Excited to share MEMBRANE primary results published. TRUFILL for cSDH

هسه لوما اني اكبر و اقدم منك بالوضيفة بس شنو تترجى من طبيب خائن لمهنته وعود من الوالد او الوالده يصير عنده CSDH عالجهم بتغريداتك ومعدلك العالي المجهول والمطبخ عزيزي مو عيب ليش الوالدة وأختك منين تجيبلك اكل من الديليڤري لو من المطبخ !! لو تويتس التحشيد على زملائك هي اللي توكلك

مساج في جدة الرياض منزلي فندقي csdH

cSDHに対するSEPS(穿頭排液)＋MMAEの併用療法に関するメタ解析結果（Neuroradiol 2026: doi.org/10.1007/s00234-026-0…）🧠🩸 低侵襲かつ再発抑制の治療選択肢として期待されますが、日常診療への標準化には今後の検証が待たれます📊 #慢性硬膜下血腫cSDH #中硬膜動脈塞栓術MMAE

We tried to map the current evidence on coil-only MMAE for cSDH, and more questions than answers still! Technique variability is real and there's a lot of room to grow. Hopefully this helps prep the ground for the next wave of studies.

💡 What is the current evidence on coil-only middle meningeal artery embolization (MMAE) for chronic subdural hematoma (cSDH)? In this JNIS scoping review, authors analyzed 9 studies including 367 patients and 459 embolization procedures evaluating coil-only MMAE for cSDH. Recurrence rates ranged from 0–17.6%, reintervention rates from 0–15.4%, and complication rates from 0–5%. Techniques varied from proximal MMA trunk occlusion to more distal branch-level coiling, with potential advantages of coil-only MMAE in anatomically challenging cases. 📖 Read more at bit.ly/4uGpLYv @HakeemShakirMD @OUHealth

Article 13 CSDH: Toute personne dont les droits et libertés reconnus dans la présente Convention ont été violés, a droit à l'octroi d'un recours effectif devant une instance nationale,

Have long felt that the key reason he invaded in 2014 was because Ukraine signed two huge agreements in 2012 with Shell and Exxon to develop the vast natural gas fields around Crimea and the Black Sea. If Ukraine easy successful in becoming a major producer of nat gas it would have been a major competitor to Russia and hurt its economy. And exporting energy is the huge csdh cow for Putinstan. It also would have been major blow to Putin’s ability to control Europe by shutting off nat gas during the debts of winter. Gas was often restricted by ‘technical problems’ which were corrected as soon as the EU gave Putin what he wanted. There were multiple reasons; a threatening democracy. A very weak Obama/NATO. Ukraine was sbout to join the EU. But having the new fracking techniques at eork next door destroying his main cash cow had to be a major factor.

🏆Congrats to winners of @mountsinaineuro 2026 Research Day! 1st winner: Isabella Morgan "The Periscope Kit (min-invasive #neuroendoscopy for #cSDH)". 2nd winner: Dr @CarinaSeah "Intralesional Blood Reflects Brain Activity in Pediatric #VOGM. Thanks to all presenters & mentors!

我が病棟には 接遇劣悪モンスターがいるんですけど CSDHのオペ後のばあば不穏に仕上げて送ってきたから 今度あったらぶんなぐるᕦ(ò_óˇ)ᕤ

pay pig/finsub blsckmail kink ?? let's play "keep sending before i send these screenshots to your friends" or "if you don't fill my account up, i'm gonna shoe your wife why hers is empty" so HOT blackmail kink findom findomme finsubs csdh coes paypig

This review summarizes current evidence on MMAE for CSDH, including international surveys, consensus guidelines, NEJM RCTs, meta-analyses, and cost data, and discusses patient selection for adjunctive or stand-alone treatment. #JNET #CSDH #MMAE

Insightful session on Level 1 evidence shaping the role of #MMA embolization in CSDH by Dr @StavTjoumakaris from @JeffersonUniv, highlighting risk stratification, patient selection, and evolving clinical practice. @AANSNeuro @AANSDiversity @NSTumorSection @spinesection #aans2026 #aans #Innovation #Collaboration #Transformation @IsaacYangMD @UCLANsgy @UCLA_ENT @UCLAHealth @dgsomucla @HarborUCLA @HarborUCLASurg @HarborTrauma

Advancing risk stratification in cSDH management, great presentation by Dr. Rachel Jacobs from @UPMC on a novel grading scheme to guide middle meningeal artery embolization and predict surgical rescue. @AANSNeuro @AANSDiversity @NSTumorSection @spinesection #aans2026 #aans #Innovation #Collaboration #Transformation @StavTjoumakaris @JeffersonUniv @IsaacYangMD @UCLANsgy @UCLA_ENT @UCLAHealth @dgsomucla @HarborUCLA @HarborUCLASurg @HarborTrauma

⚠️Our new study is now published in @SNInt Surgical Neurology International. 👉🏾In this study, we examined postoperative radiographic predictors of recurrence in chronic subdural hematoma (CSDH), focusing on subdural space and midline shift in a single-center cohort. 👉🏾In a series of 428 patients undergoing surgical evacuation, 10.5% experienced at least 1 recurrence. Two postoperative imaging findings stood out as independent predictors, particularly in bilateral CSDH cases: * Midline shift * Size of the postoperative secondary subdural space 👉🏾These findings suggest that routine postoperative imaging is not just descriptive but can directly inform risk stratification. Patients with these features may benefit from closer follow-up and potentially adjusted management strategies. 👉🏾This work contributes to a more objective, imaging-based approach to identifying high-risk patients after CSDH surgery. I would like to thank all co-authors, particularly @CarlosCalde_MD 👏 Read full text here: dx.doi.org/10.25259/SNI_1186…

🚨 New Results from the EMMA-Can Randomized Clinical Trial! 🧠 Can we reduce the high recurrence rates of chronic subdural hematoma (cSDH)? The newly published EMMA-Can trial evaluated adjunctive embolization of the middle meningeal artery (EMMA) alongside standard surgical drainageacross 9 Canadian centers. 📊 Key 90-Day Outcomes: 📉 Symptomatic recurrence dropped by 6.5X: only 4.3% in the EMMA group vs. 28% with surgery alone. 🧠 Radiographic recurrence was also much lower: 14% for EMMA vs. 49.5% for the control group. ✅ Safety profile: Mortality and adverse event rates were similar between groups, and no serious adverse events or deaths were attributed to the EMMA procedure. 💡 The Takeaway: Performing EMMA with a liquid embolic agent within 72 hours of surgery is a safe and highly effective strategy to prevent cSDH recurrence compared to relying on surgery alone. #Neurosurgery #ClinicalTrials #EMMACan #MedicalResearch #Neurology Thoughts: 1) The data support that cSDH are vascular in origin. cSDH are a common encountered neurological entities with an aging population. 2) At our center we have unpublished data that SDH recurrence after craniotomy SDH evac surgery can be as high as 20% prior to MMA embolization. Recurrence was highest in those on chronic anticoagulation compared to those without anticoagulation. 3) If you talk to a neurosurgeon who does craniotomy and drainage of cSDH, they describe a hypervascular membrane being present that they try to remove as much as possible in a craniotomy flap. This along with some other studies about VEGF elevation support this “cSDH vascular hypothesis” that is treated by embolization. Comment: I once had a paper about subdural hematomas rejected by the typical major journals around this vascular SDH concept. Finally a good journal and reviewer asked “are cSDH really vascular ?” We said yes and provided and cited some early literature around this concept. Thankfully the J Stroke and Cerebrovascular journal published it ! 🎉 :-) PMID: 32434727 Source: Shankar J et al Management of Chronic Subdural Hematoma With Adjunctive Embolization of Middle Meningeal Artery: The EMMA-Can Randomized Clinical Trial jamanetwork.com/journals/jam… doi:10.1001/jama.2026.4910

You’re right! CSDH has the lowest standards for acceptance out of all the cal state schools.

Tackling tortuous vessels in elderly patients— A triaxial system using a 4F diagnostic catheter as a guide via the transradial approach offers a useful strategy for MMA embolization in cases of CSDH. Practical insights from the front lines.

#OnlineFirst: Failure of MMA embolization due to deep and middle temporal artery supply in chronic subdural hematoma: the diagnostic value of 3D-RA Check out the article at: link.springer.com/article/10… #mma #embolization #csdh #3dra