dr. Jorge Lazareff in this challenging, thought provoking, analysis of reviews how the treatments for Chiari 1 developed over time based on clinical observations mostly centered in increased CSF pressure. Yet in his insightful analysis, not all of the symptoms and signs found with Chiari 1 disorders can be explained by increased intracranial pressure. Surgery is an answer in many cases but is seriously a deficient analysis of the cause of this disease. The disease has a much wider spectrum of presentations now most likely related to a genetic disorder (s) of the CNS, still not well recognized. Dr Milorhat was likely correct in his detailed studies. Dr. Lazareff describes how 'we come to believe what we believe is true' by being rewarded with some surgical successes for a disease that is not totally surgical, but has another cause. His analysis is humbling and shows how, in treating patients, we are trying to do the best we can without a full understanding of the disease and can make some serious mistakes. Like the. treatment of Epilepsy in the past for a disease which was not understood and believed related to Gods and Demons, feared and treated with isolation of the patients. How can one recognize these mistakes? See what you decide after seeing this outstanding challenging debate on the fundamentals of Medicine. What do we really know about the diseases we treat and how we are treating them? What about the treatment of back pain? One of the best "Lecture-Discussions" on SNI Digital®. Essential viewing for all physicians and students at all levels. 60 minutes (JIA) From the Subsaharan African Grand Rounds meeting sponsored by SNI Digital and the Subsaharan Neurosurgeons. 

]]>e373a736-f879-4c36-b5eb-231d08d4cb94Mon, 04 Aug 2025 09:00:00 -070001:01:22falsefull12752751Ghaly Case Reports; Complex Spine; 5 operations; Pain; Failures of Heath SystemSUMMARY: Why did you go into Medicine? Dr. Ramsis Ghaly, Board Certified in Neurosurgery, Anesthesia, Critical Care Medicine, & Pain, presents a complicated patient's story of Cervical and Lumbar spine disease. What would you do? Get the facts. See the whole video or hear the Podcast and decide. Lots of messages about spine surgery and Medicine as it is practiced today in the USA. Is the practice of Medicine better in HIC than LMIC? 

 This is a case of a Failed Diagnosis and MIS Surgery by her second physician- failed physician syndrome, not a failed back syndrome as is commonly diagnosed. She also had a fracture of vertebral body by cage insertion, extensive fusion that was unnecessary more failed physician training, and a failed closed health system preventing her from seeing the physician she wanted, failed Insurance, and failed reimbursement of a physician in a health system that does not recognize competence and time do diagnose and properly treat patients.

All of these disincentives are caused by the business takeover of Medicine placing profit before competence. Also there is obvious inadequate educational training of the physicians who cared for her and likely poor standards for certification. Is this incompetence, or DEI, political correctness, or the failure to attract and educate competent people as physicians? The patient comes last while profit dominates for the providers and insurers. Will AI solve such problems? Will more technology be the answer? Robot physicians? How are these deficiencies corrected? Are the professional societies responsible? Who pays the patient for these inadequacies leading to her and her family's destroyed lives? Why didn't the patient file a malpractice complaint? No lawyer to testify in her defense, as physicians' associations prevent that from happening? She was not told the truth by some physicians who were covering their errors and told nothing could be done. How is that behavior fixed? Where did the physician learn that? Is the government responsible? How does the physician today avoid all these errors in this business-dominated monetary- incentivized, government-regulated system that places money before the concern for the patient? Should you do anything to correct this system? Only concerned about your problems? Beyond your pay grade? What does the patient expect of their physician? This is the world we live in. What is the Truth? Should we accept it from doctors? Is that why the respect for physicians has fallen 20% in the last Gallup poll? What would you have done in this case? Why did you go into Medicine? 60 minutes. (JIA)

]]>SUMMARY: Why did you go into Medicine? Dr. Ramsis Ghaly, Board Certified in Neurosurgery, Anesthesia, Critical Care Medicine, & Pain, presents a complicated patient's story of Cervical and Lumbar spine disease. What would you do? Get the facts. See the whole video or hear the Podcast and decide. Lots of messages about spine surgery and Medicine as it is practiced today in the USA. Is the practice of Medicine better in HIC than LMIC? 

 This is a case of a Failed Diagnosis and MIS Surgery by her second physician- failed physician syndrome, not a failed back syndrome as is commonly diagnosed. She also had a fracture of vertebral body by cage insertion, extensive fusion that was unnecessary more failed physician training, and a failed closed health system preventing her from seeing the physician she wanted, failed Insurance, and failed reimbursement of a physician in a health system that does not recognize competence and time do diagnose and properly treat patients.

All of these disincentives are caused by the business takeover of Medicine placing profit before competence. Also there is obvious inadequate educational training of the physicians who cared for her and likely poor standards for certification. Is this incompetence, or DEI, political correctness, or the failure to attract and educate competent people as physicians? The patient comes last while profit dominates for the providers and insurers. Will AI solve such problems? Will more technology be the answer? Robot physicians? How are these deficiencies corrected? Are the professional societies responsible? Who pays the patient for these inadequacies leading to her and her family's destroyed lives? Why didn't the patient file a malpractice complaint? No lawyer to testify in her defense, as physicians' associations prevent that from happening? She was not told the truth by some physicians who were covering their errors and told nothing could be done. How is that behavior fixed? Where did the physician learn that? Is the government responsible? How does the physician today avoid all these errors in this business-dominated monetary- incentivized, government-regulated system that places money before the concern for the patient? Should you do anything to correct this system? Only concerned about your problems? Beyond your pay grade? What does the patient expect of their physician? This is the world we live in. What is the Truth? Should we accept it from doctors? Is that why the respect for physicians has fallen 20% in the last Gallup poll? What would you have done in this case? Why did you go into Medicine? 60 minutes. (JIA)

]]>3d858c9b-ac13-4020-8610-534a40a2cf91Sun, 06 Jul 2025 09:00:00 -070001:04:36falsefull12742741Cerebral Plasmacytoma; Rare Tumor; ManagementSUMMARY: Drs. Jeremy Omoro and Okemwa present a rare case of Cerebral Plasmacytoma in a 65 year old female with HA and Left parietal swelling and a progressive course of neurological involvement. A bony mass was seen externally involving the bone, but the neoplasm extended into the brain parenchyma. At surgery hyperostosis of the skull was found from a lesion in the brain, a biochemical bone growth related to the tumor. . After a surprise diagnosis was found not to be a meningioma, a diagnosis of plasmacytoma was made histologically and a treatment plan was developed. How would you manage this case from initial presentation to diagnosis and treatment? What would you do with the bone? How is it treated.The authors, with Dr. Okemwa, a pathologist, provide the details and literature review of this pathology. Interesting and Rare case. 32 minutes. (JIA)

]]>SUMMARY: Drs. Jeremy Omoro and Okemwa present a rare case of Cerebral Plasmacytoma in a 65 year old female with HA and Left parietal swelling and a progressive course of neurological involvement. A bony mass was seen externally involving the bone, but the neoplasm extended into the brain parenchyma. At surgery hyperostosis of the skull was found from a lesion in the brain, a biochemical bone growth related to the tumor. . After a surprise diagnosis was found not to be a meningioma, a diagnosis of plasmacytoma was made histologically and a treatment plan was developed. How would you manage this case from initial presentation to diagnosis and treatment? What would you do with the bone? How is it treated.The authors, with Dr. Okemwa, a pathologist, provide the details and literature review of this pathology. Interesting and Rare case. 32 minutes. (JIA)

]]>c27b2f70-6081-4870-a1c8-ddc0d81ab93cSun, 06 Jul 2025 09:00:00 -070034:10falsefull12722721Anterior Communicating Artery Aneurysms; Dr. Mbaye ThioubSUMMARY: Dr. Mbaye Thioub From Senegal in Africa shows his operative video on Anterior communicating Artery Aneurysms. Excellent video. 22 minutes with discussion.

]]>SUMMARY: Dr. Mbaye Thioub From Senegal in Africa shows his operative video on Anterior communicating Artery Aneurysms. Excellent video. 22 minutes with discussion.

]]>dfb01e7f-2d47-489b-a40c-a688874ea16dSun, 06 Jul 2025 09:00:00 -070022:22falsefull12712711Surgery for ACom Aneurysm; Dr. Mbaye Thioub;SUMMARY: DR. Mbaye Thioub of Dakar, Senegal presents an operative case of Anterior Communicating Artery Aneurysm. Excellent surgery which follows the principles of Dr. Velasquez, talk on these aneurysms. 22 minutes. (JIA)

]]>SUMMARY: DR. Mbaye Thioub of Dakar, Senegal presents an operative case of Anterior Communicating Artery Aneurysm. Excellent surgery which follows the principles of Dr. Velasquez, talk on these aneurysms. 22 minutes. (JIA)

]]>8ff68481-9c87-4840-a4d6-1e68cf3b83dbSun, 06 Jul 2025 09:00:00 -070022:22falsefull12652651Anterior Communicating Artery Aneurysms- Hernesniemi's Perspective.SUMMARY: Dr. Joham Choque Velasquez who worked closely with Dr. Hernesniemi for many years as his associate provides us with the firs of a series of presentations on the Principles of Aneurysm Surgery on Anterior Communicating Artery aneurysms. This 60 minute lecture is full of tips and surgical pearls and comprehensive information for your records and reference. His talk was given at the 13th African SubSaharan Neurosurgery Grand Rounds in July 2025. (72 minutes). (JIA)

]]>SUMMARY: Dr. Joham Choque Velasquez who worked closely with Dr. Hernesniemi for many years as his associate provides us with the firs of a series of presentations on the Principles of Aneurysm Surgery on Anterior Communicating Artery aneurysms. This 60 minute lecture is full of tips and surgical pearls and comprehensive information for your records and reference. His talk was given at the 13th African SubSaharan Neurosurgery Grand Rounds in July 2025. (72 minutes). (JIA)

]]>40c84134-cadb-4ee7-9254-aad109b86d7eSun, 06 Jul 2025 09:00:00 -070001:12:41falsefull12642641Surgical Anatomy of the Cranio-Cervical JunctionSUMMARY: Video test of French African Education Video; Professor Romauld Seizur; University of Brest; from the Campus of Africa de Neurochirurgie Series; Surgical Anatomy of the Cranio-Cervical Junction. First Click Language of choice and the pick this video. English subtitles can be seen by picking Spanish (temporary) and then picking English; Other 12 languages will be translated in Closed Captions and in printed text in that language. Lecture Language is in French.

]]>SUMMARY: Video test of French African Education Video; Professor Romauld Seizur; University of Brest; from the Campus of Africa de Neurochirurgie Series; Surgical Anatomy of the Cranio-Cervical Junction. First Click Language of choice and the pick this video. English subtitles can be seen by picking Spanish (temporary) and then picking English; Other 12 languages will be translated in Closed Captions and in printed text in that language. Lecture Language is in French.

]]>1dfb74d8-7fbd-4c2b-a365-600ab4754c3fSun, 06 Jul 2025 09:00:00 -070051:34falsefull12632631A micro-robotic platform developed for minimally invasive ultra-selective microsurgical procedures and targeted drug delivery; Dr. WIlliam Loudon;SUMMARY: With a team of global scientists, Dr. William Loudon, a Pediatric Neurosurgeon, has developed a unique method of guiding a Mircorobotic device in the CSF pathways to enter the brain tissue and to reach defined targets throughout the CNS for tissue sampling or potential drug delivery at the cellar source of this pathology. This work, done in sheep, is compared to using traditional neurosurgical catheters targeting similar locations in humans. In detailed histological studies, the authors find that there is no difference in tissue damage using the Bionaut (robotic device) compared with catheter use. This pioneering work opens the potential of using this system to obtain tissue samples and for delivering a targeted drug payload to cells. For example, it could be used in obtaining brain stem tissue samples of tumors or to delivering local therapeutics. This research has wide implications in Surgery and Medicine. We look forward to to more publications from Dr. Loudon on this pioneering work. 63 min. (JIA)

]]>SUMMARY: With a team of global scientists, Dr. William Loudon, a Pediatric Neurosurgeon, has developed a unique method of guiding a Mircorobotic device in the CSF pathways to enter the brain tissue and to reach defined targets throughout the CNS for tissue sampling or potential drug delivery at the cellar source of this pathology. This work, done in sheep, is compared to using traditional neurosurgical catheters targeting similar locations in humans. In detailed histological studies, the authors find that there is no difference in tissue damage using the Bionaut (robotic device) compared with catheter use. This pioneering work opens the potential of using this system to obtain tissue samples and for delivering a targeted drug payload to cells. For example, it could be used in obtaining brain stem tissue samples of tumors or to delivering local therapeutics. This research has wide implications in Surgery and Medicine. We look forward to to more publications from Dr. Loudon on this pioneering work. 63 min. (JIA)

]]>de73320e-b762-43f2-9602-42e3d854817fSun, 06 Jul 2025 09:00:00 -070001:03:19falsefull12622621Cook County Health; Pain Management Grand Rounds; Dr. Ghaly; OPLL; Epidural SteroidsSUMMARY: Dr. Ramsis Ghaly, Board certified in Neurosurgery, Anesthesia, Critical Care and Pain Management, unique in the world win specialization, leads a Grand Rounds Discussing OPLL (Ossification of the Posterior Longitudinal Ligament) and its management in addition to a brief review of the place of Epidural Steroids in pain management. This case gives a perspective of the challenges faced providing proper healthcare at a major general hospital in a major city in the USA. Excellent discussion of the OPLL disease and its proper treatment. The conference participants discuss the SNI Digital® publication of Nancy Epstein, MD on epidural steroids from the perspective of pain management physicians.  https://snidigital.org/video/113/Epidural-Spinal-injections-for-pain-Controversy. A practical look at real practice in a selected site with a recognized pain management program. What changes? 65 minutes. Good discussion

]]>SUMMARY: Dr. Ramsis Ghaly, Board certified in Neurosurgery, Anesthesia, Critical Care and Pain Management, unique in the world win specialization, leads a Grand Rounds Discussing OPLL (Ossification of the Posterior Longitudinal Ligament) and its management in addition to a brief review of the place of Epidural Steroids in pain management. This case gives a perspective of the challenges faced providing proper healthcare at a major general hospital in a major city in the USA. Excellent discussion of the OPLL disease and its proper treatment. The conference participants discuss the SNI Digital® publication of Nancy Epstein, MD on epidural steroids from the perspective of pain management physicians.  https://snidigital.org/video/113/Epidural-Spinal-injections-for-pain-Controversy. A practical look at real practice in a selected site with a recognized pain management program. What changes? 65 minutes. Good discussion

]]>dde49020-f2d2-4dbb-8d2b-1dc26163025eSun, 06 Jul 2025 09:00:00 -070001:12:53falsefull12612611Management of Cerebral AVMs- >800 cases; Dr. Ghaus Malik; Part 2SUMMARY: Dr. Ghaus Malik, an internationally recognized expert in the management of Cerebral AVMs, in Part 2 of his Lecture/ Discussion series on the subject, discusses his experience in managing over 800 cerebral AVMs. In Part 2 he presents his experience with Large AVMs, Complex Cerebral AVMs, Embolization; Pediatric Cerebral AVMs, Aneurysms in Pregnancy, Treatment of the Elderly with cerebral AVMs, AVMs with occluded major vessels, Spontaneous obliteration of AVMs, Technical considerations, Limitations of Surgery, His data, and conclusions. Drs. Eric Nussbaum and Ausman comment on their experience with another 600 cases. Excellent Presentation and Discussion of a challenging vascular disease. (65 minutes lecture and discussion.) JIA

]]>SUMMARY: Dr. Ghaus Malik, an internationally recognized expert in the management of Cerebral AVMs, in Part 2 of his Lecture/ Discussion series on the subject, discusses his experience in managing over 800 cerebral AVMs. In Part 2 he presents his experience with Large AVMs, Complex Cerebral AVMs, Embolization; Pediatric Cerebral AVMs, Aneurysms in Pregnancy, Treatment of the Elderly with cerebral AVMs, AVMs with occluded major vessels, Spontaneous obliteration of AVMs, Technical considerations, Limitations of Surgery, His data, and conclusions. Drs. Eric Nussbaum and Ausman comment on their experience with another 600 cases. Excellent Presentation and Discussion of a challenging vascular disease. (65 minutes lecture and discussion.) JIA

]]>f76263a6-20fa-4d62-824a-275fc48fe701Sun, 06 Jul 2025 09:00:00 -070001:05:56falsefull12602601Dr. Blaylock Reports; New Updates; New Covid Strains; Prevention and TreatmentSUMMARY: A New strain of Covid initially found in China is spreading world wide. Is this dangerous to you and your patients? Flu-like symptoms with a persistent cough and sore throat are predominant symptoms. The disease which should not be life threatening can be prevented by recommendations of the Independent Medical Alliance (IMA) (formerly FLCCC) an organization of 20,000 physicians across the USA with experience in treating Covid. (See website Independent Medical Alliance or FLCCC) Dr. Russell Blaylock answers your questions about this new stain, its risks, and details on the recommended treatments. This is a preventable and treatable problem. Vaccines are not necessary except for those at high risk with multiple co-morbidities. In Covid -19, the Vaccines were the cause of the mortality and morbidity world wide, not the infection itself, which is a flu syndrome. The Spike protein in the vaccine is very dangerous. Read the FLCCC /IMA website for more details and references. Excellent reference resource! No vaccines for the young! Important to know for your practice, family, and patients. 22 minutes

]]>SUMMARY: A New strain of Covid initially found in China is spreading world wide. Is this dangerous to you and your patients? Flu-like symptoms with a persistent cough and sore throat are predominant symptoms. The disease which should not be life threatening can be prevented by recommendations of the Independent Medical Alliance (IMA) (formerly FLCCC) an organization of 20,000 physicians across the USA with experience in treating Covid. (See website Independent Medical Alliance or FLCCC) Dr. Russell Blaylock answers your questions about this new stain, its risks, and details on the recommended treatments. This is a preventable and treatable problem. Vaccines are not necessary except for those at high risk with multiple co-morbidities. In Covid -19, the Vaccines were the cause of the mortality and morbidity world wide, not the infection itself, which is a flu syndrome. The Spike protein in the vaccine is very dangerous. Read the FLCCC /IMA website for more details and references. Excellent reference resource! No vaccines for the young! Important to know for your practice, family, and patients. 22 minutes

]]>310a14c0-54de-488c-98fe-d1ff29ed3ff6Sun, 06 Jul 2025 09:00:00 -070022:27falsefull12582581Dr. Blaylock Reports: New Updates on Fluoride toxicitySUMMARY: Wyandotte, a community outside of Detroit has ordered Fluoride to be restored to drinking water, while most developed nations do not have fluoridated water. Portland, Oregon and other cities have or are removing Fluoride from the drinking water. What is the truth? Does Fluoride cause mental IQ changes in the young? Dr. Russell Blaylock reviews the evidence indicating that Fluoride does not prevent dental cavities, contrary to what the American Dental Association states, and it can cause CNS neural damage. You need to know (18 minutes) what are the facts and become a medical advocate in your community. Your patients will want to know. These are the answers to the increasingly more common diseases in the young and chromic diseases in the USA. Give them the web address of this video to watch for themselves.

]]>SUMMARY: Wyandotte, a community outside of Detroit has ordered Fluoride to be restored to drinking water, while most developed nations do not have fluoridated water. Portland, Oregon and other cities have or are removing Fluoride from the drinking water. What is the truth? Does Fluoride cause mental IQ changes in the young? Dr. Russell Blaylock reviews the evidence indicating that Fluoride does not prevent dental cavities, contrary to what the American Dental Association states, and it can cause CNS neural damage. You need to know (18 minutes) what are the facts and become a medical advocate in your community. Your patients will want to know. These are the answers to the increasingly more common diseases in the young and chromic diseases in the USA. Give them the web address of this video to watch for themselves.

]]>b7da51bc-5f3d-4086-b1dd-c6b575da8dbdSun, 06 Jul 2025 09:00:00 -070018:04falsefull12572571Dr. Blaylock Reports; Update: Autism Spectrum Disorders; New information on Cause and Treatment ReportedSUMMARY: Dr. Russell Blaylock presents newly revealed Imaging and Pathologic data confirming his hypothesis that an Acute to Chronic inflammatory cascade, which he calls "Immuno-excitotoxicity" is the underlying cause of this disease process and other CNS degenerative diseases. It is initiated by vaccines, toxins, metabolic deficiencies, which can start this cascade with repeated insults to the cells as in boxing which has a similar immunoexcitotoxic basis leading to Parkinson,s disease. These repeated cellar traumatic episodes lead to a hyperactive state of the microglia in the CNS, the defense cells of the CNS, which then lead to a hyperactive excitatory series of chemical reactions that ultimately destroy the CNS cells and neurons. This hyperactive state of the microglia is called Microglial Priming, which Dr. Blaylock demonstrates in recently revealed work showing microglial activation on imaging studies. In addition to that discovery, a histopathological study, that was ignored from 20 years ago in people from young to 40 years of age with Autistic Spectrum Disorders, reveals the destruction of the neurons, axons, and other cells in the CNS. The authors also show that many inflammatory molecules were elevated as in immuno-excitotoxicity as described by Dr. Blaylock. These findings confirm his hypothesis that Immuno-excitotxicity is the pathological process behind the development of Autistic Spectrum Disorders. This disease has been described as having no known cause or treatment. This disease process is part of new molecular diseases of the 21st century. Should a neurosurgeon know about this new science? You decide. We did by publishing this work. These molecular diseases primarily involve the CNS.

]]>SUMMARY: Dr. Russell Blaylock presents newly revealed Imaging and Pathologic data confirming his hypothesis that an Acute to Chronic inflammatory cascade, which he calls "Immuno-excitotoxicity" is the underlying cause of this disease process and other CNS degenerative diseases. It is initiated by vaccines, toxins, metabolic deficiencies, which can start this cascade with repeated insults to the cells as in boxing which has a similar immunoexcitotoxic basis leading to Parkinson,s disease. These repeated cellar traumatic episodes lead to a hyperactive state of the microglia in the CNS, the defense cells of the CNS, which then lead to a hyperactive excitatory series of chemical reactions that ultimately destroy the CNS cells and neurons. This hyperactive state of the microglia is called Microglial Priming, which Dr. Blaylock demonstrates in recently revealed work showing microglial activation on imaging studies. In addition to that discovery, a histopathological study, that was ignored from 20 years ago in people from young to 40 years of age with Autistic Spectrum Disorders, reveals the destruction of the neurons, axons, and other cells in the CNS. The authors also show that many inflammatory molecules were elevated as in immuno-excitotoxicity as described by Dr. Blaylock. These findings confirm his hypothesis that Immuno-excitotxicity is the pathological process behind the development of Autistic Spectrum Disorders. This disease has been described as having no known cause or treatment. This disease process is part of new molecular diseases of the 21st century. Should a neurosurgeon know about this new science? You decide. We did by publishing this work. These molecular diseases primarily involve the CNS.

]]>cd6ffcab-02e9-41c0-b4a2-d4c88ad4fa40Sun, 06 Jul 2025 09:00:00 -070035:02falsefull12562561Posterior Fossa Tumors in Children; Dr. Jay Wellons III;SUMMARY: Dr. Jay Wellons from Vanderbilt University Medical Center discusses his years of experience with Pediatric Posterior Fossa Tumors. He reviews their International Program in Teaching Neurosurgery. He discusses his experience using pre-op ventricular drainage as benefitting the patient clinically and reducing the need for shunting post op from 70% to 12%. His general principle is to do what you can with compete resections leading to cure in Ependymomas, Pilocytic, and Low Grade tumors; He talks about the different subtypes of Medulloblastomas (WNT, SHH, Group 3 and 4) which have different outcomes; so if possible that typing should be done. They have developed "Cheat Sheet" which summarizes the outcomes and the subgroups of tumors (Included in the references-take a screen shot). The Discussion includes the world experience in treating these tumors. Excellent Summary. (50 minutes) (JIA)

]]>SUMMARY: Dr. Jay Wellons from Vanderbilt University Medical Center discusses his years of experience with Pediatric Posterior Fossa Tumors. He reviews their International Program in Teaching Neurosurgery. He discusses his experience using pre-op ventricular drainage as benefitting the patient clinically and reducing the need for shunting post op from 70% to 12%. His general principle is to do what you can with compete resections leading to cure in Ependymomas, Pilocytic, and Low Grade tumors; He talks about the different subtypes of Medulloblastomas (WNT, SHH, Group 3 and 4) which have different outcomes; so if possible that typing should be done. They have developed "Cheat Sheet" which summarizes the outcomes and the subgroups of tumors (Included in the references-take a screen shot). The Discussion includes the world experience in treating these tumors. Excellent Summary. (50 minutes) (JIA)

]]>8ec3bb13-1c1a-442b-95d8-22abfae4d07aSun, 06 Apr 2025 09:00:00 -070001:00:17falsefull12452451Posterior Fossa Tumors in Children; Memfys Hospital, Enugu, Nigeria, Neurocytoma, Medulloblastoma,SUMMARY: The Neurosurgery Team at Memfys Hospital in Enugu, Nigeria presents. a challenging case of young boy who presented with signs of a posterior fossa tumor. After GTR the patient returned in 8 months with recurrent. symptoms and has a second removal of now a Medulloblastoma. The patient recovered and returned in 2 months with a Neurocytoma at the same site. In the interval between surgery 2 &3 the patient had a wound infection and meningitis. What happened? How can this pathology be explained? Also in a review of the ethnic literature , they found different distributions of tumors in each ethnic group. What does this finding mean? Finally When is enough surgery enough? What do you think? Dr. Jay Wellons from Vanderbilt comments on these questions and presented his group's approach to brain stem tumors. Challenging Case with experiments of Nature. What do they mean? 50 minutes with Discussion. (JIA)

]]>SUMMARY: The Neurosurgery Team at Memfys Hospital in Enugu, Nigeria presents. a challenging case of young boy who presented with signs of a posterior fossa tumor. After GTR the patient returned in 8 months with recurrent. symptoms and has a second removal of now a Medulloblastoma. The patient recovered and returned in 2 months with a Neurocytoma at the same site. In the interval between surgery 2 &3 the patient had a wound infection and meningitis. What happened? How can this pathology be explained? Also in a review of the ethnic literature , they found different distributions of tumors in each ethnic group. What does this finding mean? Finally When is enough surgery enough? What do you think? Dr. Jay Wellons from Vanderbilt comments on these questions and presented his group's approach to brain stem tumors. Challenging Case with experiments of Nature. What do they mean? 50 minutes with Discussion. (JIA)

]]>ffb851b0-0572-4e3d-b2fb-2a8ded0af15cSun, 06 Apr 2025 09:00:00 -070001:04:11falsefull12442441Clipping vs Endovascular Treatment in 2025; Retreatment failure rate for endovascular is 20% and clipping 3%; What is the best? Dr. Rafael TamargoSUMMARY: Dr. Raphael Tamargo reviews the treatment of Intracranial aneurysms by endovascular vs surgical approaches. After surveying the literature for the last 30 years he finds that endovascular approaches have a 20% retreatment rate in 10 years and more with extended time vs 3% with surgical clipping. The retreatment rates for endovascular approaches is astounding and changes the perspective of treatment with endovascular approaches. With Drs. Eric Nussbaum and James Ausman as co-commentators, the three neurosurgeons have 150 years of combined experience in aneurysm treatment. In the LMIC endovascular approaches are too costly and surgical approaches are used as popularized by Hernesniemi. (See his aneurysm surgery videos on SNI and SNI Digital®) The heavy influence of the biomedical industry in this area is noted. The facts do not support this treatment except for aneurysms in special locations they discuss. Training of young neurosurgeons who can become skilled in this surgery is warranted. (70 minutes Discussion) Informative, controversial, factual. (JIA)

]]>SUMMARY: Dr. Raphael Tamargo reviews the treatment of Intracranial aneurysms by endovascular vs surgical approaches. After surveying the literature for the last 30 years he finds that endovascular approaches have a 20% retreatment rate in 10 years and more with extended time vs 3% with surgical clipping. The retreatment rates for endovascular approaches is astounding and changes the perspective of treatment with endovascular approaches. With Drs. Eric Nussbaum and James Ausman as co-commentators, the three neurosurgeons have 150 years of combined experience in aneurysm treatment. In the LMIC endovascular approaches are too costly and surgical approaches are used as popularized by Hernesniemi. (See his aneurysm surgery videos on SNI and SNI Digital®) The heavy influence of the biomedical industry in this area is noted. The facts do not support this treatment except for aneurysms in special locations they discuss. Training of young neurosurgeons who can become skilled in this surgery is warranted. (70 minutes Discussion) Informative, controversial, factual. (JIA)

]]>0e12a22a-8fce-4250-aaef-70cdfda113deSun, 06 Apr 2025 09:00:00 -070001:15:49falsefull12432431Dr. Blaylock Reports: Vitamin D Deficiency; global health problem; Sun exposure does not cause Melanoma; Vitamin D suppresses tumor growth (RAS gene); low levels allow tumor development.SUMMARY: Dr. Blaylock reviews the importance of Vitamin D on human health. On hour exposure to the Sun produces 20,000 units of Vitamin D in the skin/day, far more than needed. The warnings about melanoma are exaggerated as Vitamin D, through the RAS gene, retards cell growth and division. Those with adequate intake of Vitamin D have same risk of melanoma as the unaffected population. Shielding from the Sun leaves the individual responsible for adequate Vitamin D oral intake which is not achieved. So large numbers of people are Vitamin D deficient. Deficiency leads to cancers (prostate, others) higher infection rate as the Vitamin D-protein complex in the blood has anti-inflammatory and antibiotic properties. Deficiency is common. Government prescribed levels are just a little above those which produce brain damage and dementia, 3-4X lower than necessary. Vitamin D is involved in the reactions of most of the 37 trillion cells in the body and significant segments of the population are deficient. A recent report from Australia found that 25%of the population was deficient in the winter and 15 % in the summer. Most children are deficient as Dr. Blaylock will describe. The deficiency is easily solved by oral supplementation and attention to blood levels regularly. Another unrecognized metabolic disease affecting the CNS, among others Dr..Blaylock has and will discuss and most will not recognize.  Does your Medical Clearance doctor know this information? Are you operating on A Vitamin D deficient patient?  Is it OK to just know Neurosurgery?  40 minutes of Discussion and Presentation. (JIA)

]]>SUMMARY: Dr. Blaylock reviews the importance of Vitamin D on human health. On hour exposure to the Sun produces 20,000 units of Vitamin D in the skin/day, far more than needed. The warnings about melanoma are exaggerated as Vitamin D, through the RAS gene, retards cell growth and division. Those with adequate intake of Vitamin D have same risk of melanoma as the unaffected population. Shielding from the Sun leaves the individual responsible for adequate Vitamin D oral intake which is not achieved. So large numbers of people are Vitamin D deficient. Deficiency leads to cancers (prostate, others) higher infection rate as the Vitamin D-protein complex in the blood has anti-inflammatory and antibiotic properties. Deficiency is common. Government prescribed levels are just a little above those which produce brain damage and dementia, 3-4X lower than necessary. Vitamin D is involved in the reactions of most of the 37 trillion cells in the body and significant segments of the population are deficient. A recent report from Australia found that 25%of the population was deficient in the winter and 15 % in the summer. Most children are deficient as Dr. Blaylock will describe. The deficiency is easily solved by oral supplementation and attention to blood levels regularly. Another unrecognized metabolic disease affecting the CNS, among others Dr..Blaylock has and will discuss and most will not recognize.  Does your Medical Clearance doctor know this information? Are you operating on A Vitamin D deficient patient?  Is it OK to just know Neurosurgery?  40 minutes of Discussion and Presentation. (JIA)

]]>75af31db-7b2e-4390-88e7-754b068be1c4Sun, 06 Apr 2025 09:00:00 -070046:11falsefull12412411Fetal Neurosurgery; Myelomeningocoele Repair; Dr. Samuel ElbabbaSUMMARY: Dr. Samuel Elbabba, explains the development of Fetal Neurosurgery for the repair of Myelomeningocoele. In the past, myelomeningocoeles were seen and repaired after birth and were associated with hydrocephalus, spinal cord neurological impairments, and multiple shunting procedures, and other system deficits with prolonged morbidity. With dietary Folate supplementation in nutritionally deficient mothers and populations the disease incidence has declined. 100 years later, fetal neurosurgery has reduced the need for shunting and led to cognitive improvement of 50% with better outcomes. In selected centers around the world teams of specialists, led by neurosurgeons, have developed the means of intrauterine repair with amazing results. Dr. Elbabba describes in detail how his team manages these cases. As we progress to 2100 the intrauterine surgery will become more widespread, while work on the genetic defect causing this disease will become prominent leading to the eradication of this disease and widespread Folate supplementation will further decrease the incidence of this disease. Interactive discussion with Dr. Ausman. Complete coverage of this topic. Everything you want to know. How to form your own multidisciplinary team to treat this disease. 60 Minutes (JIA)

]]>SUMMARY: Dr. Samuel Elbabba, explains the development of Fetal Neurosurgery for the repair of Myelomeningocoele. In the past, myelomeningocoeles were seen and repaired after birth and were associated with hydrocephalus, spinal cord neurological impairments, and multiple shunting procedures, and other system deficits with prolonged morbidity. With dietary Folate supplementation in nutritionally deficient mothers and populations the disease incidence has declined. 100 years later, fetal neurosurgery has reduced the need for shunting and led to cognitive improvement of 50% with better outcomes. In selected centers around the world teams of specialists, led by neurosurgeons, have developed the means of intrauterine repair with amazing results. Dr. Elbabba describes in detail how his team manages these cases. As we progress to 2100 the intrauterine surgery will become more widespread, while work on the genetic defect causing this disease will become prominent leading to the eradication of this disease and widespread Folate supplementation will further decrease the incidence of this disease. Interactive discussion with Dr. Ausman. Complete coverage of this topic. Everything you want to know. How to form your own multidisciplinary team to treat this disease. 60 Minutes (JIA)

]]>9213889a-a68c-4806-8a5f-f9bcdbb08e44Sat, 11 Jan 2025 09:00:00 -070001:06:58falsefull12242241Microwave Radiation: Cellphones, Microwave ovens; Dr. Blaylock Reports.SUMMARY: Dr. Russell Blaylock reports his perspective on the harmful uses of Microwave Radiation in cellphones, and other microwave applications causing molecular damage to DNA and other cellular molecules. Major damage is to CNS, but also ovaries and testes and other organs. Was found to be used against US Embassy personnel in the 1950s with CNS effects that were disabling. (Havana Syndrome) He discusses its use in the Military and potential evil uses in mind control being pursued in Intelligence Operations. His report compliments that of Fabien Deruelle, in SNI Digital® Previously. This report is another example of the harmful and evil use of technology by others in ways to harm society. The Public should be aware of these developments. The highly conductive carbon Graphene was included in the Covid Vaccinations. Graphene has no medical uses but can be used as a conductor transmitting externally directed Microwave Radiation and activated through the Graphene in the cells to produce harmful effects on the person.  SNI Digital® is bringing you this information not available through the Media, so that our Viewers and listeners can benefit from this knowledge. SNI Digital presents the Facts; You decide on what do with that information. Look for this program on Podcasts with Amazon, Spotify, and soon Apple. for your portable listening. 36 min (JIA)

]]>SUMMARY: Dr. Russell Blaylock reports his perspective on the harmful uses of Microwave Radiation in cellphones, and other microwave applications causing molecular damage to DNA and other cellular molecules. Major damage is to CNS, but also ovaries and testes and other organs. Was found to be used against US Embassy personnel in the 1950s with CNS effects that were disabling. (Havana Syndrome) He discusses its use in the Military and potential evil uses in mind control being pursued in Intelligence Operations. His report compliments that of Fabien Deruelle, in SNI Digital® Previously. This report is another example of the harmful and evil use of technology by others in ways to harm society. The Public should be aware of these developments. The highly conductive carbon Graphene was included in the Covid Vaccinations. Graphene has no medical uses but can be used as a conductor transmitting externally directed Microwave Radiation and activated through the Graphene in the cells to produce harmful effects on the person.  SNI Digital® is bringing you this information not available through the Media, so that our Viewers and listeners can benefit from this knowledge. SNI Digital presents the Facts; You decide on what do with that information. Look for this program on Podcasts with Amazon, Spotify, and soon Apple. for your portable listening. 36 min (JIA)

]]>315e2cd0-a20c-4471-8ba8-0069a6c44a69Sat, 11 Jan 2025 09:00:00 -070036:22falsefull12232231Monkey Pox: Is it a Pandemic? Dr. Blaylock ReportsSUMMARY: Dr. Russell Blaylock continues his Healthy Longevity and Blaylock Reports series with an analysis of the Mpox also known as Monkey Pox infection that started in the Democratic Republic of the Congo in SubSaharan Africa. "Because the name (Monkey Pox) reinforced racism and stigma about African countries being the source of the Disease"- (Similar to The China Virus for Covid 19),...the name was changed to Mpox. "Several public health organizations and scientists argued that the former geographical names were hindering efforts to contain the disease" (Wikipedia) Unfortunately that name change misses the main causes of the disease from sexual contact with persons having the skin infected with virus, and inadequate immune responses related to malnutrition. Thus, the disease is not a pandemic as it is not world wide because those conditions do not exist everywhere. It is endemic to part of Africa. (Another example of Political Correctness corrupting science.)  The disease is similar to Small Pox with skin rash and blistering from skin contact with infected individuals accompanied by myalgia and fatigue. Some more severe complications can occur with secondary infections in immuno-compromised people. There is no vaccine, and no treatment except symptomatic care. It is from a double stranded DNA virus. The virus can be transmitted among humans mostly by sexual intercourse or touching of infected people. It is mostly confined to Central and Western Africa. Again, the disease is used to alarm the public forcing them to adopt the procedures of the WHO, which has other motives to subjugate the populations to its regulations. This is another corruption of healthcare for political reasons.  This information is not commonly found in the Media. This program is available under "SNI Digital" on Amazon, Spotify and Apple Podcasts. 24 minutes. (JIA)

]]>SUMMARY: Dr. Russell Blaylock continues his Healthy Longevity and Blaylock Reports series with an analysis of the Mpox also known as Monkey Pox infection that started in the Democratic Republic of the Congo in SubSaharan Africa. "Because the name (Monkey Pox) reinforced racism and stigma about African countries being the source of the Disease"- (Similar to The China Virus for Covid 19),...the name was changed to Mpox. "Several public health organizations and scientists argued that the former geographical names were hindering efforts to contain the disease" (Wikipedia) Unfortunately that name change misses the main causes of the disease from sexual contact with persons having the skin infected with virus, and inadequate immune responses related to malnutrition. Thus, the disease is not a pandemic as it is not world wide because those conditions do not exist everywhere. It is endemic to part of Africa. (Another example of Political Correctness corrupting science.)  The disease is similar to Small Pox with skin rash and blistering from skin contact with infected individuals accompanied by myalgia and fatigue. Some more severe complications can occur with secondary infections in immuno-compromised people. There is no vaccine, and no treatment except symptomatic care. It is from a double stranded DNA virus. The virus can be transmitted among humans mostly by sexual intercourse or touching of infected people. It is mostly confined to Central and Western Africa. Again, the disease is used to alarm the public forcing them to adopt the procedures of the WHO, which has other motives to subjugate the populations to its regulations. This is another corruption of healthcare for political reasons.  This information is not commonly found in the Media. This program is available under "SNI Digital" on Amazon, Spotify and Apple Podcasts. 24 minutes. (JIA)

]]>a7ca15f0-5e77-43ae-867e-1f767e3ee71dSat, 11 Jan 2025 09:00:00 -070023:55falsefull12222221Is Bird Flu Dangerous to Your Health? Dr. Blaylock ReportsSUMMARY: SNI Digital interviews Dr.Russell Blaylock about the Governor Newsom's Health Emergency over the threat of Bird Flu to the states population. Bird Flu is an Influenza RNA virus, endemic in wild bird populations. It comes in Low and High pathogenic strains for birds. Humans become infected after close contact with feces of birds, found on farms. Its transmission is by contact and not aerosol; so washing hands and other hygienic precautions will prevent its infection of humans. Immunocompromised people often elderly with co-morbidities can be susceptible, if preventative measures are not taken. It can spread rapidly through poultry populations, which, if found, results in the extermination of the infected birds. Two Viral surface antigens, Hemaggluttinin (H) and Neuramidinidase (N) with different subtypes can also change over time as H-N- designations Since this viral bird infection rarely infects humans, its classification as a Health Emergency is suspect. Unfortunately, since the fear spread with the Covid-19 infection, which resulted in economic devastation to the world population, with unfounded isolation, masking, and social distancing measures adopted by the governments, which subsequently have been proven false, and governmental agencies discredited. This Health Emergency in California seems excessive. The real danger in the Covid -19 infections was in the failure of providing early treatment, and the lethality of a rapidly produced, flawed, vaccine that caused morbidity and mortality worldwide. This is another example of how Science is being corrupted by the Political governments and Media Sources. Dr. Blaylock discusses this background further. In this era of fake and corrupted general and science news, SNI Digital is bringing the Facts to its viewers. SNI Digital® is committed to bringing the TRUTH to its readers and listeners.  Also on Podcasts on Amazon, Spotify, and soon Apple Podcasts. 20 Minutes (JIA)

]]>SUMMARY: SNI Digital interviews Dr.Russell Blaylock about the Governor Newsom's Health Emergency over the threat of Bird Flu to the states population. Bird Flu is an Influenza RNA virus, endemic in wild bird populations. It comes in Low and High pathogenic strains for birds. Humans become infected after close contact with feces of birds, found on farms. Its transmission is by contact and not aerosol; so washing hands and other hygienic precautions will prevent its infection of humans. Immunocompromised people often elderly with co-morbidities can be susceptible, if preventative measures are not taken. It can spread rapidly through poultry populations, which, if found, results in the extermination of the infected birds. Two Viral surface antigens, Hemaggluttinin (H) and Neuramidinidase (N) with different subtypes can also change over time as H-N- designations Since this viral bird infection rarely infects humans, its classification as a Health Emergency is suspect. Unfortunately, since the fear spread with the Covid-19 infection, which resulted in economic devastation to the world population, with unfounded isolation, masking, and social distancing measures adopted by the governments, which subsequently have been proven false, and governmental agencies discredited. This Health Emergency in California seems excessive. The real danger in the Covid -19 infections was in the failure of providing early treatment, and the lethality of a rapidly produced, flawed, vaccine that caused morbidity and mortality worldwide. This is another example of how Science is being corrupted by the Political governments and Media Sources. Dr. Blaylock discusses this background further. In this era of fake and corrupted general and science news, SNI Digital is bringing the Facts to its viewers. SNI Digital® is committed to bringing the TRUTH to its readers and listeners.  Also on Podcasts on Amazon, Spotify, and soon Apple Podcasts. 20 Minutes (JIA)

]]>f3565870-58ec-46d7-bee6-2c2c1688ae94Sat, 11 Jan 2025 09:00:00 -070026:13falsefull12212211Healthcare in Crisis: Physicians Reimbursement Failure; Government ControlSUMMARY: #2 in Healthcare in Crisis Series-USA. Drs. Nussbaum and Ausman discuss the failure of physician reimbursement under the USA Socialized Healthcare System. The Central Control of the Healthcare Market has distorted the reimbursement of physicians unrelated to their ability, has forced physicians into employment models which are also restrictive , and unattractive to high quality young students looking for a career in Medicine. . Also healthcare quality has declined by many measures. Physician burnout and forced conformity has replaced creativity and patient commitment. There is no distinction between experienced and newly graduated neurosurgeons or physicians.Third party interests have interfered in the Doctor-Patient Free Market relationship, including insurers, hospitals, big business running medical practices, and Medicare reimbursement that is dictating management of the patient's healthcare. Non physicians organizations have begun to dictate patient care under the guise of standardization for all instead of individuality crafted care (another failure of data driven medicine). These and many other factors have distorted the incentives of a Free-Market Healthcare system. The Healthcare system is failing to provide quality, compassionate, personalized, care that is cost-effective, with rapid access, and quality care at a reasonable cost. The patient with a Healthcare Credit card is a source of spending by other parties without free market controls. We are living with the usual end of Socialization or government control of any system, with the outcome of rising costs, lower quality of care, and restricted access to healthcare. No one has a solution for this descent of Healthcare into Socialization. SNI & SNI Digital are offering those solutions. 70 Minutes Discussion. What is your answer?

]]>SUMMARY: #2 in Healthcare in Crisis Series-USA. Drs. Nussbaum and Ausman discuss the failure of physician reimbursement under the USA Socialized Healthcare System. The Central Control of the Healthcare Market has distorted the reimbursement of physicians unrelated to their ability, has forced physicians into employment models which are also restrictive , and unattractive to high quality young students looking for a career in Medicine. . Also healthcare quality has declined by many measures. Physician burnout and forced conformity has replaced creativity and patient commitment. There is no distinction between experienced and newly graduated neurosurgeons or physicians.Third party interests have interfered in the Doctor-Patient Free Market relationship, including insurers, hospitals, big business running medical practices, and Medicare reimbursement that is dictating management of the patient's healthcare. Non physicians organizations have begun to dictate patient care under the guise of standardization for all instead of individuality crafted care (another failure of data driven medicine). These and many other factors have distorted the incentives of a Free-Market Healthcare system. The Healthcare system is failing to provide quality, compassionate, personalized, care that is cost-effective, with rapid access, and quality care at a reasonable cost. The patient with a Healthcare Credit card is a source of spending by other parties without free market controls. We are living with the usual end of Socialization or government control of any system, with the outcome of rising costs, lower quality of care, and restricted access to healthcare. No one has a solution for this descent of Healthcare into Socialization. SNI & SNI Digital are offering those solutions. 70 Minutes Discussion. What is your answer?

]]>94111236-9edc-481f-9e4f-0f508d8635faSat, 11 Jan 2025 09:00:00 -070001:16:49falsefull12202201Avoiding Malpractice Cases: Lumbar Spine Surgery; Nancy Epstein, MDSUMMARY: Dr. Nancy Epstein presents actual cases of malpractice surgical errors and discussed how to avoid these mistakes. Cases Include Minimally Invasive Surgery- Arachnoiditis; Failure to diagnose and treat Cauda Equina Syndrome; Failure to remove Abscess in timely fashion with complications; Unnecessary TLIF with. complications. Dr. Epstein provides tips and experience to avoid these complications and others. Practical advice for neurosurgeons and spine surgeons. 31 min (JIA)

]]>SUMMARY: Dr. Nancy Epstein presents actual cases of malpractice surgical errors and discussed how to avoid these mistakes. Cases Include Minimally Invasive Surgery- Arachnoiditis; Failure to diagnose and treat Cauda Equina Syndrome; Failure to remove Abscess in timely fashion with complications; Unnecessary TLIF with. complications. Dr. Epstein provides tips and experience to avoid these complications and others. Practical advice for neurosurgeons and spine surgeons. 31 min (JIA)

]]>a7b953a6-431d-49e0-a08d-622a21079872Sat, 11 Jan 2025 09:00:00 -070031:06falsefull12192191Avoiding Malpractice Claims; Nancy Epstein, MD; Cervical Spine;SUMMARY: Dr. Nancy Epstein adds a 15th lecture to her Spine Series Controversies talks. This is in two parts; Avoiding Malpractice Claims: Cervical Spine Surgery. followed in a second program on Lumbar Spine Malpractice cases. These talks are limited to case presentations involving real cases with extremely bad complications leading to malpractice suits. All six cases were settled out of court. They included Epidural Spine Injection (ESI) leading to death with warnings about this procedure, required by Medicare. Also cases of Quadriplegia after ACD with surgeon taking bite out of spinal cord; quadriplegia after ACD with surgeon plunging a spacer into cord; quadriplegia after wrong multilevel ACD for Ossification of Posterior Longitudinal Ligament; quadriplegia with mismanaged CSF Leak; She describes how to avoid all of these complications. These cases lead to terrible life changes. What would you do as the surgeon in these cases or as the patent's family? Listen and decide. (51 min). (JIA)

]]>SUMMARY: Dr. Nancy Epstein adds a 15th lecture to her Spine Series Controversies talks. This is in two parts; Avoiding Malpractice Claims: Cervical Spine Surgery. followed in a second program on Lumbar Spine Malpractice cases. These talks are limited to case presentations involving real cases with extremely bad complications leading to malpractice suits. All six cases were settled out of court. They included Epidural Spine Injection (ESI) leading to death with warnings about this procedure, required by Medicare. Also cases of Quadriplegia after ACD with surgeon taking bite out of spinal cord; quadriplegia after ACD with surgeon plunging a spacer into cord; quadriplegia after wrong multilevel ACD for Ossification of Posterior Longitudinal Ligament; quadriplegia with mismanaged CSF Leak; She describes how to avoid all of these complications. These cases lead to terrible life changes. What would you do as the surgeon in these cases or as the patent's family? Listen and decide. (51 min). (JIA)

]]>7e5e31da-b460-45da-89cd-9b0e356b9fbaSat, 11 Jan 2025 09:00:00 -070051:50falsefull12182181Microwave Radiation; Dangers; CNS damage; Mind Control;SUMMARY: Dr. Fabien Deurelle, a researcher from France, is interviewed about his SNI paper and research, bringing attention to the dangers of Microwave Radiation (MWR) used in cell phones, WiFi, MWR Towers, Microwave ovens other areas of life experienced world wide. MWR technology was introduced 100 years ago. Research was done in Russia in the 1950's showing that it can damage the CNS of animals, and then appeared to be the cause of Illness in personnel in Embassies around the world leading to disabling CNS symptoms. Labelled the "Havana Syndrome" from its effects on US personnel in Cuba, research continues on the use of MWR for military application in warfare, and in the telecommunications industry. CNS damage at the molecular level can occur with the 2G-6G increasing frequencies. Brain tumors related to its effects have been reported, as DNA changes are known. Memory defects occur related to damage to the temporal lobes located adjacent to the ears. However the world public has not been informed of the dangers of its use. Along with Dr. Russell Blaylock, who has also published about MWR, these scientists indicate that more damage can occur with new Pulsed MWR at the higher frequencies of 5G and 6G compared to the continuous wave frequencies now used. Graphene, is a highly conductive single layer of Carbon atoms arranged in a lattice structure that is stronger than steel and highly conductive. It has been reported as a component of Covid vaccines which then spreads to other organs and has the potential to be activated by MWR. Yet there is no known medical benefit to Graphene. Micro-aluminum particles in the atmosphere and environment and in vaccines serves as another conductive metal also in vaccines as Dr. Blaylock reports. The public is unaware of the potential dangers of MWR and needs to be informed. MWR is far more damaging to children than adults as Dr. Blaylok reports.  This interview is translated from French to English by Dr. Seyed Ali Khonsary to allow the viewers to see his comments directly. Some French portions of Dr Deruelle's interview are omitted for the viewers ease of understanding. Other information from Dr. Blaylock is included to provide independent support of Dr.Deruelle's work. Time 1 hour. (JIA) 

]]>SUMMARY: Dr. Fabien Deurelle, a researcher from France, is interviewed about his SNI paper and research, bringing attention to the dangers of Microwave Radiation (MWR) used in cell phones, WiFi, MWR Towers, Microwave ovens other areas of life experienced world wide. MWR technology was introduced 100 years ago. Research was done in Russia in the 1950's showing that it can damage the CNS of animals, and then appeared to be the cause of Illness in personnel in Embassies around the world leading to disabling CNS symptoms. Labelled the "Havana Syndrome" from its effects on US personnel in Cuba, research continues on the use of MWR for military application in warfare, and in the telecommunications industry. CNS damage at the molecular level can occur with the 2G-6G increasing frequencies. Brain tumors related to its effects have been reported, as DNA changes are known. Memory defects occur related to damage to the temporal lobes located adjacent to the ears. However the world public has not been informed of the dangers of its use. Along with Dr. Russell Blaylock, who has also published about MWR, these scientists indicate that more damage can occur with new Pulsed MWR at the higher frequencies of 5G and 6G compared to the continuous wave frequencies now used. Graphene, is a highly conductive single layer of Carbon atoms arranged in a lattice structure that is stronger than steel and highly conductive. It has been reported as a component of Covid vaccines which then spreads to other organs and has the potential to be activated by MWR. Yet there is no known medical benefit to Graphene. Micro-aluminum particles in the atmosphere and environment and in vaccines serves as another conductive metal also in vaccines as Dr. Blaylock reports. The public is unaware of the potential dangers of MWR and needs to be informed. MWR is far more damaging to children than adults as Dr. Blaylok reports.  This interview is translated from French to English by Dr. Seyed Ali Khonsary to allow the viewers to see his comments directly. Some French portions of Dr Deruelle's interview are omitted for the viewers ease of understanding. Other information from Dr. Blaylock is included to provide independent support of Dr.Deruelle's work. Time 1 hour. (JIA) 

]]>21775fa6-cd5e-44ce-a99f-31ada0cf6b6cSat, 11 Jan 2025 09:00:00 -070001:07:07falsefull12172171Endonasal Endoscopic resection of Lateral Cavernous Sinus Adenoma ; Dr. Roman BosnjakSUMMARY: Dr. Roman Bosnjak, a world recognized expert in Neuroendoscopy describes his approach to the endonasal endoscopic removal of a cavernous sinus tumor in the lateral cavernous sinus with proximal dural ring resection and ICA medialization. He shows his steps to removal of this tumor with closed caption comments on the case. (7 minutes). (JIA)

]]>SUMMARY: Dr. Roman Bosnjak, a world recognized expert in Neuroendoscopy describes his approach to the endonasal endoscopic removal of a cavernous sinus tumor in the lateral cavernous sinus with proximal dural ring resection and ICA medialization. He shows his steps to removal of this tumor with closed caption comments on the case. (7 minutes). (JIA)

]]>bdf8aa27-f501-4993-b776-c7530fc43c73Sat, 11 Jan 2025 09:00:00 -070007:41falsefull12162161Conus and Cauda Equina Tumors in LMIC & HIC; Magoha; MorganSUMMARY: Case examples are presented from Kenya and the USA on Conus and Cauda Equina Tumors. with Tips on Rapid Imaging Diagnosis, surgery ASAP, to aid in restoration of function. Discussion of the need to educate medial personnel and the public on diagnosis. Surgical advice is given. Pathology shown. Case one of many spinal cord tumors seen weekly with a large experience from Kenya with a Neurofribroma and from the USA with an Ependymoma. Preservation of nerve involved in tumor. Both appeared clinically as Cauda Equina Syndrome. Very informative; 40 minutes (JIA) 

]]>SUMMARY: Case examples are presented from Kenya and the USA on Conus and Cauda Equina Tumors. with Tips on Rapid Imaging Diagnosis, surgery ASAP, to aid in restoration of function. Discussion of the need to educate medial personnel and the public on diagnosis. Surgical advice is given. Pathology shown. Case one of many spinal cord tumors seen weekly with a large experience from Kenya with a Neurofribroma and from the USA with an Ependymoma. Preservation of nerve involved in tumor. Both appeared clinically as Cauda Equina Syndrome. Very informative; 40 minutes (JIA) 

]]>58d4e6f0-69c6-4a13-ab30-76345b9c4093Sat, 11 Jan 2025 09:00:00 -070039:55falsefull12142141Cauda Equina Syndromes; Failure to Diagnose and TreatSUMMARY: Dr. Nancy Epstein discusses the major mistake made in Cauda Equina Syndromes which is early diagnosis and treatment. It is a major cause of lawsuits in the USA. In other countries with limited understanding of the disease in the public and with non- neurosurgical medical personnel, this problem is a major cause of disability as they arrive too late for relief by neurosurgical management. She discusses the anatomy, clinical presentation of partial and total cauda equina syndromes, imaging characteristics, how to diagnose without CT or MR with same intrathecal injection of contrast with a one shot image to establish the diagnosis. Excellent cases and Discussion. See Part II on SubSaharan Grand Rounds video to see Conus and Cauda Equina tumors with actual case presentations. 70 minutes (JIA)

]]>SUMMARY: Dr. Nancy Epstein discusses the major mistake made in Cauda Equina Syndromes which is early diagnosis and treatment. It is a major cause of lawsuits in the USA. In other countries with limited understanding of the disease in the public and with non- neurosurgical medical personnel, this problem is a major cause of disability as they arrive too late for relief by neurosurgical management. She discusses the anatomy, clinical presentation of partial and total cauda equina syndromes, imaging characteristics, how to diagnose without CT or MR with same intrathecal injection of contrast with a one shot image to establish the diagnosis. Excellent cases and Discussion. See Part II on SubSaharan Grand Rounds video to see Conus and Cauda Equina tumors with actual case presentations. 70 minutes (JIA)

]]>37a40d35-7c28-42d7-a5a1-6c0f2962264bSat, 11 Jan 2025 09:00:00 -070001:10:14falsefull12132131Neurosurgery in Crisis; Socialized Medicine; Central Control; Neurosurgeons testimonials; This is about your life!SUMMARY: Round table discussion of the Crisis in Neurosurgery and Medicine with testimonials of neurosurgeons in academic and private group and solo Practice. Medicare in 1965>payments of patient costs to hospitals> government takeover of Medicine> Cost overruns, HMOs> Doctors become employees of hospitals>patients become numbers as doctors>Control by Biomedical Industry>declining reimbursement. Disappearance of private practice> Neurosurgeons pay has fallen consistently> poor patient care and service> declining quality of healthcare. Results of government or central control of anything. What should be done? First of a series to obtain the facts before finalizing a solution. This is Your Life! What to do? (JIA)

]]>SUMMARY: Round table discussion of the Crisis in Neurosurgery and Medicine with testimonials of neurosurgeons in academic and private group and solo Practice. Medicare in 1965>payments of patient costs to hospitals> government takeover of Medicine> Cost overruns, HMOs> Doctors become employees of hospitals>patients become numbers as doctors>Control by Biomedical Industry>declining reimbursement. Disappearance of private practice> Neurosurgeons pay has fallen consistently> poor patient care and service> declining quality of healthcare. Results of government or central control of anything. What should be done? First of a series to obtain the facts before finalizing a solution. This is Your Life! What to do? (JIA)

]]>4e189bcd-6f3e-45e8-a66e-12bfd8f0251bSat, 11 Jan 2025 09:00:00 -070001:03:44falsefull12062061Mitch Berger, MD.; Interview Neuroscience Expert; Neuro-oncology, Brain Mapping; Gross total surgical resection; New Advances in resection; Career and Life adviceSUMMARY: Interview with Mitch Berger, MD Head of UCSF Brain Tumor Center; History of treatment in 50 years; Modern Treatment; Reasons to maximize resection, with low morbidity; Brain Mapping; New advances in aiding extra resection in tumor margin; Adapting technology to LMIC and Low Resource settings with new low cost technology; "Game Changing" precision molecular therapy emerging; How this will change future of Neuro-oncology; Multidisciplinary team approaches in research and medicine; Future of Neurosurgery; Reasons to enter neurosurgery; Career & Life advice on Success. Goals of a Neurosurgeon. 56 min interview; Excellent Role Model; (JIA)

]]>SUMMARY: Interview with Mitch Berger, MD Head of UCSF Brain Tumor Center; History of treatment in 50 years; Modern Treatment; Reasons to maximize resection, with low morbidity; Brain Mapping; New advances in aiding extra resection in tumor margin; Adapting technology to LMIC and Low Resource settings with new low cost technology; "Game Changing" precision molecular therapy emerging; How this will change future of Neuro-oncology; Multidisciplinary team approaches in research and medicine; Future of Neurosurgery; Reasons to enter neurosurgery; Career & Life advice on Success. Goals of a Neurosurgeon. 56 min interview; Excellent Role Model; (JIA)

]]>bdbef350-1368-4a60-beb9-b2340958c3b1Sat, 11 Jan 2025 09:00:00 -070001:06:37falsefull12052051Introduction Video SNI Digital 11/17/24SUMMARY: Video Update and Upgrade Changes 11/17/24 

Dr. Ausman gives an 12 minute introduction to the new upgrade for SNI Digital. How can you get the most out of this Video Journal. 11/17/24 

]]>SUMMARY: Video Update and Upgrade Changes 11/17/24 

Dr. Ausman gives an 12 minute introduction to the new upgrade for SNI Digital. How can you get the most out of this Video Journal. 11/17/24 

]]>f2e3db2a-70ba-4267-91e7-6b043f3564b8Sat, 11 Jan 2025 09:00:00 -070012:50falsefull12042041Substance Abuse; Addiction; Clinical evaluation; Treatment Decisions; Ramsis Ghaly, MDSUMMARY: Dr. Ramsis Ghaly, who is board certified in neurosurgery, anesthesia, Critical Care and Pain medicine discusses his practical experience with the patients suffering from Addiction. Substance Abuse and Addiction involves 60% of the USA population and large numbers elsewhere from 12 years of age on. So, likely there is a high chance you are seeing these patients in your practice. How do you recognize substance abuse? What personal tests can you do to find out? What is the cause of their abuse? What kind of treatment have they had? What are the other completing health issues that can compromise their surgery or management? What do you do at surgery and after to recognize the complications and addiction? What treatment can you propose? What is their chance of cure? Where do they go when no help is available? Should you operate on this patient? Is there new research leading to treatment? This rapidly flowing interview should answer all these questions and more and help you in patient management from an expert. (50 minutes of Discussion). (JIA-11/15/24)

]]>SUMMARY: Dr. Ramsis Ghaly, who is board certified in neurosurgery, anesthesia, Critical Care and Pain medicine discusses his practical experience with the patients suffering from Addiction. Substance Abuse and Addiction involves 60% of the USA population and large numbers elsewhere from 12 years of age on. So, likely there is a high chance you are seeing these patients in your practice. How do you recognize substance abuse? What personal tests can you do to find out? What is the cause of their abuse? What kind of treatment have they had? What are the other completing health issues that can compromise their surgery or management? What do you do at surgery and after to recognize the complications and addiction? What treatment can you propose? What is their chance of cure? Where do they go when no help is available? Should you operate on this patient? Is there new research leading to treatment? This rapidly flowing interview should answer all these questions and more and help you in patient management from an expert. (50 minutes of Discussion). (JIA-11/15/24)

]]>32afca15-be21-40bb-80fc-41f62a28835bSat, 11 Jan 2025 09:00:00 -070050:29falsefull12032031Management of ICH; AVM; Cavernous Angioma; CavernomaSUMMARY: Dr. Allyene notes that 15% of stokes that occur in patients are Intra Cerebral Hemorrhage (ICH). ICH is a major health problem worldwide primarily caused by hypertension. Small series of patients with ICH, were reported in the literature but few large studies. Most advocated delayed surgery. There are guidelines from a 2022 American Heart Association study on the management of ICH which he details. Deteriorating CNS condition is a reason for surgery and also in posterior fossa hemorrhage with more than 15 cc volume. Hypertension should be slowly reduced to 130-150 to avoid ischemia in hypertensive patients. A recent NEJM Study suggested that early surgery using minimally invasive techniques with endoscopy, was better than no surgery with 50% reduction in mortality. Devices are being produced which make this approach easier. However, some discussants did not find that approach useful. Others use intra-operative ultrasound with high success. Members of the global audience, depending upon their local circumstances, performed surgery encompassing all of these approaches including standard craniotomy to Minimally Invasive approaches frontally or over the lesion location. For ICH in AVMs, he detailed videos with excellent techniques. The literature reports early or late surgery for ruptured AVMs. For Cavernous Malformations which bleed, surgery is the best course of treatment. There are other reports in SNI Digital® of the genetic causes of rare AVMs with a unique gene variation and in Cavernous malformations with precision molecular treatments, projecting the future treatments of these diseases. Dr. Ausman described the work of Dr. Buzz Hoff who, in the past, investigated the harmful effects of secondary metabolic and cellular damage created by the blood and its products in the brain, indicating that early surgery would be required to treat this disease successfully besides controlling hypertension. Message: "Do the best you can with what you have." (SEARCH ICH or Cavernous Malformations). (11/10/24 JIA)

]]>SUMMARY: Dr. Allyene notes that 15% of stokes that occur in patients are Intra Cerebral Hemorrhage (ICH). ICH is a major health problem worldwide primarily caused by hypertension. Small series of patients with ICH, were reported in the literature but few large studies. Most advocated delayed surgery. There are guidelines from a 2022 American Heart Association study on the management of ICH which he details. Deteriorating CNS condition is a reason for surgery and also in posterior fossa hemorrhage with more than 15 cc volume. Hypertension should be slowly reduced to 130-150 to avoid ischemia in hypertensive patients. A recent NEJM Study suggested that early surgery using minimally invasive techniques with endoscopy, was better than no surgery with 50% reduction in mortality. Devices are being produced which make this approach easier. However, some discussants did not find that approach useful. Others use intra-operative ultrasound with high success. Members of the global audience, depending upon their local circumstances, performed surgery encompassing all of these approaches including standard craniotomy to Minimally Invasive approaches frontally or over the lesion location. For ICH in AVMs, he detailed videos with excellent techniques. The literature reports early or late surgery for ruptured AVMs. For Cavernous Malformations which bleed, surgery is the best course of treatment. There are other reports in SNI Digital® of the genetic causes of rare AVMs with a unique gene variation and in Cavernous malformations with precision molecular treatments, projecting the future treatments of these diseases. Dr. Ausman described the work of Dr. Buzz Hoff who, in the past, investigated the harmful effects of secondary metabolic and cellular damage created by the blood and its products in the brain, indicating that early surgery would be required to treat this disease successfully besides controlling hypertension. Message: "Do the best you can with what you have." (SEARCH ICH or Cavernous Malformations). (11/10/24 JIA)

]]>eafb5610-9d2a-4d6a-9dba-2055a0778c3fSat, 11 Jan 2025 09:00:00 -070057:39falsefull12022021Lumbar spine surgery; Instrumentation; Complex cases; Management.SUMMARY: Over 30% of the operative cases the neurosurgeons from Memphys Hospital in Enugu, Nigeria performed are spine cases. Instrumentation is more commonly used than in the past. The neurosurgeons present two complex cases of spine surgery for intefnational discussion on management that are challenges everywhere. The first is a 78 year old patient who, 7 years previously, in another country for chronic back pain and degenerative disease of the spine and with pedicle screw fusions. 3 years later the patient had a posterior cervical decompression, thoracic decompression, and revision of lumbar surgery. No other information was available. Four years following later in 2024, he presented to Memphys Hospital. with back and bilateral radicular leg pain but neurologically intact. MR and CT Imaging suggested loose screws in the lumbar region. The surgeons revised the implant, L1-L5, revised the loose screws and added a hydroxyapetite fusion. The patient was not improved after surgery. No infection was found. The international discussion of this case followed. How would you manage this case? A second case involved a patient with acute cervical spine injury, Grade II antero-listhesis at C6-7 and quadriplegic on admission and was operated 15 hours after admission and 3 days after injury. Some cervical cord swelling was seen on admission studies. At surgery he had rupture of the ALL and PLL an annulus tear, extruded disc, and antero-listhesis. He had numerous pulmonary complications after surgery and a delayed tracheostomy, 4 weeks after surgery. He was unchanged clinically. He was on a ventilator for 7 months with no improvement. How would you manage this case? What are the lessons in this case? Public Education, Early surgery,  careful intubation, protection against any motion at surgery, early tracheostomy. (11/9/24-JIA)

]]>SUMMARY: Over 30% of the operative cases the neurosurgeons from Memphys Hospital in Enugu, Nigeria performed are spine cases. Instrumentation is more commonly used than in the past. The neurosurgeons present two complex cases of spine surgery for intefnational discussion on management that are challenges everywhere. The first is a 78 year old patient who, 7 years previously, in another country for chronic back pain and degenerative disease of the spine and with pedicle screw fusions. 3 years later the patient had a posterior cervical decompression, thoracic decompression, and revision of lumbar surgery. No other information was available. Four years following later in 2024, he presented to Memphys Hospital. with back and bilateral radicular leg pain but neurologically intact. MR and CT Imaging suggested loose screws in the lumbar region. The surgeons revised the implant, L1-L5, revised the loose screws and added a hydroxyapetite fusion. The patient was not improved after surgery. No infection was found. The international discussion of this case followed. How would you manage this case? A second case involved a patient with acute cervical spine injury, Grade II antero-listhesis at C6-7 and quadriplegic on admission and was operated 15 hours after admission and 3 days after injury. Some cervical cord swelling was seen on admission studies. At surgery he had rupture of the ALL and PLL an annulus tear, extruded disc, and antero-listhesis. He had numerous pulmonary complications after surgery and a delayed tracheostomy, 4 weeks after surgery. He was unchanged clinically. He was on a ventilator for 7 months with no improvement. How would you manage this case? What are the lessons in this case? Public Education, Early surgery,  careful intubation, protection against any motion at surgery, early tracheostomy. (11/9/24-JIA)

]]>264fdba2-7139-4c28-a6ab-745c7c8e08f8Sat, 11 Jan 2025 09:00:00 -070059:02falsefull12012011Posterior Approaches Cervical Spine; Controversies; Nancy Epstein, MDSUMMARY: This is the first South American Neurosurgery Grand Rounds with SNI Digital® organized by Andres Cervio, Head of Neurosurgery at FLENI in Buenos Aires. This is an Interactive discussion of many aspects of the Diagnosis and Surgical Management of Cervical Lamino-Foraminotomy for posterior lateral cervical spine disc or spur. Nancy Epstein was the invited speaker and commentator. Many tips in the management of the patients are presented with the neurosurgeons from FlENI and Dr. Epstein with an excellent operative video and discussion of all aspects of the surgery and patient selection and post-operative course. There are other videos of the excellent work done at FLENI by neurosurgeons presented in Videos on Rasmussen's Encephalopathy, Posterior Mesiale Temporal Occipital AVM removal, and Brain Stem biopsy. ( Put these words in Search to find) (JIA)

]]>SUMMARY: This is the first South American Neurosurgery Grand Rounds with SNI Digital® organized by Andres Cervio, Head of Neurosurgery at FLENI in Buenos Aires. This is an Interactive discussion of many aspects of the Diagnosis and Surgical Management of Cervical Lamino-Foraminotomy for posterior lateral cervical spine disc or spur. Nancy Epstein was the invited speaker and commentator. Many tips in the management of the patients are presented with the neurosurgeons from FlENI and Dr. Epstein with an excellent operative video and discussion of all aspects of the surgery and patient selection and post-operative course. There are other videos of the excellent work done at FLENI by neurosurgeons presented in Videos on Rasmussen's Encephalopathy, Posterior Mesiale Temporal Occipital AVM removal, and Brain Stem biopsy. ( Put these words in Search to find) (JIA)

]]>490adfab-db7a-4918-b4a6-38b83fa0cf93Sat, 11 Jan 2025 09:00:00 -070001:14:29falsefull11291291Critical Care;: ICH; Are we operating too late?Summary: ICH: Are we operating too late? Should all the clot be removed immediately? New simple approaches from China. Quick evaluation and treatment. Traumatic Brain Injury: What do we do? Does it matter? The outstanding success in Iraq. What can we learn? Case examples, Q&A. (Case based discussions; 60 min.; 5/5 ranking)

Podcast 

]]>Summary: ICH: Are we operating too late? Should all the clot be removed immediately? New simple approaches from China. Quick evaluation and treatment. Traumatic Brain Injury: What do we do? Does it matter? The outstanding success in Iraq. What can we learn? Case examples, Q&A. (Case based discussions; 60 min.; 5/5 ranking)

Podcast 

]]>839a2c9c-1b39-47e4-b1cd-2f4eaa1ab949Wed, 08 Jan 2025 09:00:00 -070001:04:36falsefull123231UCLA 101 Lecture series; Anatomy and Pathology of the Cerebral Venous System; Noriko Salamon;SUMMARY: Dr. Salamon presents another basic neuroradiology lecture on the Anatomy and Pathology of the Cerebral Venous system. In this lecture, the value of Closed Captions (CC) can be seen in the English translations along with the video. The AI translations really make this lecture more valuable as the viewer does not miss the many key observations Dr. Salamon makes. Very informative for those with an interest in this area. 50 minutes lecture; 12 minutes discussion.

]]>SUMMARY: Dr. Salamon presents another basic neuroradiology lecture on the Anatomy and Pathology of the Cerebral Venous system. In this lecture, the value of Closed Captions (CC) can be seen in the English translations along with the video. The AI translations really make this lecture more valuable as the viewer does not miss the many key observations Dr. Salamon makes. Very informative for those with an interest in this area. 50 minutes lecture; 12 minutes discussion.

]]>bb1c41f5-f9e6-44b1-889f-a85940aeadcfWed, 28 Feb 2024 09:00:00 -070001:01:57falsefull11061061Introduction to SNI Digital 2/15/24; How to get the. most out of the Version 3.0Dr. Ausman provides a 10 minute introduction to the 2024 updated SNI Digital website version 3.0 and how you can get most out of the more than 30 new features on the website with multiple methods of learning from Video with Closed Captions, , Audio for multi tankers, to Print outs in 10 languages. From sound bites, to Interviews with leaders in multiple areas of interest, lectures from world wide neurosurgeons, whole meetings, SNI Digital® Investigative Reports, for students to experienced neurosurgeons. Controversies Discussed, global round table discussions; Clinical Neuroscience lectures, UCLA 101 Neurosurgery Lecture series with experts, for those in LMIC to HIC. New features of interest; continuous updates; Controversies in Spine Surgery discussed, All referenced and peer reviewed; Hernesniemi 1200 operative videos; Altmetrics rated; CME available; FREE to all. 

]]>Dr. Ausman provides a 10 minute introduction to the 2024 updated SNI Digital website version 3.0 and how you can get most out of the more than 30 new features on the website with multiple methods of learning from Video with Closed Captions, , Audio for multi tankers, to Print outs in 10 languages. From sound bites, to Interviews with leaders in multiple areas of interest, lectures from world wide neurosurgeons, whole meetings, SNI Digital® Investigative Reports, for students to experienced neurosurgeons. Controversies Discussed, global round table discussions; Clinical Neuroscience lectures, UCLA 101 Neurosurgery Lecture series with experts, for those in LMIC to HIC. New features of interest; continuous updates; Controversies in Spine Surgery discussed, All referenced and peer reviewed; Hernesniemi 1200 operative videos; Altmetrics rated; CME available; FREE to all. 

]]>34904d72-f353-4521-a72a-73f8c8c9680eThu, 15 Feb 2024 09:00:00 -070010:27falsefull11861861Introduction to SNI Digital 2/15/24; How to get the. most out of the Version 3.0Dr. Ausman provides a 10 minute introduction to the 2024 updated SNI Digital website version 3.0 and how you can get most out of the more than 30 new features on the website with multiple methods of learning from Video with Closed Captions, , Audio for multi tankers, to Print outs in 10 languages. From sound bites, to Interviews with leaders in multiple areas of interest, lectures from world wide neurosurgeons, whole meetings, SNI Digital® Investigative Reports, for students to experienced neurosurgeons. Controversies Discussed, global round table discussions; Clinical Neuroscience lectures, UCLA 101 Neurosurgery Lecture series with experts, for those in LMIC to HIC. New features of interest; continuous updates; Controversies in Spine Surgery discussed, All referenced and peer reviewed; Hernesniemi 1200 operative videos; Altmetrics rated; CME available; FREE to all. 

]]>Dr. Ausman provides a 10 minute introduction to the 2024 updated SNI Digital website version 3.0 and how you can get most out of the more than 30 new features on the website with multiple methods of learning from Video with Closed Captions, , Audio for multi tankers, to Print outs in 10 languages. From sound bites, to Interviews with leaders in multiple areas of interest, lectures from world wide neurosurgeons, whole meetings, SNI Digital® Investigative Reports, for students to experienced neurosurgeons. Controversies Discussed, global round table discussions; Clinical Neuroscience lectures, UCLA 101 Neurosurgery Lecture series with experts, for those in LMIC to HIC. New features of interest; continuous updates; Controversies in Spine Surgery discussed, All referenced and peer reviewed; Hernesniemi 1200 operative videos; Altmetrics rated; CME available; FREE to all. 

]]>01e3c135-a13f-4aae-a641-1bbfa3d7d9a2Thu, 15 Feb 2024 09:00:00 -070010:27falsefull11021021UCLA 101 Neurosurgery Series;Management of Adult Hydrocephalus; Dr. Marvin BergsneiderSUMMARY: Dr Marvin Bergsneider, in this UCLA 101 Lecture series, discusses the Management of Adult Hydrocephalus. He covers the issues with Multi-compartment Hydrocephalus (HC), Slit ventricle Syndrome, Normal Pressure Hydrocephalus (NPH) , and the operation of and choices of shunts with CSF dynamics. His conclusions are practical and reasonable. In Superb Review of the subject, the viewer will learn from his extensive clinical and research experience with HC in the adult. His talk is filled with clinical pearls of wisdom and experience with each disease category for these common and complicated problems in patients. It is best seen to be appreciated. First Rate. (60 minutes) Lecture and Discussion. (JIA)

]]>SUMMARY: Dr Marvin Bergsneider, in this UCLA 101 Lecture series, discusses the Management of Adult Hydrocephalus. He covers the issues with Multi-compartment Hydrocephalus (HC), Slit ventricle Syndrome, Normal Pressure Hydrocephalus (NPH) , and the operation of and choices of shunts with CSF dynamics. His conclusions are practical and reasonable. In Superb Review of the subject, the viewer will learn from his extensive clinical and research experience with HC in the adult. His talk is filled with clinical pearls of wisdom and experience with each disease category for these common and complicated problems in patients. It is best seen to be appreciated. First Rate. (60 minutes) Lecture and Discussion. (JIA)

]]>49fcedc3-8aa1-411c-b11f-5d090b2bb4d3Wed, 07 Feb 2024 09:00:00 -070001:05:57falsefull12362361Dr Blaylock Reports; Vit B12 Deficiency, Nerve degeneration, Dementia, Memory Loss, Peripheral neuropathy, Cardiac dysrhythmia,SUMMARY: Dr Blaylock Reports on the complications of Vitamin B12 deficiency and its neurological effects. It is essential for brain development, causes loss of myelin leading to Dementia, Mental disorders, defective cognition, Depression, and suicide. It can cause peripheral neuropathy and subacute spinal cord degeneration. It is Treatable. It is distributed to all 40 trillion cells in the body with receptors on the cell surface and in the nucleus. It is involved widely in metabolic reactions. It is found in 36% of people with Cognitive disorders. It is united with Intrinsic Factor in the stomach in an acid environment and absorbed in the ileum. People on antacids, with intestinal surgery, or gastric atrophy with age cannot absorb Vit B12. It is found in meats, is deficient in Vegetarians, Vegans, and in people on Junk food diets. It also causes Macrocytic anemia. It is water soluble and lost from the body rapidly. It is best taken as Methylcobalaman, not the Cyano form, either by oral or intramuscular injection regularly. It is a TREATABLE form of neurological disorders and anemia, if found early by a simple blood test. Test your patients for this Vitamin. (40 Minutes Discussion and Lecture); Screen-shot the one page Summary and References. (JIA)

]]>SUMMARY: Dr Blaylock Reports on the complications of Vitamin B12 deficiency and its neurological effects. It is essential for brain development, causes loss of myelin leading to Dementia, Mental disorders, defective cognition, Depression, and suicide. It can cause peripheral neuropathy and subacute spinal cord degeneration. It is Treatable. It is distributed to all 40 trillion cells in the body with receptors on the cell surface and in the nucleus. It is involved widely in metabolic reactions. It is found in 36% of people with Cognitive disorders. It is united with Intrinsic Factor in the stomach in an acid environment and absorbed in the ileum. People on antacids, with intestinal surgery, or gastric atrophy with age cannot absorb Vit B12. It is found in meats, is deficient in Vegetarians, Vegans, and in people on Junk food diets. It also causes Macrocytic anemia. It is water soluble and lost from the body rapidly. It is best taken as Methylcobalaman, not the Cyano form, either by oral or intramuscular injection regularly. It is a TREATABLE form of neurological disorders and anemia, if found early by a simple blood test. Test your patients for this Vitamin. (40 Minutes Discussion and Lecture); Screen-shot the one page Summary and References. (JIA)

]]>967a6344-c723-4333-8135-5311fafdb1a6Wed, 07 Feb 2024 09:00:00 -070055:40falsefull12352351Dr. Blaylock Reports #7; Atherosclerosis, Failure of Statins; Complications; Molecular Basis of Plaque formation. ImmunoexcitotoxicitySUMMARY: Dr. Blaylock Reports provides the data indicating Cholesterol is not involved in atherosclerotic placque formation. Statin drugs promoted by the pharmaceutical industry produce muscle weakness, memory loss, immune suppression while being of no value in stopping plaque formation. Statins also lower Cholesterol and Co. Q10 levels. Co -Q10 is necessary for muscle function. Giving high doses of Omega 6 Fatty acids, are excitatory to cells, and will produce plaque formation in animal studies. Measurements of LDL, HDL are useless without detailed subgroup analysis. Placques result from an endothelial tear, an inflammatory response at the injury site, macrophage accumulation (inflammatory response) and absorption of Omega 6 FA to form foam cells. This immunologic response is followed by an excitatory reaction aggravated by ingested glutamate to accelerate this plaque formation. Ultimately rupture of the placque produces a myocardial or cerebral infarction. Atherosclerosis is an inflammatory disease, best treated by a diet low in excitatory fatty acids and other molecules, Mediterranean Diet, Fish, fruit and vegetable ingestion. With a 50% obesity rating world wide, statin treatment has not made a difference. 40 minutes. Excellent (JIA)

]]>SUMMARY: Dr. Blaylock Reports provides the data indicating Cholesterol is not involved in atherosclerotic placque formation. Statin drugs promoted by the pharmaceutical industry produce muscle weakness, memory loss, immune suppression while being of no value in stopping plaque formation. Statins also lower Cholesterol and Co. Q10 levels. Co -Q10 is necessary for muscle function. Giving high doses of Omega 6 Fatty acids, are excitatory to cells, and will produce plaque formation in animal studies. Measurements of LDL, HDL are useless without detailed subgroup analysis. Placques result from an endothelial tear, an inflammatory response at the injury site, macrophage accumulation (inflammatory response) and absorption of Omega 6 FA to form foam cells. This immunologic response is followed by an excitatory reaction aggravated by ingested glutamate to accelerate this plaque formation. Ultimately rupture of the placque produces a myocardial or cerebral infarction. Atherosclerosis is an inflammatory disease, best treated by a diet low in excitatory fatty acids and other molecules, Mediterranean Diet, Fish, fruit and vegetable ingestion. With a 50% obesity rating world wide, statin treatment has not made a difference. 40 minutes. Excellent (JIA)

]]>e2a729ba-e9cb-4d49-b059-02a035c1eae6Wed, 07 Feb 2024 09:00:00 -070047:06falsefull12342341Diabetes; New Concepts; Excitotoxicity; Types 1&2; organ damageSUMMARY: Dr.Blaylock describes new patho-physiology for. Diabetes and how Immuno-excitotoxicity influences the development of Type 1 and Type 2 Diabetes. A series of metabolic derangements in an Inflammatory immune response to cell damage leads to a cascade of Excitotoxicity in most cells. Cell dysfunction and cell death result. Excitotoxicity, a concept Dr. Blaylock has promoted over a decade, underlies a number of CNS Diseases as Alzheimers, Parkinson's, ALS, and Multiple Sclerosis all of which appear to be involved in various stages of Immuno-excitotoxicity. (See the journal, Surgical Neurology International (SNI) for articles on these subjects. With the continued high intake of Glucose and some sugars and Glutamate, a ubiquitous CNS transmitter, in the diet, patients become overweight and obese. Failure of the Arcuate Nucleus in the hypothalamus which adjusts energy needs to intake in the body occurs from excitotoxicity also. The islets cells of the pancreas can also be attacked vaccines producing the islet cell damage and diabetes. New pioneering information. Excellent Update; 50minutes (JIA)

]]>SUMMARY: Dr.Blaylock describes new patho-physiology for. Diabetes and how Immuno-excitotoxicity influences the development of Type 1 and Type 2 Diabetes. A series of metabolic derangements in an Inflammatory immune response to cell damage leads to a cascade of Excitotoxicity in most cells. Cell dysfunction and cell death result. Excitotoxicity, a concept Dr. Blaylock has promoted over a decade, underlies a number of CNS Diseases as Alzheimers, Parkinson's, ALS, and Multiple Sclerosis all of which appear to be involved in various stages of Immuno-excitotoxicity. (See the journal, Surgical Neurology International (SNI) for articles on these subjects. With the continued high intake of Glucose and some sugars and Glutamate, a ubiquitous CNS transmitter, in the diet, patients become overweight and obese. Failure of the Arcuate Nucleus in the hypothalamus which adjusts energy needs to intake in the body occurs from excitotoxicity also. The islets cells of the pancreas can also be attacked vaccines producing the islet cell damage and diabetes. New pioneering information. Excellent Update; 50minutes (JIA)

]]>e9520ceb-7702-4c83-8d1b-f235b06e69b2Wed, 07 Feb 2024 09:00:00 -070044:39falsefull12332331Dr. Blaylock Reports: Measles in the USA; Fact and fiction; Infectious disease; Treatment,SUMMARY: Dr. Russell Blaylock reviews the recent outbreak of measles in the Southern USA, a disease eradicated in the USA over the past decades. With immigration infected people are admitted to the USA without the proper immunity and develop a measles infection that can have serious complications involving the Central Nervous System. It presents with fever, cough, runny nose, white spots inside the mouth, and then a rash from the fact to the body. Secondary complications can occur with diarrhea and middle ear infections. It is most rampant in immunocompromised people with inadequate nutritional status. It is highly infectious as an airborne disease or contact with infected people. There is no specific treatment for the disease. It is usually self limited with an extremely low mortality. In countries like Africa and Asia, measles infection mortality can reach 30% in malnourished, immuno-incompetent people suffering from other diseases. Vaccination, routinely given to the young, is helpful in developing a wide spread immunity to the disease. Global vaccination is helpful in lowering global mortality from this infection. Vitamin A supplementation, and proper nourishment are very beneficial in moderating this disease. (JIA)

]]>SUMMARY: Dr. Russell Blaylock reviews the recent outbreak of measles in the Southern USA, a disease eradicated in the USA over the past decades. With immigration infected people are admitted to the USA without the proper immunity and develop a measles infection that can have serious complications involving the Central Nervous System. It presents with fever, cough, runny nose, white spots inside the mouth, and then a rash from the fact to the body. Secondary complications can occur with diarrhea and middle ear infections. It is most rampant in immunocompromised people with inadequate nutritional status. It is highly infectious as an airborne disease or contact with infected people. There is no specific treatment for the disease. It is usually self limited with an extremely low mortality. In countries like Africa and Asia, measles infection mortality can reach 30% in malnourished, immuno-incompetent people suffering from other diseases. Vaccination, routinely given to the young, is helpful in developing a wide spread immunity to the disease. Global vaccination is helpful in lowering global mortality from this infection. Vitamin A supplementation, and proper nourishment are very beneficial in moderating this disease. (JIA)

]]>29bb576c-4ab6-4832-a009-264c798f98d6Wed, 07 Feb 2024 09:00:00 -070012:38falsefull12322321Upper Cervical Spine Trauma; Dr. Nancy Epstein; ManagementSUMMARY: Dr. Nancy Epstein continues her Spine Series discussions with this presentation about cervical spine trauma resulting in C1 to C3 injuries. Jefferson, Odontoid, and Hangman's fractures are discussed with references to the literature. supporting the fact based approaches to treatment. Surgical correction is critical to perform ASAP. With a less than 6 hour goal . 40 minutes of Discussion and Presentation. (JIA)

]]>SUMMARY: Dr. Nancy Epstein continues her Spine Series discussions with this presentation about cervical spine trauma resulting in C1 to C3 injuries. Jefferson, Odontoid, and Hangman's fractures are discussed with references to the literature. supporting the fact based approaches to treatment. Surgical correction is critical to perform ASAP. With a less than 6 hour goal . 40 minutes of Discussion and Presentation. (JIA)

]]>b0065bc7-cb27-48ae-b051-fcd71077c020Wed, 07 Feb 2024 09:00:00 -070047:06falsefull12292291Dr. Blaylock Reports: Fluoride Toxicity in the water; CNS-brain and organ damageDr. Russell Blaylock reviews the science behind Fluoridation of water. It does not prevent tooth decay and is toxic to the brain and other organs. Young children are especially sensitive to its toxic effects with lower IQs, reproductive organ, and bone damage, There are no scientific studies which support its efficacy. How and why did this happen? Why is the USA government supporting water fluoridation? Once you are in the habit of doing things your whole life, it is hard to believe it was wrong. These are the facts. Follow the money. What can you do to reverse its effects? Another SNI Digital® series revealing the truth. You decide. 40 Minutes Discussion (JIA)

]]>Dr. Russell Blaylock reviews the science behind Fluoridation of water. It does not prevent tooth decay and is toxic to the brain and other organs. Young children are especially sensitive to its toxic effects with lower IQs, reproductive organ, and bone damage, There are no scientific studies which support its efficacy. How and why did this happen? Why is the USA government supporting water fluoridation? Once you are in the habit of doing things your whole life, it is hard to believe it was wrong. These are the facts. Follow the money. What can you do to reverse its effects? Another SNI Digital® series revealing the truth. You decide. 40 Minutes Discussion (JIA)

]]>bbb1b691-adda-4df0-824b-08012364fce0Wed, 07 Feb 2024 09:00:00 -070052:33falsefull12282281Medical Malpractice; What is the Truth? Crisis in Health care; Panel DiscussionSUMMARY: The patient's side of the Malpractice Story. A Multidisciplinary Discussion to learn the challenges faced by a patient in reaching a Medical Malpractice Settlement including neurosurgeons, the patient, and a lawyer. The case is reviewed with the patient and her husband, explaining her preoperative state, surgical experience, and post operative course, recovering from complications at surgery. Pre-operatively she had numbness and pain of C7 and a motor and sensory deficit, that was not responsive to medical treatment. Surgery was chosen with an ACDF. Post-operatively she was quadriparetic with a predominant Brown- Sequard syndrome. An MR was performed immediately post-op and showed cord swelling and white matter densities in the spinal cord at the surgical site. The patient and her husband were not told of the MR changes and nothing was done further. No other consultation was obtained. She went to Rehab. She describes difficulties obtaining the facts of what happened. Several lawyers could not obtain the facts, or mentioned that, 'It was the standard of care'. The final lawyer pursued the case, which revealed multiple errors, from not recording the penetration of the cord at surgery with a spacer, to finally admitting the error. It was believed that nothing could be done to help this patient, immediately post op.

There was extensive cover-up of the facts at many levels. Why? Mistakes are and will be made at surgery. What is the Truth? Are the Healthcare system incentives built to hide these errors? Is the education system adequate? How can these situations be avoided or improved? Other basic principles involved in malpractice cases are discussed. Not fixing the system is unacceptable. What should be done that places the 'patient first' to fix the Medical Malpractice problems? How can we make these situations better? Solutions are offered. 75 min; (JIA) 

]]>SUMMARY: The patient's side of the Malpractice Story. A Multidisciplinary Discussion to learn the challenges faced by a patient in reaching a Medical Malpractice Settlement including neurosurgeons, the patient, and a lawyer. The case is reviewed with the patient and her husband, explaining her preoperative state, surgical experience, and post operative course, recovering from complications at surgery. Pre-operatively she had numbness and pain of C7 and a motor and sensory deficit, that was not responsive to medical treatment. Surgery was chosen with an ACDF. Post-operatively she was quadriparetic with a predominant Brown- Sequard syndrome. An MR was performed immediately post-op and showed cord swelling and white matter densities in the spinal cord at the surgical site. The patient and her husband were not told of the MR changes and nothing was done further. No other consultation was obtained. She went to Rehab. She describes difficulties obtaining the facts of what happened. Several lawyers could not obtain the facts, or mentioned that, 'It was the standard of care'. The final lawyer pursued the case, which revealed multiple errors, from not recording the penetration of the cord at surgery with a spacer, to finally admitting the error. It was believed that nothing could be done to help this patient, immediately post op.

There was extensive cover-up of the facts at many levels. Why? Mistakes are and will be made at surgery. What is the Truth? Are the Healthcare system incentives built to hide these errors? Is the education system adequate? How can these situations be avoided or improved? Other basic principles involved in malpractice cases are discussed. Not fixing the system is unacceptable. What should be done that places the 'patient first' to fix the Medical Malpractice problems? How can we make these situations better? Solutions are offered. 75 min; (JIA) 

]]>ca94dc5a-b3f8-4b40-925b-a0411da386d7Wed, 07 Feb 2024 09:00:00 -070001:21:24falsefull12272271What every doctor should know about Covid-19; Russell Blaylock, MD; Part 2SUMMARY: This is Part 2 of a 2-hour, uninterrupted SNI Digital® "Investigative Report" into the Covid-19 infection in an interview with Dr. Russell Blaylock. It covers the biology and low lethality of the man-made Covid-19 coronavirus. It reports the diseases caused by the mRNA "pseudo vaccine" which was rapidly produced, widely distributed, and mandated for use in response to 'the disease'. Learn the facts about the initial cover-up of this story. Learn about the limited research investigations behind the rapid release of the pseudo vaccines to the public, the weak scientific justification for the prevention measures, and their widespread social and economic consequences. Understand the long-term consequences of the limited pre-release research testing of these pseudo-vaccines and the false justification for the mandated use of this "pseudo-vaccine", which are all now being reported. Why were other early treatments intentionally suppressed? Why was the truth about these man-made diseases covered up, by whom, and for what purpose? What are the scientific facts behind the wide spread requirements for masks, social distancing, and isolation at home? Why were the case rates exaggerated by the PCR testing, which has been shown to have no real clinical value of a disease that is present. What long term complications are now being seen related to the mRNA pseudo-vaccine, which is incorporated into the cellular metabolism and DNA, leading to the continuous manufacture of "Spike proteins" for the foreseeable future in humans? What are the treatments for the diseases produced? The factual answers to these questions are answered in this video and thoroughly documented by references from the literature mentioned at the end of this report. Additionally, hundreds of other scientific references are available from SNI Digital® on request. Why do physicians and the public know so little about these facts?

This is a story of the desire of a segment of the population for Money and Power to establish Central Control over Individual Liberty, fought between different classes of the population. It is a story which has occurred repeatedly in past centuries in multiple civilizations throughout the history of mankind. (read: "The Lessons of History" -Chapter 10 Government and History. Will and Ariel Durant; Simon and Schuster; available at amazon.com or other booksellers). 

We hope you enjoy this report. SNI Digital investigates the facts; you decide.

]]>SUMMARY: This is Part 2 of a 2-hour, uninterrupted SNI Digital® "Investigative Report" into the Covid-19 infection in an interview with Dr. Russell Blaylock. It covers the biology and low lethality of the man-made Covid-19 coronavirus. It reports the diseases caused by the mRNA "pseudo vaccine" which was rapidly produced, widely distributed, and mandated for use in response to 'the disease'. Learn the facts about the initial cover-up of this story. Learn about the limited research investigations behind the rapid release of the pseudo vaccines to the public, the weak scientific justification for the prevention measures, and their widespread social and economic consequences. Understand the long-term consequences of the limited pre-release research testing of these pseudo-vaccines and the false justification for the mandated use of this "pseudo-vaccine", which are all now being reported. Why were other early treatments intentionally suppressed? Why was the truth about these man-made diseases covered up, by whom, and for what purpose? What are the scientific facts behind the wide spread requirements for masks, social distancing, and isolation at home? Why were the case rates exaggerated by the PCR testing, which has been shown to have no real clinical value of a disease that is present. What long term complications are now being seen related to the mRNA pseudo-vaccine, which is incorporated into the cellular metabolism and DNA, leading to the continuous manufacture of "Spike proteins" for the foreseeable future in humans? What are the treatments for the diseases produced? The factual answers to these questions are answered in this video and thoroughly documented by references from the literature mentioned at the end of this report. Additionally, hundreds of other scientific references are available from SNI Digital® on request. Why do physicians and the public know so little about these facts?

This is a story of the desire of a segment of the population for Money and Power to establish Central Control over Individual Liberty, fought between different classes of the population. It is a story which has occurred repeatedly in past centuries in multiple civilizations throughout the history of mankind. (read: "The Lessons of History" -Chapter 10 Government and History. Will and Ariel Durant; Simon and Schuster; available at amazon.com or other booksellers). 

We hope you enjoy this report. SNI Digital investigates the facts; you decide.

]]>1596c45d-5cda-4ba9-b6c9-53335618461dTue, 30 Jan 2024 09:00:00 -070056:38falsefull11001001What every doctor should know about Covid-19; Russell Blaylock,MD; Part 1SUMMARY: This is Part 1 of a 2-hour, uninterrupted SNI Digital® "Investigative Report" into the Covid-19 infection in an interview with Dr. Russell Blaylock. It covers the biology and low lethality of the man-made Covid-19 coronavirus. It reports the diseases caused by the mRNA "pseudo vaccine" which was rapidly produced, widely distributed, and mandated for use in response to 'the disease'. Learn the facts about the initial cover-up of this story. Learn about the limited research investigations behind the rapid release of the pseudo vaccines to the public, the weak scientific justification for the prevention measures, and their widespread social and economic consequences. Understand the long-term consequences of the limited pre-release research testing of these pseudo-vaccines and the false justification for the mandated use of this "pseudo-vaccine", which are all now being reported. Why were other early treatments intentionally suppressed? Why was the truth about these man-made diseases covered up, by whom, and for what purpose? What are the scientific facts behind the wide spread requirements for masks, social distancing, and isolation at home? Why were the case rates exaggerated by the PCR testing, which has been shown to have no real clinical value of a disease that is present. What long term complications are now being seen related to the mRNA pseudo-vaccine, which is incorporated into the cellular metabolism and DNA, leading to the continuous manufacture of "Spike proteins" for the foreseeable future in humans? What are the treatments for the diseases produced? The factual answers to these questions are answered in this video and thoroughly documented by references from the literature mentioned at the end of this report. Additionally, hundreds of other scientific references are available from SNI Digital® on request. Why do physicians and the public know so little about these facts?

This is a story of the desire of a segment of the population for Money and Power to establish Central Control over Individual Liberty, fought between different classes of the population. It is a story which has occurred repeatedly in past centuries in multiple civilizations throughout the history of mankind. (read: "The Lessons of History" -Chapter 10 Government and History. Will and Ariel Durant; Simon and Schuster; available at amazon.com or other booksellers). 

We hope you enjoy this report. SNI Digital investigates the facts; you decide.

]]>SUMMARY: This is Part 1 of a 2-hour, uninterrupted SNI Digital® "Investigative Report" into the Covid-19 infection in an interview with Dr. Russell Blaylock. It covers the biology and low lethality of the man-made Covid-19 coronavirus. It reports the diseases caused by the mRNA "pseudo vaccine" which was rapidly produced, widely distributed, and mandated for use in response to 'the disease'. Learn the facts about the initial cover-up of this story. Learn about the limited research investigations behind the rapid release of the pseudo vaccines to the public, the weak scientific justification for the prevention measures, and their widespread social and economic consequences. Understand the long-term consequences of the limited pre-release research testing of these pseudo-vaccines and the false justification for the mandated use of this "pseudo-vaccine", which are all now being reported. Why were other early treatments intentionally suppressed? Why was the truth about these man-made diseases covered up, by whom, and for what purpose? What are the scientific facts behind the wide spread requirements for masks, social distancing, and isolation at home? Why were the case rates exaggerated by the PCR testing, which has been shown to have no real clinical value of a disease that is present. What long term complications are now being seen related to the mRNA pseudo-vaccine, which is incorporated into the cellular metabolism and DNA, leading to the continuous manufacture of "Spike proteins" for the foreseeable future in humans? What are the treatments for the diseases produced? The factual answers to these questions are answered in this video and thoroughly documented by references from the literature mentioned at the end of this report. Additionally, hundreds of other scientific references are available from SNI Digital® on request. Why do physicians and the public know so little about these facts?

This is a story of the desire of a segment of the population for Money and Power to establish Central Control over Individual Liberty, fought between different classes of the population. It is a story which has occurred repeatedly in past centuries in multiple civilizations throughout the history of mankind. (read: "The Lessons of History" -Chapter 10 Government and History. Will and Ariel Durant; Simon and Schuster; available at amazon.com or other booksellers). 

We hope you enjoy this report. SNI Digital investigates the facts; you decide.

]]>4b22f47e-c738-478b-bf77-8e40d075d494Tue, 30 Jan 2024 09:00:00 -070001:07:04falsefull199991Cervical Spine Controversies; Nancy Epstein; ACDF Vs Posterior Surgery; Outcomes; complications; costs;SUMMARY: Dr. Epstein reviews the literature on the efficacy of anterior vs posterior approaches to the lateral lesion in the cervical spine and concludes that the evidence for the Cervical Laminoforaminotomy is superior to that of the anterior approaches (ACD/ ACDF) for lesions in this region. posterior procedure. This is an excellent review and analysis of this management choice which reveals the problems with the ACDF approaches as inferior to the CLF. It is understood that a large number of physicians were not trained in this procedure, which is simpler and safer than the ACD/ACDF approach. Yet the CLF is simpler, less costly, and associated with less complications although physicians and hospitals are reimbursed less for CLF over ACD/ACDF. The potential complications are more serious with the ACD/ACDF. So this also becomes a healthcare economics issue. While everyone (physicians, Biomedical companies, Hospitals) are gaming the system to make money; the patient loses. What is the standard of care? How can it be changed for everyone's benefit? (ed- James Ausman)

]]>SUMMARY: Dr. Epstein reviews the literature on the efficacy of anterior vs posterior approaches to the lateral lesion in the cervical spine and concludes that the evidence for the Cervical Laminoforaminotomy is superior to that of the anterior approaches (ACD/ ACDF) for lesions in this region. posterior procedure. This is an excellent review and analysis of this management choice which reveals the problems with the ACDF approaches as inferior to the CLF. It is understood that a large number of physicians were not trained in this procedure, which is simpler and safer than the ACD/ACDF approach. Yet the CLF is simpler, less costly, and associated with less complications although physicians and hospitals are reimbursed less for CLF over ACD/ACDF. The potential complications are more serious with the ACD/ACDF. So this also becomes a healthcare economics issue. While everyone (physicians, Biomedical companies, Hospitals) are gaming the system to make money; the patient loses. What is the standard of care? How can it be changed for everyone's benefit? (ed- James Ausman)

]]>2cf6c92d-2e0b-4bee-b197-590ea25c0d7eSun, 28 Jan 2024 09:00:00 -070045:42falsefull1178178121st Baghdad Meeting; Successful Management of Complex Spine, Spinal cord and Nerve root cases; Lumbar Spinal Instability; Dr Yasi Adil TasaSUMMARY: Dr. Tasa describes his diagnosis and management of two cases of symptomatic lumbar spinal instability from his large experience in CNS Spinal Surgery. Discussion by Dr. Nancy Epstein in using available means to select and treat these patients. Lecture 22 minutes; Discussion 23 minutes. Practical information for surgeons managing these cases.

]]>SUMMARY: Dr. Tasa describes his diagnosis and management of two cases of symptomatic lumbar spinal instability from his large experience in CNS Spinal Surgery. Discussion by Dr. Nancy Epstein in using available means to select and treat these patients. Lecture 22 minutes; Discussion 23 minutes. Practical information for surgeons managing these cases.

]]>cbc87ec5-004d-4d25-966d-0faf9d3832bfSat, 20 Jan 2024 09:00:00 -070045:07falsefull11121121Diagnosis and Management of Complex Spine, Spinal Cord, Nerve Root Cases; Dr. Ali Adnan DolacheeSummary: Dr. Dolachee describes his approach to a patient with limited funds and a complex spinal problem with Multiple Myeloma. His second case involved a patient with a symptomatic clival lesion. Both of these cases were managed thoughtfully, with limited resources to involve the endoscopic removal of the lesion and subsequent posterior cervical fusion with success. Outstanding examples of what can be achieved with creativity, determination, and intelligence using what is available to achieve an excellent result for a patient. 40 minutes: case presentation and 20 minute: Discussion. Highly recommended. 

]]>Summary: Dr. Dolachee describes his approach to a patient with limited funds and a complex spinal problem with Multiple Myeloma. His second case involved a patient with a symptomatic clival lesion. Both of these cases were managed thoughtfully, with limited resources to involve the endoscopic removal of the lesion and subsequent posterior cervical fusion with success. Outstanding examples of what can be achieved with creativity, determination, and intelligence using what is available to achieve an excellent result for a patient. 40 minutes: case presentation and 20 minute: Discussion. Highly recommended. 

]]>9bfb6ae1-cb21-4325-af94-2d4e41977af2Sat, 20 Jan 2024 09:00:00 -070001:06:49falsefull11111111Neuroscience Leader; Timothy Cloughesy, MD; Neuro-oncologist; VorasidenibSUMMARY: An interview with Dr. Timothy Cloughesy, UCLA Head of Neuro-oncology on the successful molecular treatment advances of Low Grade Gliomas; A discussion of which molecular targets are blocked to achieve excellent results using a new agent; Also discussed is an extension of this approach to Craniopharyngeoma treatment with other molecular blockers. Discussion of treatment options from HIC to LMIC. Molecular Rx not commercially available; Waiting, Surgery; Radiation Therapy, are all open to use world wide. Excellent present and future discussion; practical information for all locations globally.

]]>SUMMARY: An interview with Dr. Timothy Cloughesy, UCLA Head of Neuro-oncology on the successful molecular treatment advances of Low Grade Gliomas; A discussion of which molecular targets are blocked to achieve excellent results using a new agent; Also discussed is an extension of this approach to Craniopharyngeoma treatment with other molecular blockers. Discussion of treatment options from HIC to LMIC. Molecular Rx not commercially available; Waiting, Surgery; Radiation Therapy, are all open to use world wide. Excellent present and future discussion; practical information for all locations globally.

]]>461eb7e2-0d43-426d-bad8-bb3815c71e55Tue, 02 Jan 2024 09:00:00 -070050:13falsefull173731Building a leading world center in 20 years in Kurdistan; Dr. Ari SamiSUMMARY: This is an excellent description how a complete, extensive neurosurgery and education program was accomplished in 20 years with the cooperation of the community leaders, doctors and neurosurgeons to become a leading world center. Now a large referral center. An example of LMIC achievements. (JIA)

]]>SUMMARY: This is an excellent description how a complete, extensive neurosurgery and education program was accomplished in 20 years with the cooperation of the community leaders, doctors and neurosurgeons to become a leading world center. Now a large referral center. An example of LMIC achievements. (JIA)

]]>0ea84bb9-2760-4baa-96c9-cac374d2366fWed, 27 Dec 2023 09:00:00 -070040:17falsefull159591Complete 19th Baghdad Meeting Videos; 6 YNSSSUMMARY: For YNSS; Neurosurgeon Educators; Medial School Educators. this 19th meeting is about sharing experience with the Hoz mentorship program for young students, residents, and their teachers primarily in LMIC but also valuable for those in HIC. Series of 6 short talks on YNSS mentorship experience to help educate young students and neurosurgeons to compete for limited residency and career positions

]]>SUMMARY: For YNSS; Neurosurgeon Educators; Medial School Educators. this 19th meeting is about sharing experience with the Hoz mentorship program for young students, residents, and their teachers primarily in LMIC but also valuable for those in HIC. Series of 6 short talks on YNSS mentorship experience to help educate young students and neurosurgeons to compete for limited residency and career positions

]]>94e5d274-056f-4076-8cb9-eff1e54041b7Tue, 26 Dec 2023 09:00:00 -070002:28:22falsefull162621Complete 20th Baghdad Meeting Lectures and DiscussionSUMMARY: 20th Baghdad Meeting 11/26/23; Lectures on Management of Hydatid disease by Dr. Hadi Al-Khalili and Complex Brain Tumors seen in Iraq by Dr. Wameedth Matti, both with large experiences in these diseases and with Discussion with a global audience.

]]>SUMMARY: 20th Baghdad Meeting 11/26/23; Lectures on Management of Hydatid disease by Dr. Hadi Al-Khalili and Complex Brain Tumors seen in Iraq by Dr. Wameedth Matti, both with large experiences in these diseases and with Discussion with a global audience.

]]>2c15b81a-66df-48b0-9000-10785fd5b629Sun, 26 Nov 2023 09:00:00 -070001:57:26falsefull157571Managing Complex Brain Tumors; Referral Center; Iraq; Dr. W. Matti; Neuro-oncologySUMMARY: Dr. Matti presents a series of Complex Brain Tumor cases and discusses his management strategies of these challenging cases. How to make the most use of the facilities and equipment you have. The value of intra-operative ultrasound.

]]>SUMMARY: Dr. Matti presents a series of Complex Brain Tumor cases and discusses his management strategies of these challenging cases. How to make the most use of the facilities and equipment you have. The value of intra-operative ultrasound.

]]>82ca737b-a345-49a0-be94-c571049ee975Sun, 26 Nov 2023 09:00:00 -070039:04falsefull156561Managing Hydatid Disease; Dr. Hadi Al-KhaliliSUMMARY: Dr. Khalili describes the natural history and pathogenesis of this parasitic disease in Iraq from his large experience in treating this disease? What percentage of the population has this disease? How is it commonly treated? Is poor sanitation the major cause of the disease? What drugs or agents are effective to treat this disease? How many get CNS complications of the disease? What are the treatments for CNS involvement? Which ones work? Can the patient or family members afford to pay for that treatment? These questions and more are Discussed with this lecture. How do you manage this disease in your country? What are the long-term complications of this disease? Is this an important Public Health Problem in Iraq and your country? What can be done to treat more people with this disease?

]]>SUMMARY: Dr. Khalili describes the natural history and pathogenesis of this parasitic disease in Iraq from his large experience in treating this disease? What percentage of the population has this disease? How is it commonly treated? Is poor sanitation the major cause of the disease? What drugs or agents are effective to treat this disease? How many get CNS complications of the disease? What are the treatments for CNS involvement? Which ones work? Can the patient or family members afford to pay for that treatment? These questions and more are Discussed with this lecture. How do you manage this disease in your country? What are the long-term complications of this disease? Is this an important Public Health Problem in Iraq and your country? What can be done to treat more people with this disease?

]]>fd25422e-36a7-4ad7-bdf8-7379cf2588feSun, 26 Nov 2023 09:00:00 -070001:15:17falsefull155551Glascow Neuro-2022; YNSS: Hareesha Rishab Bharadwaj;SUMMARY: The Authors describe the results of their retrospective clinical study from a rural Indian pediatric population treated for meningiomas neurosurgically. in the 26 children from 1-17 yrs of age studied "the ratio of males to females being 1.8:1. 23% of reported meningiomas occurred in the posterior fossa, 45% in the sphenoid and 21% in the tuberculum sellae."- Authors. Complete tumor excision was achieved in 70%. Atypical/Malignant types represented 16% of the group. Mortality was 11%. A rare study to find on this tumor in children, in study designed and completed by YNSS. Nice presentation and Discussion-JIA

]]>SUMMARY: The Authors describe the results of their retrospective clinical study from a rural Indian pediatric population treated for meningiomas neurosurgically. in the 26 children from 1-17 yrs of age studied "the ratio of males to females being 1.8:1. 23% of reported meningiomas occurred in the posterior fossa, 45% in the sphenoid and 21% in the tuberculum sellae."- Authors. Complete tumor excision was achieved in 70%. Atypical/Malignant types represented 16% of the group. Mortality was 11%. A rare study to find on this tumor in children, in study designed and completed by YNSS. Nice presentation and Discussion-JIA

]]>0b4d1bd0-b8e3-4e6a-b2d1-025e87180ae7Wed, 15 Nov 2023 09:00:00 -070022:12falsefull170701Glasgow Neuro-2022; YNSS; Ericka Mejia Farias; ImmunotherapySUMMARY: This project was performed at the University College of London in the Cancer Institute with the contribution of other scientists. Simple Summary: In the tumor micro environment in the brain there are immune cells which attack the tumor cell and those which protect it from attack. The authors use an agent which prevents the protecting immune cells from stopping the attacking immune cells from destroying the tumor and its foreign proteins. As a result the tumor is destroyed by the patient's own immune cells. The authors state that these counteracting immune systems extend to the human species. Thus, the drug treatment should be able to work to allow human glioblastoma cells to be destroyed. This report is about the animal studies. A very interesting new approach to glioblastoma treatment. Look for more publications on this subject.- JIA The authors' summary is: scRNa-seq and FACS analysis confirmed RG629-treatment in our mouse model depleted Tregs, likely through an Fc-gamma-receptor-mediated mechanism involving phagocytic-myeloid cells, and depleted tumour cells through enhanced clonal expansion of CD8 T cells. Conservation of Treg signatures between species suggest that the strong RG6292 treatment-effect observed in our GBM mouse model could be translated to clinic in the future and provide much-needed treatment for GBM patients.

]]>SUMMARY: This project was performed at the University College of London in the Cancer Institute with the contribution of other scientists. Simple Summary: In the tumor micro environment in the brain there are immune cells which attack the tumor cell and those which protect it from attack. The authors use an agent which prevents the protecting immune cells from stopping the attacking immune cells from destroying the tumor and its foreign proteins. As a result the tumor is destroyed by the patient's own immune cells. The authors state that these counteracting immune systems extend to the human species. Thus, the drug treatment should be able to work to allow human glioblastoma cells to be destroyed. This report is about the animal studies. A very interesting new approach to glioblastoma treatment. Look for more publications on this subject.- JIA The authors' summary is: scRNa-seq and FACS analysis confirmed RG629-treatment in our mouse model depleted Tregs, likely through an Fc-gamma-receptor-mediated mechanism involving phagocytic-myeloid cells, and depleted tumour cells through enhanced clonal expansion of CD8 T cells. Conservation of Treg signatures between species suggest that the strong RG6292 treatment-effect observed in our GBM mouse model could be translated to clinic in the future and provide much-needed treatment for GBM patients.

]]>7d319ccb-ade8-4cf9-a480-ed65b283cfbfWed, 15 Nov 2023 09:00:00 -070019:19falsefull164641Building a Modern Neurosurgery Center in Kurdestan-Erbil, IraqSUMMARY: Dr. Rawandozy, Head of Neurosurgery at the Hawler Medical University in Erbil, Kurdistan, Iraq explains how the neurosurgery department was built over 20 years to become a modern Neurosurgery Center at a World Class level, starting with no department. His success is attributed to the strong local support of the community and many others making this program successful. He explains how it was done while having positions in the university and conducting a private practice. Innovative approaches to medical challenges

]]>SUMMARY: Dr. Rawandozy, Head of Neurosurgery at the Hawler Medical University in Erbil, Kurdistan, Iraq explains how the neurosurgery department was built over 20 years to become a modern Neurosurgery Center at a World Class level, starting with no department. His success is attributed to the strong local support of the community and many others making this program successful. He explains how it was done while having positions in the university and conducting a private practice. Innovative approaches to medical challenges

]]>743ba90f-faf3-4c8b-ba43-87d693555c15Wed, 01 Nov 2023 09:00:00 -070026:08falsefull153531Iraq Gamma Knife experience 5000 cases; 7 centersSUMMARY: Over 5000 cases; Treatment Indications; Functional indications; Obsessive-Compulsive Disorders; Multi Centers in Iraq ( Basra, Erbil, Baghdad, Al-Taj Center, Saad Al Witry Neuroscience Hospital, Baghdad; Brain Tumors- all types; AVM, Nasopharyngeal CA; Pituitary Tumors; Trigeminal Neuralgia, Mesial Temporal Sclerosis; Cavernous Malformations ; Deep-seated tumors; Residual and Recurrent tumors; Tumor bed; Hypophesectomy for painful metastases; Tremors; Poor Surgical Candidates; Focal Brain Stem Tumors, Other tumors; Corpus Callosectomy; Uveal Disorders and other indications. Large Experience & Results

]]>SUMMARY: Over 5000 cases; Treatment Indications; Functional indications; Obsessive-Compulsive Disorders; Multi Centers in Iraq ( Basra, Erbil, Baghdad, Al-Taj Center, Saad Al Witry Neuroscience Hospital, Baghdad; Brain Tumors- all types; AVM, Nasopharyngeal CA; Pituitary Tumors; Trigeminal Neuralgia, Mesial Temporal Sclerosis; Cavernous Malformations ; Deep-seated tumors; Residual and Recurrent tumors; Tumor bed; Hypophesectomy for painful metastases; Tremors; Poor Surgical Candidates; Focal Brain Stem Tumors, Other tumors; Corpus Callosectomy; Uveal Disorders and other indications. Large Experience & Results

]]>6d4bf69f-c115-4c7b-ae1d-7f65bb6c54deWed, 01 Nov 2023 09:00:00 -070031:07falsefull135351Complete 15th SNI/SNI Digital Baghdad Neurosurgery Meeting; Lectures and DiscussionsSUMMARY: History of Neurosurgery in Iraq: Simple Inexpensive Neuronavigtion Systems for LMIC; Ergonomic Instruments for Surgery for all; World Class Functional and Stereotactic Neurosurgery in LMIC; Guest Lecture: Functional Neurosurgery for Intractable Low Back Pain; 4 Lectures with Discussion. (JIA)

]]>SUMMARY: History of Neurosurgery in Iraq: Simple Inexpensive Neuronavigtion Systems for LMIC; Ergonomic Instruments for Surgery for all; World Class Functional and Stereotactic Neurosurgery in LMIC; Guest Lecture: Functional Neurosurgery for Intractable Low Back Pain; 4 Lectures with Discussion. (JIA)

]]>41be3a63-1421-4057-a761-a2cc24e27827Wed, 01 Nov 2023 09:00:00 -070002:22:46falsefull13434116th Baghdad Meeting; The Future of Neurosurgery and Medicine; James Ausman; Lenticulostriate arteries; Atherosclerosis Treatment; Macrophages and Aneurysm growth; Micron-vascular disease TreatmentSummary: The lecture on the future of neurosurgery and medicine starts from a study of the vascular cause of lacunar infarctions, the cause of 20% of strokes. it is a disease we cannot diagnose with modern technology or treat now. Dr. Ausman outlines how small vessel diseases can be treated in the future using experience from the inflammatory causes of atherosclerosis and the macrophage inflammatory causes of aneurysm formation. There is a common feature of those diseases which can be treated. It is Chronic Inflammation. Chronic Inflammation is also the cause of Parkinson's disease, Alzheimer's and many other diseases in the body. It is the major disease category of the 21st century, and you will treat it, cure it, and increase longevity. Most of the diseases today will be gone by the end of the 21st century. Then you will have Space diseases and Space treatments and interplanetary Medicine and diseases. You will be living on other planets or the moon. You will find other civilizations in the universe. What is going on on earth will all change, and your lives will change . Be prepared. (Lecture-40 minutes; Discussion-15 minutes; 5/5 ranking)

]]>Summary: The lecture on the future of neurosurgery and medicine starts from a study of the vascular cause of lacunar infarctions, the cause of 20% of strokes. it is a disease we cannot diagnose with modern technology or treat now. Dr. Ausman outlines how small vessel diseases can be treated in the future using experience from the inflammatory causes of atherosclerosis and the macrophage inflammatory causes of aneurysm formation. There is a common feature of those diseases which can be treated. It is Chronic Inflammation. Chronic Inflammation is also the cause of Parkinson's disease, Alzheimer's and many other diseases in the body. It is the major disease category of the 21st century, and you will treat it, cure it, and increase longevity. Most of the diseases today will be gone by the end of the 21st century. Then you will have Space diseases and Space treatments and interplanetary Medicine and diseases. You will be living on other planets or the moon. You will find other civilizations in the universe. What is going on on earth will all change, and your lives will change . Be prepared. (Lecture-40 minutes; Discussion-15 minutes; 5/5 ranking)

]]>bab49a1a-6299-4837-b12f-5feb8fa41136Wed, 01 Nov 2023 09:00:00 -070054:46falsefull125251