NEW UPGRADES: 
  • 5/13/23; New technical advances in version 1.1 
  • 5/3/23: New Operative Video: Endoscopic transchoroidal approach to removal of posterior third ventricle tumor of the pineal: How I do it. Roman Bosnjak, MD; Ljubljana, Slovenia.  SNI Head of Endoscopy; 6 minutes. excellent. 
  • 5/2/23: Added RUSSIAN to the existing 8 languages for translations
  • 4/23/23: Added New Program:  "New stereotactic functional  treatment for Chronic Low Back Pain which failed all other treatments- Modifying Behavior with DBS". Ausaf Bari, UCLA; Lecture 15 min; Discussion 22 minutes, rating 5/5; 120 attendees 
  •  4/23/23: Added New Program: "The History of Iraqi Neurosurgery in the last 100 years: Outstanding Leadership in difficult times" Hadi Al Khalili, MD; Lecture 15 min; 22 min discussion; rating 4/5; 120 attendees
  • 4/23/23: Added New Program: "How to build a World Class Functional Neurosurgery program in a War ravaged country: Hiba Abdulamir, MD ;Lecture 23 min; Discussion 7 min; rating 4/5; 120 attendees, 18 countries. 
  • 4/23/23: Added New Program: "How to build an excellent Low Cost Neuronavigation system for the OR in a LMIC-& Newly Designed Ergonomic instruments for Surgeons-Innovation and Determination". Moneer Faraj, MD; Lecture 29 min; Discussion 7 minutes; rating 5/5; 120 attendees. 
  • 2/13/23:  "How to get the most out of SNI Digital"™; 6 minutes
  • 2/13/23: New Program: "Let's Talk"; an intergeneration discussion on "How to bring advances in healthcare to impoverished regions"; Glasgow Neuro meeting; for Young Neurosurgeons an Students (YNSS); 60 minutes; rating 5/5; 25 attendees; 3 countries 
  • 2/13/23: Technical upgrade: Search strategy; Numbering of programs.  
  • 2/1/23: New Lecture (11): "The Future of Neurosurgery and Medicine"  by J. Ausman  40 minutes lecture and 15 minutes discussion.  rating 5/5; "mind-blowing"; >100 attendees; Multiple countries. 
  •  12/27/22: New Lecture(12): "The most important lessons I learned in Medicine". By J. Ausman; 57 minutes with comments; from ACNS meeting Asia;  rating: 5/5; "provocative", "wisdom for Today", "best lecture I have heard";  >200 attendees; Multiple countries.
  • Add PRINT option  to Show Transcript 
  • 12/1/22: PORTUGUESE and URDU languages added for translations
 SNI Digital™ is the 21st century for Digital Communication: Brief Summary; 20 seconds
  • Interactive, Discussion of Information and not just more Information.
  • Different viewpoints on Controversies 
  • Video with real time translations in Closed Captions (CC) 
  • Audio for  multi tasking at home or in car
  • Round Table discussions of common cases 
  • Short lectures and Q&A on New Advances in Neuroscience 
  • Q&A for a surgeon while doing surgery 
  • Printable text of audios & videos in over 9 languages  
  • Multinational with world wide contributions 
  • Practical information you can use
  • From Sound-bytes, to short summaries,  lectures, meetings; all to fit your time 
  • A forum for new ideas, innovation, and creativity 
  • All content from SNI Digital™ Summit 2021
  • Sessions for students and YNS  
 Coming to SNI Digital™ :
  • The latest advances in technology; new ideas
  • All content Peer-Reviewed, time marked, and rated for your final selection
  • Searchable Index for easy use of content
  • New content to be added 
  • Translations to over 100 languages 
  • Submit your own Digital Content on for Peer-Review and inclusion in site
  • Versions regularly updated 

Multi-specialty Programs from our 2021 World Summit; "Let's Talk" for YNSS; Future of Neurosurgery; Lessons I learned in Medicine; examples of "Building world class programs in LMIC".  

The 1st SNI Digital™ International Neurosurgery Education Summit was held on June 2021 with attendees from 100 counties. It introduced different formats for teaching and learning. Our SNI readers' survey showed that 'Discussion with Colleagues' was one of the three most important means of communication of scientific information. This meeting included 57 leading neurosurgeons and neuroscientists worldwide involved in 9 different sessions, discussing their approach to clinical challenges. Each session lasts for one hour and covers different topics. Two 1/2 hour lectures on spinal cord repair and restoring memory in the brain with Q&A present future directions of our specialty. 93% of attendees wanted more of these types of meetings.
 Additional Programs for students, residents, young and experienced neurosurgeons: Time stamped; quality rated;  # attendees. Discussions of common challenges faced by YNSS; Lectures on the "Future of Neurosurgery"; "Lessons I learned in Medicine"; innovative ideas establishing with world class leadership from LMIC for all; highly rated operative videos.  

 Click on a Session Title; choose Audio, Video with Closed Captions, or translated text chosen from 9 languages listed at top of Session page. Add your comments in the blue insert at the bottom right. Details of SNI Digital™ in Announcements at left. We are open to your suggestions.


Summary: Creativity is forcing Functional Neurosurgery into disruptive technologies such as Neuromodulation with Pacemakers, Radiosurgery, Focused Ultrasound, & Optogenetics. Genetic surgery will be used to change  the human genome. DBS  for Movement Disorders and, now, cranial nerve stimulation is being tested for treatment of Depression, OCD, & Addictions, in the 21st century. These technologies promise therapies for more CNS untreatable diseases, avoiding conventional surgery complications. Ambulatory procedures and new treatments will decrease costs and improve quality of life by 2100. (2-20 min Lectures; 20 min Discussion; 5/5 ranking)

Summary: A multi-disciplinary discussion with world experts in Spine surgery with different approaches to clinical cases with lumbar spondylolisthesis and cervical spinal stenosis. Rx with  MIS, Decompression, bony, instrumental and/or disc fusions, anterior and posterior approaches, age, and patient selection are all discussed. What would you do?  Audience involvement. (Case Based Discussions; 60 min.; 5/5 ranking)

Summary: A case-based global expert discussion of the world wide treatment options for Craniopharyngeoma and Medulloblastoma including new genetic data and pathology, surgical approaches, radiation, recurrence,  chemotherapy,  endoscopic removal for Cranios, and avoidance of cerebellar mutism. Should you change your approach to these diseases? (2-Case based Discussions; 60 min.; 5/5 ranking)

Summary: The Future-1/2 hr lecture -Software and programming the brain. Presented by Dr. Itzhak Fried. How Memory functions and how it can be preserved and made better with DBS type approaches. For memory disorders and Alzheimer's. Q&A  (Lecture: 30 min.; Discussion:15 min.; 5/5 ranking)

Summary: A case based Discussion without slides among worldwide neurosurgeons and orthopedists on how they manage controversial spine challenges: Different opinions. Types of Decompressions, Fusions, Anterior and Posterior approaches. Laminoplasty. ACDF vs Cervical Athroplasty, Lumbar  arthroplasty: Do they work? Long term results, patient selection, recurrence; motion preservation, adjacent segment disease, cost comparisons, complication avoidance in major surgeries; Facet evaluations; Random Controlled Trials? Individualized treatment? Should you do these procedures? What you need to know. (Discussion; 60 min.; 5/5 ranking)

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)

Summary: A Round Table case-based discussion on  how neurosurgeons and neuro-oncologists from around the world manage Cerebral gliomas: Controversies; Glioblastomas: extent of resection, brain mapping, awake or asleep surgery, value of fluoresence, neuronavigation, tractography, ultrasound, tumor location, Age vs performance, Genetic analysis; Chemo-radiation value. Oligo II: Surgery? value of Chemo; Repeat biopsy? What is the proof for all these treatments? Does it make a practical difference in survival? What should you do in your location? (Case base discussions; 60 min.; 5/5 ranking)

Summary: A  step by step analysis of Juha Hernesniemi's aneurysm surgeries. His global experience is the largest in the world.  Questions from the audience at each step, to learn how he  does quick surgeries, and his technique tricks for success. Are skull base approaches necessary? (Case based discussions; 60 min.; 5/5 ranking)

Summary: A lecture and case based discussion among world neurosurgeons on what you can do to treat the most common cause of epilepsy, which is under-treated worldwide. Practical answers you can use. (Case based Discussions; 70 min.; 5/5 ranking)

Summary: Lecture & Discussion: Acute Spinal Cord transection and repair in animals with rapid functional recovery. How was it done?  Why it works?  Is this the treatment for Chronic Spinal Cord Injury?  Work on applications to humans.  Q&A (Lecture-30 min; Discussion-15 min.; 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)

Summary: A personal view of the important lessons learned in 70 years of experience in Medicine with a view of  present events from the physician's viewpoint. Are you prepared for the future? Advice in achieving success and happiness. Principles and Goal setting. (Lecture-50 min; Discussion-10 min.; 5/5 ranking)

Summary:  This is a wide ranging intergenerational discussion of the ethics of new technology and lack of accessibility in impoverished areas among the YNSS and an international group specialists in NeuroMedicine and Neuroscience. Many topics are covered from Evidence Based medicine, access to healthcare; differences between LMIC and HIC in  publications, access to technology, personal achievement, differences in healthcare;  does technology make a difference?;  RCT and Meta trials, What is the Truth and how to find it?, and how to succeed in one's career? and making progress in the world. Discussion 1 hour. 25 attendees, 3 countries, rating 5/5;

1/5 LMIC Developing Neurosurgery Series; Innovation in LMIC in developing a first rate, simple, cost effective,  neuronavigation system from the web and  modern ergonomically designed instruments for neurosurgery and other specialties. Outstanding; Lecture 29 min; 7 minutes discussion; 100 attendees; 18 countries;  5/5 rating.

Dr. Bari shows how modern neuromodulation techniques can be used on demonstrated neural pathways to alter the perception of and to relieve chronic low back pain in patients who have failed all therapies.

Developing Neurosurgery in LMIC 1/5 Series; Dr. Al Kahlili, leader of the development of Modern Neurosurgery in Iraq, describes the history from Victor Horsely of the UK  to recent times before the regional wars. He discusses his pioneering work on Spinal Cord injury repair, and multidisciplinary work in orbital lesions. Lecture 15 min; Discussion 22 min; 5/5 rating; 100 attendees; 18 countries; The lecture and discussion are excellent.

Developing Neurosurgery in LMIC 1/5 series;  Dr. Abdulamir from Baghdad, Iraq describes the successful treatment of Movement and Spastic disorders with a Comprehensive Functional program of treatment. Parkinson's, sacral and vagal nerve stimulation; dorsal rhizotomy; pump infusion for pain; tremor, dystonia, Tourette's, chorea; and more.  Excellent accomplishments in any country.

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

Lecture given for Lifetime Service Award in Neurosurgery; 5th Shaolin Congress; Henan Provincial Hospital, Henan China 6/1/2023; Is there a  BBB in Brain Tumors;  Is EC-IC Bypass good for Cerebral Ischemia: Fact or Fiction?; Coiling for Aneurysms-The end of surgical. treatment; VBI-An underdiagnosed  and treated disease; First interventional Treatment of Basilar thrombosis; 40 yrs ago-Intracranial Vascular grafting; How to solve the Brain Drain: International Fellowship Program; Nurse practitioners; 24-hr visiting hours for patient's family in room or ICU;  SNI - Free journal to all; SNI Digital 3D future of communication; Space and universe thoughts. "The Patient Comes First"- nom exception!

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.

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

YNSS Lectures by Saleh M. Marie on #1) Anterior Circulation Aneurysms-Single Center Experience;  #2&3) Aktham O. Al-Khafaji and Haneen A. Salih: Mentorship Experience Comments 

Saleh  

Dr. Moneer K. Faraj, President of the Iraqi Board of Neurosurgery; Head of Neurosurgery, College of Medicine; Baghdad, Iraq presents a case of craniopharyngeoma and discusses various micro-surgical approaches to this midline lesion showing a video of a transcranial operation and while discussing the good,  bad aspects,  and complications of each.

Dr. Al-Salachy, President of the Iraqi Neurosurgical Board talks about the Past, Present and Future of Neurosurgical Board and Neurosurgical Training in Iraq.

Dr. Hafidh, who is the Head of Neurosurgery at the Teaching Hospital in Baghdad, talks about his long personal experience with 2000 cases a year in this general hospital In Baghdad; Lessons from a LMIC post war experience

Noor Akar, a medical student describes using graphics to make. her learning of CNS Histology easier for Students and others. Followed by Discussion from participants.

Mustafa Ismaili, who is graduating from Medical school to a Neurosurgery Residency in Baghdad, describes his experience with the Hoz Mentorship program in Baghdad, Iraq. Over 1000 medical school students (YNSS-Young Neurosurgeons and Students ) have attended this program in a  7 year period.  The Hoz Mentorship program provides YNSS with an opportunity to obtain a Residency position in various specialties by becoming involved in research, and clinical work with patients. This training, outside the medical school programs, is planned to make them more competitive for the highly desired positions to obtain a residency  position. The education program in Iraq is similar to that in most countries in the world, where competition for limited positions in each country is necessary to be able to select those who show their interest and achieve excellence to compete successfully for these available residency positions in different specialties. The Hoz program has been highly successful in providing a mentoring experience for YNSS, and a cooperative team experience in this voluntary educational program. The program stimulates these YNSS to become involved in laboratory experiments, surgical experience, and to research topics of clinical interest, all under Dr. Hoz' supervision. Many publications in journals and book chapters on interesting subjects for all neurosurgeons, come from this work by YNSS under Hoz' supervision in this mentorship program. Mustafa describes the program in detail for the viewer.

These SNI Digital YNSS videos are published for the YNSS and neurosurgeons involved in teaching globally as an example of what can be achieved with YNSS. The youth today worldwide represent the major portion of the population in LMIC and are the future of Medicine and Neurosurgery and other specialties.  By reviewing the videos in SNI Digital about the Hoz mentorship program, others can learn from the YNSS directly how this program operates and duplicate it. By combining this program with the SNI Digital Interactive Video learning system, more people worldwide can experience this successful education program, which can benefit YNSS and people in countries everywhere and ultimately benefit the healthcare of millions of people. That is the goal of SNI/SNI Digital , "Helping People Throughout the World". 

Alkawthar Abdulsada, a YNSS, describes her beginning training in Baghdad Iraq with Dr. Hoz team, and changing later when she moved to Azerbaijan to complete her work. Working in a new country with Covid 19 and how it affected her learning; How she used her time druing school closure.

Fatima Ahmed describes her experience as a student being part of the Hoz neurosurgical mentorship team and its meaning for her with discussion from the attendees.

Mustafa Murayati, a YNSS, from Iraq discusses his experience in the Hoz mentorship and how it has affected his future. Learning to do literature research, writing a paper, laboratory animal work; attending Update on World Neuro-oncology Progress outside of Iraq; publishing a paper. All With Discussion from the Audience. 

Sama Albairmani analyses the various presigmoid approaches to the petrous region. The popular technical corridors to this are are compared graphically so the reader can understand the differences and possible advantages of each. Discussion with the presentation.

Dr. Patel is an Associate Professor at the University of Texas Southwestern Medical Center, Dallas, Texas and  presents an overview of the advances in surgical, pharmacological, and other treatments for tumors of the Central Nervous System. 

Dr. Matti of the Department of Neurosurgery in the Neuroscience Hospital in Baghdad, Iraq,  presents a variety of interesting cases from his large referral practice as Part 1 of his series on his surgical treatment of brain tumors; The value in intra-operative ultrasound as an operating aid. Practical decisions for complex cases.

Dr. Khalili, Former Head of the Department of Neurosurgery, Baghdad University, Baghdad Iraq  reviews the  history of Medicine in Mesopotamian, Egyptian, Greek, Moslem/ Arabic, Medieval, Modern times, and Iraqi practice and research in neuro-oncology; He also discusses the Practice of "Informed Consent" in countries abound the world and the differences in the cultural approach to death.

Dr. Al-Hemiary of the Department of Neurosurgery at the Ghazi Hariri Hospital in Baghdad describes the establishment of the unique Orbital Surgery Center by Dr. A. Hadi Khalili. This basic and clinical science  multidisciplinary center is unique in the world. He describes the how this center functions as a major referral center for orbital diseases and some of the cases and research being done there. 

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 from no department. His success is attributed to the strong local support of the community and many others making this successful. He explains how it was done while having positions in the university and conducting a private practice. 

Dr. Al-Juboori presents his microneurosurgical approach to posterior Pulvinar and Thalamic regions based on physiologic knowledge of the pulvinar neuronal pathways to achieve resection of posterior thalamic lesions in this region with excellent results.