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Welcome to the 19th SNI and SNI Digital Bagdad Neurosurgery online meeting held October 2nd, 2022.
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The meeting originator and coordinator with Sammer Haas from the Universities of Bagdad and Cincinnati.
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The meeting theme is sharing experience of neurosurgery mentorship in Iraq and its effect on medical students aspiring to be neurosurgeons.
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The target audience is students, residents, young neurosurgeons and academicians.
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The speaker will discuss a proposed classification system for pre-signoid approaches with possible combinations. The speaker is
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Samma al-Bhermani, medical student al-Iraqia University College of Medicine, Baghdad, Iraq. The lecturing discussion are 30 minutes The speaker will discuss a medical student being an active part
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of the neurosurgical team. The speaker is Fatima Odai Ahmed, medical student university of Al-Mistan-Sirak College
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of Medicine, Baghdad, Iraq. The lecture and discussion is 21 minutes
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The speaker will discuss the role of interest in making learning easier. CNS histology. The speaker is Nure M. Ocker, medical student, University of Baghdad College of Medicine, Baghdad, Iraq.
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The lecture and discussion is 21 minutes.
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The speaker will discuss my pathway in neurosurgery from Iraq. The speaker is Mustafa A. Mariati Medical Student, University of Baghdad College of Medicine, Baghdad, Iraq. The lecture and
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discussion is 30 minutes.
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The speaker will discuss in the midst of research my way to neurosurgery. The speaker is
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Al-Kawathar M. Abdullah Sada, Medical Student, Ashripishan, Medical University. Baghdad, Iraq, Baku, Azerbaijan. The lecture and discussion is 17 minutes
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The speaker will discuss an update on neurosurgical research team dynamics. Today's speaker is
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Mustafa Ismail graduate, University of Baghdad College of Medicine, Baghdad, Iraq. The lecture and discussion is 15 minutes
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The video editors are Mustafa Ismayal, College of Medicine, University of Baghdad and Fatima Ayad, fourth year medical student from the University of Baghdad
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Hi everybody, today is the 19th surgical neurology international Baghdad in neurosurgery meeting. And
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today we will have like a special edition focused on student presentations. And we will have six presentations from Sama al-Bermani, Fatima al-Day, Nur Akar, Mustafa Marayati, Al-Qather, and
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Mustafa Smite. They
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will present their experience regarding the research, regarding
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their attendance to surgeries, being part of a team. And all of them are very important. part of what we do through our courses in the mentorship and in this and I. So they are a medical student
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and degraduates who have a special interest in neurosurgery and they want to proceed maybe in the future with the neurosurgery as a future career. Here we have
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also Dr. James Osman He's a professor
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of neurosurgery from USA. He's the editor, chief editor of SNI and we have also a professor
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Jorge Lazaref, the well-known pediatric neurosurgeon. He's a professor from the US also. And
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we have surgeons from Iraq and from Japan from Iraq and from Japan now. Dr. Aufa, and we have students and residents also. So this is the introduction I would like to introduce Dr. Osman so he
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can give you a more focused idea about what we are thinking here in the SI Baghdad meetings. And after that, we will start with some presentation
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Yeah, Dr. Osman, ages yours. Thank you. I'm not gonna speak long. I just to give you an example, Jorge, and I met. I'm
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almost 60 years ago.
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And it shows you how as time goes on, you make people's acquaintance, he was in Argentina. I was in the United States and.
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And we've been friends and followed each other in various places all over. I'm sure you
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will all do the same. And SNI is just trying to help you connect to with some practical information and SNI Digital is doing the same. Jorge? No, no, yes, absolutely. And the networking that
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the help that all that you contributed, that you participate now, I endorse 100 Dr. Osmond's
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and Summer's intention. You never know how the things will develop, how the ideas, this is more than a transfer of information. Some of you showing that the research is others being inspired by
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the research. I congratulate you for the effort that you are doing here. And believe me, you will profit from that.
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Sam, before we start, before we start, I see somebody from the, from Glasgow. Ali
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Abas Anshim is, we know the people in Glasgow and welcome him to the meeting. Hello, can you tell us a little bit about yourself? Ali?
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Yes, sir, yes, ma'am. Dr. Ali Abas, a consultant to neurosurgeon
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from Iraq
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Terrific. Terrific. Thank you. Okay, Summer. Yes, welcome Dr. Ali. Dr. Ali is practicing in al-Haleh south of Baghdad and he has the degree from Royal College as well. He's a very supportive
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neurosurgeon. Welcome Dr.
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Ali Thank you, Doctor. We will do it. Thank you. I will do it. So, now we
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will start with the first talk, so just to give you an idea that talks is about 10 minutes, some of the talks are less than 10 minutes, and after each talk we will have a few minutes for discussion,
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question and answer, and we are expecting the meeting to extend to 90 minutes in total I hope not more. Welcome to the 19th SNI and SNI Digital Bag Dead Neurosurgery Online Meeting, held October
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23rd, 2022. Today's introduction will be the Meeting Originator and Coordinator, Samr Haaz, from the Universities of Bag Dead and Cincinnati
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The speaker will discuss a proposed classification system for pre-signoid approaches with possible combinations. The speaker is Samma Al-Bhermani, medical student, Al-Arakia University, College of
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Medicine, Baghdad, Iraq. The first speaker is Samma Al-Bhermani. She's a medical student and University of Baghdad, Al-Arakia College of Medicine. She's now on the fifth stage, if I'm correct.
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And she will present her experience about
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searching and writing about papers on skull base based on her interest. And yeah, the stage is your Samma you can share the presentation and introduce yourself. to get us to your presentation.
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Hello everyone. I am Samuel Vermoni, a fifth year medical student at the University College of Medicine. I'm an active member in hospital care program since 2019 and I'm a member of the core
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research team. So today's presentation is supposed to be three presentations about the prison point and the combination approaches and my journey, but it's condensed to our presentation So I hope to
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stick to the 15 minutes I'm given. So
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the my title today is a proposed classification system for a prison point approaches with the possible combinations. So what is the prison point approach? Well, it's a spectrum of approaches using
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the pictures temporal bone either as they wrote heading to the interconnection regions or as a target used to indigence.
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that are purifying internal with the turi canal, each of your for a man, the particular private region and the brainstem territories.
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So the surgical procedure in a nutshell, and I wrote the word in a nutshell because our main target in this paper is not to mention the surgical procedures and the targets, but rather to focus on
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the terminology on the microchar. So as usual, it starts with the skin flap muscle removal showing the muscle is segmented here with the surrounding first bone. And here, the crannioning is called
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posterior bisectivity because we are only dissecting the posterior part of the first bone. It's also called infotentorial muscle reductive because we are dissecting again, the bone that's facing the
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infotentorial region. And also, of course, The acoustic mode is also an element that we prefer.
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So my mastoidectomy is the first stage in the pre-sigma approach. It's the injury pathway. Here's the picture shows the anatomical structures of it. This is the mastoid segment.
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This is the topino mastoid suture, the spine of Henley. And here's after the movement of the mastoid, showing the posterior and lateral semicircular canals, and both segments of the facial nerve
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of the
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symphonic
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and the mastoid segments. Second phase, we have skeletonization and drool opening. So this picture is after further drilling, showing the lateral imposterior since circle canals more obviously.
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And here you can see the marking of the drool incision. This picture after opening of the drool and a little traction over the sigmoid sinus and this sort of alum showing the trajectory toward the
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CPA. And here is expanded view showing the cranial nerves from the fifth over to the 11th.
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Next, we've got the identification of the entrum, which can be acquired by further drilling. So the entrum can be localized 15 millimeter deep to the spinal family. And that also seems to require
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canal is located deep to the entrum.
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Okay, next phase or next stage we have the labyrinth, which is the checkpoint and actually the labyrinth divided the pre-signal approach into two main corridors. The entrance labyrinth in the
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interior one which is located interior to the labyrinth and the virtual labyrinth in which is located posterior to the labyrinth here by the right line.
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So this picture shows the anatomy structures we are going to need in the pre-signal approach. Of course, the mastoid and term we're going to need through the mastoidectomy The labyrinth with device
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is. to interior trans-level and thin and posterior to element thin. And here we have the structures that might contain the lesion and become main indications for the approach, which are the jugular
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foramen, the CPA, brainstem, retroclivore region, retroclivore region and the
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petrosethics.
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Here I have shown the subdivisions of the two main corridors. And I'm just going to name them and this slide and then go briefly through each one of them. So here I have the posterior petrozo. As I
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mentioned, it's a posterior petrosectomy. Here I have an infra-tentorial because this is a very important point because if the lesion
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does respond to the titanium, we're going to need another approach to the pre-signoid that is going to be used to reach the lesion and the muscle addicting and the pre-stig mind. So in this line, I
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have five subdivisions of the interior corridor, the Translaboranthein. And over here, I have the four subdivisions of the extra labyrinthine. So I'm just going to name them here. This is the
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partial
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Translaboranthein, Trans-Cousal approach, Translaboranthein approach, Trans-Coclear and Trans-Otic Over here, I have the Translaboranthein triangle, the extra labyrinthine, and
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for N-super labyrinthine regions, which are going to lead us into the supran and from the A-top approaches. And over here, I have the super bubble region on the contrast ridge.
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Okay,
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so this is just a summarization of what I said about the approaches that the Translaboranthein N-T-N-1 of the Australian theme, whether it's for subdivisions. And I just want to focus here on the
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word proper here because if you search for a permit, for example, for papers, you will see that a lot of them, if not all of them refer to the word trans-laboranthein as the trans-laboranthein
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proper, but they don't mention the word proper because they have here the major corridor is called trans-laboranthein and one of its subdivisions is also trans-laboranthein but it's proper.
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So now I'm going to go through each one of them. Starting with the trans-laboranthein the anterior corridor and it can be divided into five subdivisions according to the boundary removal, so it's
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divided from the less invasive to the more. The first is partial trans-laboranthein, which includes removing of parts of the superior and posterior stem cell volcanoes And it's a hearing system.
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So can they have the transpose of the approach, which involves removing of the common crust in addition to the superior and posterior semicircular canals, there they have the translaborantheum
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profile, which involves removing of the all semicircular canals. And these ranges of this approach include white surgical corridor, area identification of the calcium nerve and minim ulterior
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attraction.
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Where they have the translaborantheum approach, which includes removing of all the semicircular canals, invading the optic capsule and removing a part or all of the cochlear. And I want to pay
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attention here for the facial nerve as it remains in situ, which is the main differentiation from the next approach, which is the transcalcular The transcalcular we have here, it's rotated
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posteriorly. to eliminate the surgical obstacles of the facial nerve. So this is the old differentiation between trans-autica approach and trans-co-clear. And of course, both of them are hearing
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psychophonic procedures.
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So next I have the return laboratory in the posterior corridor, which can be divided into four subdivisions. First, I have the
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infirmatal approach, which represent an extension from the
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inferior part of the initial master edectomy done And it targets the jugular for a man and it's also called suprabolbor approach, because as you see, it's okay here to the jugular problem. Second,
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they have the transmeatal approach, which presents an extension from the medial part of the initial master edectomy. And it targets the internal auditory canal on the CPA, and it's represent the
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pure epsular labyrinthine. Third, they have the suprameatal approach. which represent a superior extension of the initial master edictimae and it targets the
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retroclive regions and it's also called super labyrinthine approach because as you see, it's superior to the labyrinth.
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Finally, I have the transverse-man triangle and as you know, the truss-man triangle is bound by the superior petrosal sinus, the sigma sinus and the labyrinth, and actually rarely this approach
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used a lancer when we use it, we usually will need a combined approach to be used with it.
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So, here's just an overview of the indications we might need for each one of them. Starting with the retrolep, the indications might be bony lesions, dual lesions, or intra-dural lesions Bony
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lesions might be tumors in the bone, dual lesions include meningeromas, and intra-dural
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lesions include the seroshuanomas. to attempt hearing preservation. You can see here the retrial labyrinthine extends to the internal auditory canal. Trans-laborantine approach includes mainly the
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spiritual enormous. So it's the main and most indication to use the translabranies for
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the
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severe schwannomas, all-sufficient aromomas and enviomas. And you can see here the trans-laborantine gives us a little bit more extension to the medial side anterior to the internal auditory canal.
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And the transcochlear, let's see it in the picture. You can see it, it gives us a lot more extension to the medial side, which is the mood line. So we can expect that it's used for midline
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intrazural lesions as in the form of lipos and the
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CPA masses.
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So this is like a summarization of everything I said and all these figures I just want. to highlight that they are joined by my colleague, Hamid al-Kaysi, who puts a lot of effort and time and
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dedication to draw them. And you can see that they are not the same as what I -
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showed you, they are upside down representing what we will see in the surgery, I mean in the operation room, in the operating room. So you can see this from the interior, from the
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translabranthine, and here are the electroabranthine, the posterior ones. So in
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conclusion, the classification, the stratification is a new drug of anelectory because of the continuous advances that are more invasive in this, so this approach is used to increase safety and to
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decrease errors. Also, it's a more probably innovative approach because a lot of approaches are appearing every day in the literature, so we need a common terminology that can be used in the
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medical record. Also, a unified operative terminology based approaches because this approach is not only used by neurosurgeons, but also can be used by anti-surgeons. general neurosurgeons and
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other skull-based surgeons.
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So I can't consider this slide a memorial or thankful for everyone who worked on the Briskmont approach since the early 60s. Starting with the translabranthine approach was first described by PANS in
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1904, but it was a stop at that time because the complications were high, the mortality rate was high because of TSF leaking. So,
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meningitis was the result and high mortality rate. It was a stop at that time and wasn't used until William House at 1964, reused it by using micro neurosurgical principles, constantly enabled
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total to more removal and preservation of the facial nerve. Second, they have the Transcrosal Clear approach, which was described by William, his former girl, and William House again at 1976,
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described it as an anti-extension of the trans-laborating approach. Third, they have the Transcrosal approach described by Michael Horgan at 2000, and I can't consider this approach a bit new
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because it's only 20 years ago in comparison with other approaches. And it was described as a technique of hair and good preservation in which he used a variation of partial-laborate-infecting
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approach, as partial-laborate-infecting at that time wasn't specific to remove a specific part of the bone. So sometimes maybe used to remove only parts of the superior sensitive panel leaving the
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last one,
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but now it's more specific with this transposor approach. Here I have the Petrozokre enemy, actually it's not our approach and the Petrozokre enemy procedure itself was used maybe a hundred years
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ago, but the term Petrozokre enemy was fairly squared by Osama Nifthi at 1988.
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Let's discuss in the evolution of proposal approaches. The optimal surgical technique for a particular environment in geomas is described in his amazing article that talks about the particular level
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of management as you can to get it.
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So the next part of this presentation is the combine approaches, including the pre-signal approach.
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So when do we use it, the combine approaches? Well, there are three criteria for a lesion, so we need the combine approach in addition to the pre-signal. If the lesion does spot the tinterium,
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I'm going to need a combine because, as I said, the pre-signal is only in front of the tinterial. If the lesion is not localized to the posterior cranial force, for example, extends to the middle
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or the anterior one. Also, I'm going to need another combine approach And if the significant extension to one of the adjacent foramina, for example. the jugular, the internal auditory canal, I'm
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also going to continue to combine. This illustration actually is drawn by me and I'm not an illustrator, but this is the first illustration I drew, hopefully not the last. And I demonstrate here
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the combinations This pink area highlighted present the pre-signal approach to present a traffic point for the approaches. And these arrows are the possible combinations. We have five possible
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combinations in here. So before I go through each one of them, it's like revise the criteria For example, I said that if the the initial extends to the middle force or the interior, I'm going to
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need another approach. Here, This approach is anterior petrosal kawazis approach. I'm going to need it if it goes to the middle for some Uh, it was.
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The lesion is part of the centaurium. I'm going to need a super centaurial approach in addition to the infra centaurium. I can see that the arrow is slowed above the bone, not like this one,
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representing a super centaurial approach. And if the lesion, for example, goes to the jugular foramen, I'm going to need infra temporal force, the type A approach. If the lesion goes to the
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antenna, I'm going to need a true sigmoid approach. And if the lesion extends to the foramen, I'm going to need a far larger approach. All of these combined with the pre-sigmoid.
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So the interior proposal, how is this approach, also called combined with the proposal approach, because I'm removing the interior and posterior parts of the pictures bone And they are also called
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also to dissecting me and allowing
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or of course the issue of the Sparned Centaurium. Sorry if it goes to the middle of what's there. Now the Transcentorial Approach, Super Infantentorial Approach, this is a green one. It can
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be accessed by a temporal subocrossibital craniotomy and of course use for lesions that sparned Centaurium. Third, they have the Infantent paraforce type A approach
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here. It affords wide access to the lateral skull base from the temporal bone up to the upper neck and mainly used, as you see, for jugular forearm in lesions and this lesion can be accessed only
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by muscle addicting that done for the pre-sigmoid. Now, it's just
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a sigmoid approach which is a common pre-sigmoid approach which is a sigmoid can be accessed by sub-oxyptoch cryonomy. and offers better visualization for the CPA. And lastly, we have the four
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lateral suboxidial approach, which is also called posterior lateral or transcondylar approach, because it reaches the
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form in marginal. And it can be accessed by posterior lateral through condylar suboxidial cryectomy including the
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posterior lateral form in marginal. And lesions mainly indications here that extend through the form in marginal.
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So, the advantages overall of the combine approaches that it offers direct tumor visualization with minimal cerebellar attraction and hearing preservation techniques for extended lesions. So, for
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example, if you think or imagine that adhesion in the CPA
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it can be accessed actually maybe by one of the invasive pre-similar approaches like the transcochlear. But the
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transcochlear as we know is a hearing sacrifice. procedure. So mainly, trans-cochlear is used for patients with already hearing deficits. So for healthy patients, we would prefer to use a retro
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lab pre-sigma approach with a combined rather than using only one invasive pre-sigma approach for hearing and co-preservation technique Again, it's
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a unified terminology as needed because without a unified innovative terminology, a lot of names maybe will appear, like, for example, a surgeon will determine which combination will do
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intraoperatively or maybe they will add the name extended to the approach just to
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obvious the the extension in the procedure but with compliance. five variations, it will be more unified terminology that be used by the searches. So that work I just explained
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It was the last thing I did in all the news for sure, and the whole journey started in 2019, and husband and share program, as you see, here I am, and this picture I was in first grade, and I
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didn't even know you're an anatomy, so it resulted in me from literally zero to where I am now So the activities I did,
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and briefly, surgeries for sure, this was in 2019, I was only observer, here I am second assistant, and here I am first assistant in 2022. Publications started with one book,
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article, another article, another one article, the last one, and here is my website on research gate with six researchers. Contributions for sure, the mentorship in 2019.
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And I remain participating in the mentorships till
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2022. This is the last one, such be it. And also, I'm the Chief Regret of Resounding Dandayira Club. And here's my certificate from attending the Panarab meeting that held in Beirut, Lebanon
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in March 2022. So that's it. Thank you so much for listening I hope I didn't close this time.
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Thank you.
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Hello.
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She is only a 50 year medical student and Baghdad. I think that's the title in my mind. Yeah, I will listen first to the professors. Thank you, Sam.
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You want to make some comments? Yes, first of all them. you're calling the illustrator, I think that these initials were AOC or something, outstanding illustration, the ones on the different
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approaches. Also, your illustration, your three illustrations with those brackets in different colors were also very, very good, and you included the cerebellum, so that's on the artistic side.
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On the other side I
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like it a lot when you say that you mentioned that we need unified terminology. Although you are only, we are supposed to say only a fifth-year medical student, you can, because this is a
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theoretical work and you are read a lot about it. Work without trying to propose your unified terminology and then run this unified terminology between the bigger names in the field in Iraq, run it
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through Dr. Ross, Professor Ross, run it through Professor Rouseman, and then of course of the original project of your unified terminology, maybe we'll come something different, but I fully
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agree with you in your enthusiasm that you spotted that the problem is a cognitive problem, it's an epistemological problem, we need a unified terminology, I mean it seems that each one who comes
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with one approach put its name to the approach, you know, and so unified terminology, work on it, be aware that what you give to the professors at the end will not be recognizable as something of
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your original work, but you will learn, everybody will actually learn from that. So,
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Congratulations. Yes. Thank you so much. Thank you. Thank you, Dr. Lazar. I should say that once I start on prasigmoid approaches here as a research, I have an idea that it's simple that the
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terminology is not there. I see some confusion So the idea start with, I contact as Sarah, and I told her, can you dig on this terminology topic. And that was, I don't know before how much, how
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many. It was in March, six months, seven months ago. Yeah. So I just send here to that topic. Please dig in that topic because I can see some confusion And, yeah, and now I think you can tell
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that she has six months experience in those topics because she has many strong opinion for a person.
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just start just in the medical school. So I really congratulate her for that. And I would say before listening to a comment from Dr. Osman that the illustrator was very professional. And I think
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for expert can understand how difficult to put an illustration to all these nine very similar approaches He's also with us, who's Ahmed, Ahmed and I see Ahmed just say hi.
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And give us like two minutes. What's your experience by writing this?
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Okay, my name is Ahmed. I'm a finally a medical student from the University of Baghdad. Actually my experience in illustration started with my mentor, Dr. Osama. He motivates me to.
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convert my special gift, which I am experienced in portrait. He motivated me to to illustration. So, I have many many illustrations, but lastly, this one, it was very perfect and I am very
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proud of being in this, in this mentorship. Thank you. Thank you for your, for that, man. And yeah, Dr. Osmond. For a six year medical student, you know, about
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this idea,
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I can tell you that it's a very confusing area for me. Everybody has a little different approach and, and you've done a great deal to try to make some sense out of it. I agree with what Jorge said,
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and Sam are dead about. trying to find some unified practical, sensible system to classify this. Amit, I think your illustrations are outstanding. I might make one suggestion. And that is, as
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you
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go through the various images, first of all, I would try to keep all the images in the same orientation, left, side, and right side. Maybe you did that But the second thing is, you might have a
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little small pencil diagram or something in the corner to give the person who's viewing it a general view of what area you're talking about. You could probably take one of your slides earlier that
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shows the very different divisions you have. And just so people would understand that even where the frontal part of the brain is in the back part of the brain.
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the cleivus and so forth. So for orientation, I think that might be helpful. And are you planning to propose a classification system yourself?
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You are correct, Professor. And I think we have that discussion and Ahmed did assume out of view for the skull and from where we are looking to be put in the corner for each illustration. And yeah,
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we are trying to make, I'm trying to make a cadaver
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pictures also. And that took a little bit of time. I think it's very complex procedure to make it a typical picture on cadaver as well And yeah, we are working to make this as two paper. One is
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one is about the terminology in general and that suggested classification. And the other one is that will be, I think somehow will be the first name and the other one is about what are the possible
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combinations with the pre-signoid approaches. So yeah, we are working with the illustrations and we are trying to make a better work as well to make more sense for people.
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I think I'm a, you should be complimented also. There is a very famous medical illustrator by the name of Frank Knitter. I'm sure you know him, I know he was. He made very good illustrations and
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trying to describe things with pictures in very little text. He did an excellent job, wrote many books about that or many
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publications And. A medicine can use very good illustrators. I think that's a talent. That will be, it's always helpful because it makes sense of what we're seeing. And again, Sama, that was a
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complicated job for a fifth or six year medical student. I think that's very good.
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Thank you. Thank you, Professor. Thank you, Sama. Yeah, I think that the idea is that Sama and Ahmed has
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the potential and has the interest, but they choose a different pathway from others. You will see in the next presentation, each one has different mindset and we are happy that they found something
41:35
that catch their interest. It's not easy to work on a project for six months and it's very difficult to maintain that interest
41:46
dedicated to that topic. You love that topic. And I really congratulate Summer for that. I can't see that if I ask Dr. Lazar, do you think that if she continue on that work, she will be a
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good resident project in the future? A potential? Yes, I think so, absolutely. And I think it's a great project And also in this project, we'll allow you to share even to the center letter to Dr.
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Osman to the correct or even if you want to Dr. Almaty. And then that will create something with your name, with your thing, but everybody, including everybody in there, no? And that will be
42:37
very, very important because you are pointing to something that everybody's saying here is missing Unify theory, a unified classification. And then when you start with the idea of the unified
42:49
classification, you may end up doing something different, the classification according to the volume of the tumor. Because we say meningioma, schwannoma, yeah, but there are meningiomas this
42:59
size and there are meningiomas this size, the same as the atesoanoma. So maybe you will find that the
43:09
classification has to go according to the volume, or according to the age of the patient. I don't know, but the wonderful thing is that you start a trip and then you don't know where you will end,
43:21
but wherever you end, you will end up being much richer in the literally.
43:28
Can I say one other thing that I hope you're going to make this a publication,
43:35
Sambar and Asama and Ahmed, and two, maybe if Ahmed is interested he help us with some illustrations with SI or
43:47
something like that. I think he's got, both have very great talent and, yeah, that'd be terrific.
43:56
Thank you, Dr. I really appreciate that. And I would like to share my experience and my skill in the SI Oh, thank you. Thank you. Thank you both. Very, very good work.
44:12
Thank you so much. Thank you. I will just to say a last thing that the professor can understand is that sometimes I ask my
44:22
friends or one of them is a skull-based fellow, and I told them what's the difference between trans-autica and trans-cochlear And he said that, Oh, they are synod, and maybe it's not that divine.
44:36
And then get back to someone, and Ahmed, I told them that, Yeah, no, you are digging in something weird. to have for medical students but yeah you are trying things and you are building COVID-19.
44:49
I'm really proud of you both and yeah definitely we will share an update in the future if we get this as a final result. So thank you, thank you so much for that presentation and if anybody Do you
45:05
have any question, comment?
45:19
Welcome to the 19th SNI and SNI Digital Baghdad Neurosurgery Online Meeting, October 23, 2022. The introduction will be given by the meeting originator and coordinator, Salmer Haas, from the
45:38
universities of Baghdad and Cincinnati
45:44
The speaker will discuss a medical student being an active part of the neurosurgical team. The speaker is Fatima Odei Ahmed, medical student, University of Amistan, Surah College of Medicine,
45:59
Baghdad, Iraq.
46:04
Let's go to the next talk and
46:09
thank you, Salmer again, and thank you, sir. Yeah who's ready now? Fatima a day Fatima
46:17
she's uh six-year medical student from, also from Baghdad, but from another college rather than Sama. She's from Almostan Saria College of Medicine. And she's,
46:32
she'll share with us her experience. And yeah, yeah, Fatma, the stage is yours.
46:43
Hello, Professor. Hello, everyone. I am Fatma Aide I'm finally a medical student at Almostan Saria University College of Medicine. Actually, today I'm grateful for sharing a special part of my
46:57
journey with the neurosurgery here in the SI meeting. So my title is Medical Student, being an active part of an neurosurgical team. So, a neurosurgery is my field of interest since 2019 And
47:15
actually, this is when I was a second year in medical school. students, starting with the lectures of neuroanatomy and later when I meet Dr. Hose and enrolled in the mentorship. Actually, this
47:29
is what the start of my journey. During my fifth year of medical school, I attend with the neurosurgical team, the brain catheterization from October
47:46
2021 to March 2022. And actually, this is the special part that I'm going to tell you about today. Also, I have three published article and also I got the chance to participate in one chapter of
48:00
neurosurgical work.
48:03
So actually, this is my second presentation here My first presentation was in January, early this year, it was
48:14
presenting my project neuroplastic project with my colleague.
48:19
Zaha Ramajid and today I'm happily sharing you another one so before I start I need to owe everything I did in the last year and I will do in the future to the neo-Neurovascular team at
48:39
Baghdad the Neurovascular Center. I want to thank them all. Thank you so much Dr. Summer, Dr. Heider, Dr. Alpha, Dr. Munnett, Dr. Jonathan and Dr. Ektham and all the nursing staff.
48:53
Actually I'm so grateful for your endless support and your pleasure to teach me a lot more. So I want to tell that I really feel privileged here of standing beside the few. So actually the story
49:15
basically starts during the beginning of my, the fear of medical school. I start to attend with the neurovascular team, continuously the, the brain capitalization and
49:33
the few months actually I spent with them was the capable of take my new, new neurosurgery and new level.
49:43
So let's make this a special part of my life Actually, it is the feeling I felt that time. I never felt I can come become this a closer to the life of a neurosurgeon and explore all these aspects of
49:60
a neurosurgery. So actually the first time I attend a brain capitalization it is when I realized that I need to go for more and this is when I take the decision or all. all of this journey. So it
50:20
was the fastest decision I've ever made, but I have no regrets. Actually, I didn't have any specific goals, but I was,
50:33
and I'm still passionate about exploring more about VVCT the with day that of cases the viewing started we, mentorship Ho's Dr. from colleagues our, students medical welcoming after So? like look
50:36
center neurovascular the, Baghdad in day typical a what's So opportunity. this see just I. So before know didn't I aspect new a support to opportunity amazing an was this actually, And.
50:36
neurosurgery and the MRI. Ben, me and
51:04
Adam,
51:17
plane to them, the types of capitalization, diagnostic, therapeutic, and
51:22
also the type of catheters we use. Also, we draw
51:30
the related vascular anatomy since the orthon, the major arches in the simple way. Also, we do a simple simulation of transimolaral approach. We have like this old and used equipment. We use them
51:51
to order to like to explain the steps of catheterization in
52:03
order. So when they attempt the catheterization and so they have a better imagination of the procedure.
52:10
Then we do also tooling on the patient before the catheterization and after and also in the posturing, we actually instruct the patient about the catarization and remove their meaning sheet and
52:30
dressing and etc. and actually also get chance to attend the neurosurgical clinic after finishing all the work.
52:47
This is some of the images in the clinic. I believe a lot of them were late at night when we spent the whole day supporting neurosurgery and doing neurosurgical procedures.
53:04
So the first few weeks, when I started, I was like an observer of the world and this First of all, I let myself be more familiarized with the words of victory. women and actually I understand the
53:20
role of each one of the team and when I start to persistently showing up with them, actually Dr. Alpha and the correct them actually start to teach me about the imaging system and how to move the
53:44
table and see arm and also let me practice it after the catheterization end and after several visits I got to a higher level, actually it is when I participated and
54:08
in this case actually I practice all what they teach me, this is the first case. I was in control of the imaging system and then this is a case when I first have my DSA run with the Dr. Hider's
54:32
body and this is the first time I do microfuncture.
54:43
So, then I get to a more higher level, actually, when I start to assist actively, this is a therapeutic case of a typical meningioma. In this case, I was the person in control of the imaging
55:04
system This was my place during all the procedure.
55:12
Actually, this is what we did was an embolization, a preoperative embolization of internal maxillary and superficial temporal artery, and this was the post embolization results So it was one of the
55:28
most interesting cases, I got the chance to attend with the team
55:34
Another case, I assisted actively in, actually it was a case of giant ophthalmic.
55:45
and tourism for a slow diversion. In this case, I assisted in the initial steps of catheterization, then I get back to my place near the control panel. Actually, it was also the
56:02
most interesting and challenging case I've ever attended.
56:07
This is some of the intro operative shots. In the
56:13
same day, when I assisted first, actively in catheterization, also I get a chance to assist actively in often in brain surgery. It was the case of anterior tummy-cating archery aneurysm, and this
56:29
is me opening the skin, and this is me doing the drawing
56:35
and cutting the bone using the gateway also and here, uh, often in the juror.
56:44
So this is me do a practicing a craniotomy 2019 and this is me doing a craniotomy in a real case two years later actually I feel so grateful for how I get this far. And of course I'm grateful to all
57:09
of the team who helped me to become this
57:15
Actually the truth
57:17
of a couple of months actually I did 56 in the vascular procedure sorry I attend 56 in the vascular procedure and in nearly 20 of them and in this period I also I attend 6 different surgeries
57:35
bypassing from my my disease
57:40
and your small clipping also.
57:44
I get the chance to
57:49
develop some sort of responsibility to work patient. And actually, this is
57:56
the TRAM ulcerneurosurgeon patient relationship. I always like that aspect of the neurosurgery. And it is one of the most causes that I want to do neurosurgery in the future
58:12
Also, I get the chance to meet a lot of medical students who are inspired to be neurosurgeon too. And I want to tell them I'm really proud to know them and really proud to share my passion with them.
58:29
So this is a picture of 1, 000 of the world. Actually, this is a slide from Dr. Samuel Tock and the pan are often your surgery.
58:48
So, in this meeting, Dr. Hose prepared a slide for each of us. It was actually like more a surprise, and he proudly talked about our achievement of what we did, the operation we attend, and the
59:06
articles we've published I just know a few here, sounds,
59:13
or I want to speak.
59:21
And I want to tell that this wasn't just that surprise for me, and it was actually a surprise for my father, who was proudly speaking to me, and thank you so much for letting me and my family,
59:39
then this amazing woman.
59:46
So, at the last, I want to tell back even in developing countries like ours, we can do this level of neurosurgical training. And actually, I'm really proud to be part of this, because what
1:00:05
happened is when I offered my time, my passion, my mentors actually double it and make sure that I'm doing in the best way possible. So when I first,
1:00:23
I first attend with them, I didn't imagine myself more than observer, but they, in contrary to them, made me actually a real part of the team, so I'm really grateful for this, and I believe that
1:00:42
what happened here could happen in every foreign world. So, limitation only live in our mind, but to use our imagination, everything become limited. At the end, I
1:01:01
want to tell that I'm so proud to be part of this exceptional team, and I want to tell that I'm not the only one who did all the privilege. There's lots of my colleagues who are doing lots of the
1:01:14
great work then, and this is my story. Thank you so much. Wonderful. Wonderful. Wonderful. Wonderful. Thank you so much. Excellent. Yeah, I enjoyed that, and obviously you had a very good
1:01:37
experience Yeah, and I think I like coming one day if possible Thank you. We can run at the series, and I'm not pushing for that, in which medical students will write about what Fatima just called
1:01:56
one of the scenes, Ah, the case, I will not forget. And then also, what is interesting, we rarely hear this evolution, what I wanted to do, what I did, what I didn't do And this was a
1:02:14
fantastic, enjoyable, because it's the actual person who is talking, right? You're not talking about one thing, but it's you who are talking. And which also gives praise
1:02:28
to Samar's ability as a mentor, because we have two of his students and so far, Albert Mani and Fatima, And I pronounce it only the name of
1:02:46
Hermione. And they do present in different things. That would make it a good coach, right? I mean, a good soccer coach, he gets a player from Benfica and a player from Ballucia Darmund, right?
1:03:04
And doesn't try to make them play like in Manchester City. He say, No, you play as you play BenficaYou play as you play in Ballucia. And let's see how we put this whole thing togetherand we get
1:03:18
Manchester City beating everybody. So that is exactly what somebody is
1:03:28
doing, so with the congratulations. So again, Samas and the Fatimas, different presentations, but all of them are original and outstanding, you know?
1:03:42
an honor to hear that. Thank you, Fatima. It's amazing. Dr. Osmond, do you
1:03:48
have any comment? That is one line for Mustafa, no? No, I can't. Yeah, it's Mustafa. Yeah, my name is Mustafa Asmaid. I'm the first graduate of from Baghdad. I just want to say
1:04:03
congratulations to Fatima for her outstanding presentation.
1:04:08
I worked with
1:04:11
Fatima during when summer was in Baghdad. She was like really passionate and real team-made student. She'll be a great resident, maybe a great new resident. So yeah, thank you and congratulations.
1:04:31
Thank you. Thank you so much Mustafa. I'm really happy to hear this from you and actually this experience. I love, I also learn a lot from you. Thank you so much, you're welcome. Thank you, Mr.
1:04:45
Thank you, Fatma. So I want to make a point before going to the next, and if you have any question also, you will listen. So the idea that you put Fatma, that
1:04:59
just to make it clear that even for the professors, that turn now if we have a catheter session, like diagnostic counter-angiographic few cases, so we invite student to come to join, to attend.
1:05:16
And when they attend, we have either Fatima or sometimes Ektham, they
1:05:23
are doing sub-mentorship. Even now, even I'm out of Iraq. So that's the beauty, they are continuing the same job. So Fatima received the student, teach them everything about what they will
1:05:38
attend.
1:05:39
And that's for us, it's a very new experience that we have not only the mentor teaching, we have the student, the older student, interested in teaching. I think this is one very interesting point
1:05:54
about Fatima and the other one is her slide about the picture when she's practicing on our like simple lab, practicing on the sheep And on some day, which is a few years later, two years later,
1:06:11
she's able to do the same on the patient. I think this is a very a huge message. I like that slide and I'm happy for you. And the last thing that I want to say that the most important thing I think
1:06:29
is that your connection with the team, with the current team, Dr. Heider is leading the team. They are doing open-ended vascular surgery. and the student is doing an
1:06:42
important part of the team still. So that was initially, that was my concern. If I will travel, everything will stop. And now you are showing us that everyone is doing well and this is very
1:06:57
important for, for ERR, for medical student and ERR, for the patient also. So I'm really thank you for your effort and
1:07:08
your career as well.
1:07:14
If anyone have a comment, we will listen Um
1:07:20
So, okay. Thank you, Fatima. I appreciate that presentation. Thank you. I will go. Welcome to the 19th SNI and SNI Baghdad Neurosurgery Online Meeting, held October 23rd, 2022. The
1:07:41
introduction will be by the meeting originator and coordinator, Summer Haas from the universities of Baghdad and Cincinnati.
1:07:53
The speaker will discuss the role of interest in making learning easier. CNS histology. The speaker is Nure M. Ocker, medical student, University of Baghdad College of Medicine, Baghdad, Iraq.
1:08:11
The discussion and lecture is 21 minutes Let me introduce North.
1:08:21
Noriara third grade or? Or? Fourth, sorry. Sorry. So Nori's
1:08:28
a fourth grade medical student. And she has initially a problem with the presentations. She don't know how to present. She has some confidence issue with the presentation. She has no experience
1:08:43
with that. And one day, just ask me to - I want to present about some topic which is the topic of today, I think, which is the histology of CNS and its importance. And that was after Dr. Osman
1:09:02
presentation about the future of neurosurgery and the next millennium. And it represents a different experience. So from that call that she decided to give a presentation. She worked with her
1:09:20
colleague to improve some point of presentations and to learn from each other how to make this more interesting. And the most important for me before that presentation is that the her experience with
1:09:40
her colleague within the team, and how they help each other And she's, she's working with the people with the hugger with a co-author, and they are doing very good job and their collaboration is
1:09:55
just amazing. For me, I'm observing them, and how they learn from each other It's amazing. So, I'm happy with their experience already, and we are ready to listen to your presentation, and you
1:10:10
are welcome. Introduce yourself, share your slide, and begin
1:10:15
Hi, I'm normally a girl for a year.
1:10:18
at Narayan University. I'm so excited to be here with you. Today I'm going to present CMSsology with my art idea and connect it with the neuroscience. Let's restart. Before we start, I want to
1:10:37
see you this sketch of CNS layers. I made it inspired by talent and husbandation. As we know, CNS
1:10:46
layer consists of gray matter and white matter. Gray matter consists of neurons, neural glial cells and unminated axons, while white matter consists of neural glial cells
1:11:01
and marinated axons. So while it's on the gray appearance, because of a present, a path inside the mining sheet,
1:11:14
cerebral cortex, under macroscope consist of 6. layers depend on the cells in it, the first layer, the granular layer, the granular layer, the granular layer, the granular layer, the granular
1:11:27
layer, and the
1:11:33
last layer, the multi-form layer. This picture,
1:11:39
to make histology more interesting and more easy to remember
1:11:47
This is the sketch, also, I made it to clarify and exemplify the histology. First layer consists of horizontal cell, second layer consists of
1:12:05
stiletsalges, inhibitory and excitatory, third layer consists martinotic cell, fourth layer consists of stiletsal, fifth
1:12:13
This layer consists of brambla layer and
1:12:15
last layer consists of
1:12:20
This is Amrae figure with normal and abnormal, the abnormal on the left side show the facemat of brain with hydrocyphaly, there is another figure of
1:12:33
this disease, we see no cell sign or this motor brain, this disease is the syncyphaly, the syncyphaly is the disease of the horizontal cell origin,
1:12:47
so this is an example on the syncyphaly to remember the
1:12:53
topics,
1:12:56
the syncyphaly. This is fairly under my crosscode on the right side, so we see abnormality in the molecular layers, which consists of horizontal cell, horizontal cell function, is a synthesis of
1:13:11
protein, which is important in the radial migration during First, a second trimester, so any abnormality in these cells or disappointing need to cease.
1:13:25
This is another example, the last example to remember this in Cepheri, second our topic. This is Rivel-Lam, Rivel-Lam also consists of two hemispheres with white and gray matter This is Rivel-Lam,
1:13:29
cortex under microscope, consists of a molecular layer, percange layer on the granular cell, let's go to a normality of cortex. This is the
1:13:58
MRI figure, it shows mass, which is pressure on the pathway of CSF leading to a wide rosette area, so this is air, I don't love last time, I must come on empty outer cage group on the poor
1:14:14
prognosis.
1:14:21
which is a granular cell origin. Leading to metastasis, there is now, let's see talk about the last topics. Spinal cord consists of gray and white matter. And there
1:14:30
is a central canal inside of it. This is a spinal cord under microscope, which is a consists of neurons on neuroglial cells And this truss is a similar spinal cord under microscope. Central canal,
1:14:53
central canal under microscope consists of open-dival cell, which is a sedated column in our cell.
1:15:03
Central canal disorder, first figure we see a dilated cyst connect to central canal, so this is hydro, hydromalia,
1:15:14
second figure we see also cyst but didn't connect to central canal, so this is a single malia and last figure, there is a cyst which is an extent to the vedulla aplongata, so this is a pulp of
1:15:33
malia. This is end of my presentation, but I want to talk about my pathway in the hosementorship until I inspire to start this idea, I'm interested in histology and when I attended the SNI Baghdad
1:15:50
in neurosurgery during mentorship and when Victor Osman explained a future of neurosurgery and medicine. Especially when he took about the rule of microphase and the rupture of aneurysm. So this
1:16:08
idea came to my brain, so I wanted to do something related to what I inspired a net-life histology of CNS. I have another experience in multiple things like research, so this paper and this chapter
1:16:25
I involved in it, and I'm walking on another project
1:16:31
that will be submitted soon. This is the first time I used the microscope, and there is another picture with the host mentorship. Today
1:16:44
is my presentation I wanted to thank the mentorship team to inspire me to continue with what I like to do I was at row only when I was asleep. study anatomy. So this is sketch, I draw it first and
1:17:06
second
1:17:09
the ears and I didn't talk on my talent after I become member in the mentorship
1:17:17
and after seeing they use their talent on the walk on it so they inspired me to walk on my apology and they're all on the draw like this is sketch and there is another sketch I mentioned it during the
1:17:35
presentation thank you for listening and if there is any question I'm ready to answer it this is my social media account if there is anyone who want to contact me. Thank you for your presentation.
1:17:55
Do we see you or are in your
1:17:58
work? Okay, okay, yeah, no, we don't very good nor, and again, this is a competition who is the best illustrator in Baghdad, but
1:18:13
they think is a
1:18:16
fascinating thing for you to actually inspire you is that the sales, I mean, if you can do, I don't know, it's something but you are oriented towards vascular But every time I see this at the cell,
1:18:31
the story of the cells, I wonder, and that perhaps is worth a letter to the search similarly as Samadit for
1:18:44
the approaches is what determines the fate of the cell The cell comes from the periventricular area, you know, from the germinal area, any travels to the occipital, travels to the provider,
1:18:59
Travis to the front, Travis to the temporal, but becomes a different identity. You have a visual cell in the occipital, you have a motor cell in the Indian period and just posterior, you have a
1:19:13
sensory cell, no? What makes, how the cell knows what she, she assumes is a feminine, I mean, what it has
1:19:29
to do, no? That I think, I think it's a worth of literature research if you are interested in the surgery, maybe you are more interested in
1:19:33
the thing, but one question, and we answer as our clinicians and surgeons, that question, we may be able to help patients with this and so far, you know? Why, why the cell doesn't migrate? Why
1:19:48
they don't arrive? Why they don't do what they were supposed to do? Because that's the natural process, and some ingenious research can do that, but anyway Congratulations and a wonderful
1:20:02
presentation.
1:20:06
And also, let me tell you, I had the last thing. When I was at your level, I was more shy than you. So if I had to be at the presentation in Zoom, I also will black the
1:20:20
video, as you are doing now.
1:20:25
Doesn't matter,
1:20:27
there is help, there is hope Don't worry.
1:20:33
Yeah, thank you, Dr. Leder, for the comment.
1:20:38
Yeah, thank you, Dr. Osman, do you have?
1:20:44
Ms. Taffy, you wanna say something, we're gonna get other people to talk, so. Okay.
1:20:52
Yeah, I just say thank you, Noor. That was a good presentation, actually, and the team.
1:21:01
to support one thing, like the presentation of Dr. Osman, like in the 16th meeting about the future of neurosurgery. Like I talked to my colleagues, like within Dr.
1:21:12
Ho's team, like all of us almost like inspired by this presentation. And yeah, many ideas like jumped out of this presentation.
1:21:24
At that time, but much like I will share also my experience And yeah, I just want to stress on this point, like the 16th presentation of Dr. Osman
1:21:35
was inspired in true meaning. Yeah, thank you. Yeah, thank you. Thank you, thank you. Thank you, Mr. Ben. I enjoyed that.
1:21:47
It's a very good way to learn as to make diagrams. And when you showed the cellular diagrams of the cortex, there was a paper that was just published recently and science magazine. uh, trying to
1:21:60
compare the, uh, cortex of, uh, of, uh, primates, man, to, to, to, uh, lower level primates,
1:22:10
uh, or, uh, and what it showed is that, that there was a more cellular population that was talking about the front lobes in the areas you were talking about at certain levels, which then leads
1:22:24
the, uh, the more mature developed, uh, Prime made ourselves to be able to think and do other things that we can't do earlier. But so all the things that you're doing relate
1:22:41
to new discoveries that are being made. So very interesting.
1:22:52
I just want to comment on the notes and stretching. It was really wonderful. amazing. I like how she converted the histological section to a simple and informative illustration. So I really
1:23:07
motivate her for becoming more, to work on her skills more and more. Thank you for your presentation
1:23:16
though.
1:23:18
Yeah, I think
1:23:22
when she first asked me, I want to give a lecture about histology in the SI. I said, What? Histology will be interesting.
1:23:33
And the topic quite met her great met her nuclei. But I think she gave us some ideas because this is more about junior medical student teaching. And now while she choose the dressing thing and the
1:23:49
cartoon thing, I think this is just an idea for to make basic science more interesting. I congratulate North for that presentation. For me, it's very good. She has a language problem initially.
1:24:06
I didn't notice there is a language problem with that presentation. And for, and I'm sure she's not shy, not sharing the video, but I have that experience with her before that she has a very busy
1:24:22
house, always the children don't put during presentations.
1:24:29
Yeah, so thank you and I congratulate you for that presentation. It's an achievement, I think a few weeks before you are dreaming of this. Thank you. Thank you, I first of all for your message.
1:24:46
And thank you for, I want to thank the Fatma Day for
1:24:52
voice,
1:24:55
that she sent me for me. presentation.
1:25:01
Okay. Thank you so much. Thank you so much. No, actually, I also want to say that thank you so much for this interesting presentation. I did enjoy the disability. Welcome
1:25:19
to the 19th SNI and SNI digital Baghdad neurosurgery online meeting held October 23rd, 2022. The introduction will be the meeting originator and coordinator, Samar Haaz, from the universities of
1:25:38
Baghdad and Cincinnati.
1:25:42
The speaker will discuss my pathway in neurosurgery from Iraq. The speaker is Mustafa A. Murrayati, medical student, University of Baghdad College of Baghdad, Iraq. The lecture and discussion is
1:26:00
17 minutes
1:26:07
Thank you, Lord. Now we have Mustafa Ayat al Maroyati. Mustafa, are you ready? Yes, that's the first one. Mustafa
1:26:20
is the sixth grade medical student and University of Baghdad College of Medicine.
1:26:29
I don't know what he will share, but he will share his experience. That's our deal
1:26:35
And let's see the stages yours, Mustafa, and yeah, introduce yourself
1:26:44
and please, okay, it's well shared. Okay, thank you, Dr. Haus, for the introduction. So hello, professors. Hello, everyone. I'm Mustafa Maroyati, a sixth year on the final year medical
1:26:55
student at the University of Baghdad College of Medicine Today, I'm really honored to give this. presentation in the SNI bug dead neurosurgical meeting. And in this presentation, I will talk about
1:27:09
my pathway in a neurosurgery as an experience from Iraq. So before me starting my presentation and talking about myself, my pathway in neurosurgery, let's review together the arterial supply of the
1:27:23
brain by simple illustrations that I made using the PowerPoint designing tools to make simplified ideas to reach from the very basic anatomy. We got the blood from the heart. We have the aortic arch.
1:27:37
We have on the right side the brachiocephalic trunk. We have two subclavian arteries, two common carotid arteries, bifurcate into the internal carotid arteries, which runs inside the skull to
1:27:46
supply the brain and the eye. And we have two external carotid arteries, which runs outside the skull to supply the hidden exotructures. And here we have the anterior contribution from the ICA,
1:27:57
the circle of fullest, into two middle cerebral arteries, and two anterior cerebral arteries. That was regarding the anterior cerebral artery. Regarding the posterior circulation, we have two
1:28:05
vertebral arteries arising from the two subclavian arteries, the united front of the bones to form the basilar artery, which contributes to the two posterior cerebral arteries. So that was the
1:28:15
basic anatomy to show the supply from the heart to the brain. Now let's focus, get another view on the right side. We will talk more about the external carted artery. We have the brachiocephalic
1:28:26
trying, becoming carted, this is the ECA, with its two terminal divisions into the maxillary artery, which runs deep in the face, and the superficial temporal artery, which is two terminal
1:28:35
divisions, the frontal division, or branch, and the parietal division, or branch. And here we can notice the close proximity and appreciate that proximity of the MCA, which is a branch of ICA,
1:28:48
and the SDA, which is a branch of the ECA. So let's dive more deep into a more complicated or advanced topic in neurosurgery, which is the cerebral revascularization So let's go. imagine, for
1:29:02
example, you have a pathology on the right side here, this is the ICA, for example, a tumor or aneurysmaphyric liping or anything obstructing the
1:29:09
blood flow distally. So instead of having the blood flows like this in the yellow arrows, we can benefit from the flow into from the ECA, this is a professional temporal artery. And for example,
1:29:22
directly suture the SDA into the MCA, if that's extra cranial and for cranial bypass, to shun the blood to areas distal to the non-functioning or obstructed ICA, for example, this. Here's another
1:29:40
illustration example in the cerebral aneurysm. This is aneurysm after clipping proximally and distally, so how can the blood flows distally? And instead of the radar rows, we can make an
1:29:49
artificial pathway, which is either a radial artery graft or a saphenous as vane graphs, for example, to show on the plot distillatory vascularized area. So this is the principle of the bypass in
1:30:02
a simplified way. I started studying the advanced neurosurgical anatomy. I studied the second chapter, which is the secretantorial arteries in the rotary cranial anatomy and surgical approaches. I
1:30:16
studied the basic principles of our dress supply of the brain, secretantorial arteries, their courses, their branches, divisions. There are even little details about them I also skimmed it
1:30:28
through the cinnamon bypasses by Michael Laoten and the Kola Ratlas of Cerebere Vascularization by Dr. Robert Spisler. I didn't just read, for example, wrote on micro surgical anatomy. I did my
1:30:42
own summary by handwriting on a paper with a pencil. I summarized the whole chapter in about 100 paper and make them as a bullet points and highlight some of the things that I may review later later.
1:30:59
as a high yield point for me. After that, I integrated that theoretical knowledge I gained through studying and applied it to a real surgical procedure in the neurosurgical teaching hospital in
1:31:11
Baghdad. The patient was a young age female presented with multiple attacks of strokes. She was diagnosed as having more and more disease. So the decision here was to make a bypass
1:31:26
And here are some of the CT imaging angiography. And here is the intraoperative images on the monitor that was put outside the surgical operation room on the lobby so that the students and residents
1:31:39
can observe the surgery step by step. How to bypass, do doing the bypass. And here's a picture of us. This is me, Sam or Hose and other colleagues also during the surgery Well, after that, all
1:31:56
of it is integrated together. aimed by knowledge. So was surgery. I gained the theoretical knowledge. I did a life webinar on neurosurgical TV. And that was my really first like webinar life
1:32:09
webinar being recorded in public, as an international level And it was the last day in 2022 31, 31 December. It's topics was the cerebralery vascularization extracurial intracranial and
1:32:25
intracranial intracranial bypasses. So now let's get started to my journey how I start it started in 2019. When I met Dr Sam or hose. It was a great chance and great honor to meet him He offered a
1:32:43
special interest in teaching us. He make us
1:32:48
dive through the neurosurgical field expose us to your surgery in more details, especially in our country.
1:32:55
And then I attended the fifth mentorship. program, it was held also on Baghdad in a neurosurgical teaching hospital in 2019, 2022, and here is me holding the kind of very cheap head after doing a
1:33:08
Korean atomic procedure, which I will show the steps later. And
1:33:12
here are my colleagues also in
1:33:16
that mentorship. And during that mentorship I really gave my first oral presentation in public. I was just about the third grade. I just finished the neuro anatomy Not good experience at all. Okay.
1:33:32
Here is the host lab saying that more lab simulation less brain complications. One of the things we really, which was really, we practiced and which was really interesting for us doing simple
1:33:46
procedures, simulating a real or on simple stuff like egg Here we are drilling eggshell without penetrating it, without buffering it. simulation to how delicate can we go without hitting the vital
1:34:00
structures such as the brain in the OR and here's me drawing our drawing my name on the eggshell. Here's also me drawing on a real bone, get a very bone of a sheep using this surgical loop and here
1:34:16
are some of the steps after doing a
1:34:21
cataveric craniatonic procedure on sheepheads, extracting the brain with its intact dura mutta. So there was a mission that you should not hit the dura while even in the animal. Okay, and the dura
1:34:34
was cut. Okay, now this is the brain that is looked underneath. Integrated all that surgical skills, practical skills, I went to the OR and the first case I watched, it was an emergency case,
1:34:49
patient present with the RTA or traffic accident you had an extra deal with him at home after doing training at home, which I. experienced on a cut-off, very cheap. I saw an observed surgeon doing
1:35:00
it on a real human and evacuation of extradural hematoma.
1:35:05
And this was my first time seeing a ball-style brain, you know, in a real human. I had also the chance and opportunity to be part of the global training project that held in also Baghdad in
1:35:19
neurosurgical teaching hospital 2021 by upsurgeon psychomotor skill training. They provided us with multiple
1:35:28
samples that simulate the real brain approaches. So, for example, here is the taryonal approach. This is the frontal lobe, the parietal lobe, this is the temporal lobe, this is the salvia and
1:35:39
fissure. So, it really simulates the real human brain. And we practiced many things on it. For example, here's me under the microscope approaching the taryonal approach and also endoscopic
1:35:55
approach. in the like in the CSF area underneath the brain.
1:36:04
One of the things that I really appreciated during my journey is that neurosurgeon tool is the radiology that the CT scan MRI of radiography and even catheter endography all are needed to be
1:36:17
well-interpretated and interpreted to make a decision. So I really developed my skills in reading CT scans, native CT scans, contrast CT scan MRI, catheter endography, MRI, MRV,
1:36:33
and it was really a good appreciation that how a neurosurgeon needs this tool. Here are some pictures of me assisting in real operation and getting close to a neurosurgery procedure that's frail
1:36:47
after me scrubbing in and sometimes assisting.
1:36:51
I practiced before that suturing at home.
1:36:54
My first suture, some of which are very bad, some of which are improved over time. And I also use the surgical loop doing a micro suture and using a very thin suture material.
1:37:08
Teamwork also, one of the most important things I really appreciated and noticed. And it was a really, I think, that I cannot describe by words. It's just like a family. We all have each other's
1:37:22
back We support each other. There's no superiority, even between the doctors, between the professors. They have, they deal with each other. They work in harmony in the OR. Everyone knows the
1:37:36
other is a step. They are well-prepared, for example, in the OR, even the assistant, the scrub nurse. They know these steps. They are prepared the tools and they work in harmony. Even with my
1:37:47
colleagues during the mentorship program, the teamwork was really an essential thing I appreciate it.
1:37:57
I think no achievement would have been accomplished without that teamwork. Even just awards, maybe a support that would be enough. Also, rapport and building a relationship with patient, with a
1:38:06
doctor and patient relationship was really think that Dr. Sandler raised us ethically about it. And also, rapport with my colleagues and friends was really essential.
1:38:20
I also have the great chance to be a course coordinator of the SIGGRAC in neurosurgery mentorship program. It was held in 2020 in neurosurgical teaching hospital back then. Well, about the
1:38:31
conferences I attended, there are actually two conferences. The first one held in Dubai in 2019. It was the 17th Emory International Neurosurgical Conference. It was me first time going outside
1:38:43
the country for a scientific think like a conference. I was just an attendant. I listened to international level neurosurgeons presenting their work, presenting their presentations, their case
1:38:57
reports, for example, or their papers, published papers. And I was really fascinated about the international level of neurosurgeons. And then in 2022, I attended the first pan-Arab neurosurgical
1:39:11
Dandy meeting, it was held in Beirut. And here is me with my colleagues as an Iraqi delegate.
1:39:19
This time I was not only an attendant for the conference, I did an oral presentation, which was the first time for me doing a real oral presentation of the American University of Beirut. The topic
1:39:30
was the control over superior sexual sinus injury due to metallic ceiling fan of late injury. And
1:39:37
there was a top five student presentation, get a prize, and I got the second place with a 17 vote. And the first one was Zahramajit, which is my colleague also from Iraq she took me first prize.
1:39:54
which I'm really proud of as both of us from Iraq. And we achieved the first and the second place that was an international conference. Me about in medical school, we take a neuro in general, like
1:40:06
neurology, neurosurgery, neuro science, basics and two modules. And the second year, we have the basic neuroscience including and anatomy histology, physiology, biology, et cetera, that basic
1:40:16
science. I took a very good credit at it, about 85. And the advanced neuroscience in the 50 grade, including neurology, neurosurgery, and neuro-adiology, I get an excellent score at it, which
1:40:29
was I'm really proud of. So one of the things I really like as my hobby is medical education. I really love teaching, I love exporting my knowledge. So my academic experience, I have many courses
1:40:43
including infectious disease courses, it's based disorders, cardiology courses, fluid electrolytes, the vascular supply of the brain which is entirely important to be highlighted here and the set
1:40:53
of our reverse polarization. I have more than 70 hours of medical education, whether recorded videos online, life meetings, et cetera. About my clinical experience in neurosurgery, I have
1:41:03
attended more than 15 operations different from brain tumors, spine surgeries, arterial venous malformation, and generally the neurovascular procedures. And I attended two procedures of gamma
1:41:19
knife, and I have more than seven calls in the vascular unit And I attended more than six calls in the emergency room, and also more than five calls in the intensive care unit where we had a chance
1:41:31
to practice examination and follow-up of patients who are really comatose. For example, we check their plasma coma scale, we check their vitals regularly and how we take care of such patients.
1:41:49
One of the things I really understand, lately is the exploitation concept. After me getting all the knowledge I talked about previously in this presentation, me studying books, attending
1:42:02
operations, go to conferences, getting, gathering all the knowledge for myself. There is a concept of exploitation, how I export my knowledge. I will, there are many different ways I did that.
1:42:14
For example, I have a research data count and I have a YouTube channel with many playlists, illustrating playlist One of the playlists is
1:42:23
the, it's termed as the second chapter of Roton, the separate internal R3 series. I talk briefly about each of the vessels, the ICA, the MCA, the BCA and communicating arteries and the cerebral
1:42:35
angiography also. In a few minutes, demonstrating the basic levels. I have participated in two books as a chapter author, the pineal neurosurgery and the neuro trauma in multiple choice questions
1:42:48
I have a. also assisted in three published articles and contributed to them. The first one is the intransisterinal papa variant toxicity in anterior circulation and urozemic liping. A surgery, it
1:43:01
was a literature review. It was published in the Romanian neurosurgery in 2020. And the second one was a surgical control of a superior sashtal
1:43:10
sinus injury due to metallic ceiling found blade injury, which I presented in Beirut on the on the oral presentation It was published in the Muslim sorry medical journal. And the later on it was
1:43:22
letter to editor, the Cadaver free simulation training in micros neurosurgery and experience from Iraq, as I showed you the kind of very experience at the beginning of the presentation. It was also
1:43:33
published in 2021
1:43:36
in the world in neurosurgery journal.
1:43:42
Last but not least, there are many attendance of scientific activities I've started And during my med school started from may be the first year I attended some workshops, but the real work started
1:43:55
in your surgery since I began and find my interest since 2019. You can notice here I want to highlight that every year there's a new accomplishment, new achievements, new attendance of scientific
1:44:06
activity. For example, 2019, 2020, 2021, 2022, and hopefully, 2023, there would be a new attendance of scientific activity So how do I see neurosurgery in general? Well, I see a neurosurgeon,
1:44:20
just like a goalkeeper in the penalty shots, that everyone knows that it would be a goal, but if the goalkeeper catches it and saves the goal, he'll be the hero in the story. So that's just my
1:44:31
imagination about how I
1:44:33
see it.
1:44:35
My current position, I am the president of the Walter Edenti Neurosurgical Club Iraq, and I was one of the founding members and chief scientific officer of that
1:44:46
club. I lost, but not least, I want to thank Dr. Samrith Hose. for all this support. And he really raised me scientifically in a neurosurgery and ethically how to be a little patient's and
1:44:57
colleagues. He has enormous support. And this is me picture with Dr. Samarhoz after giving me some bruises on the shoulder so that what doesn't kill you makes you stronger.
1:45:11
And thank you all for your listening. I hope you enjoyed my presentation.
1:45:37
It's really good. Enjoy that. Thank you. Thank you. Thank you. I think I should highlight that most of around. Now in the first positions, like a grade wise and the medical college And this is
1:45:45
new for the Iraqi neurosagerie that people were in the, have the highest grade in the medical college. Thinking of neurosagerie. This is not a common trend. Usually if you have a very good marks
1:46:01
in the medical college, you are, you can choose any branch. Okay. And this is like a different setting than us and us. It's the opposite And you guys, if you want to neurosagerie, you should
1:46:12
have very high marks. And Eric, at least it's.
1:46:18
It's completely the opposite. You don't need any marks. If you want to go to neurosurgery because people not interested in neurosurgery, usually people with high grade go to branches like, I don't
1:46:32
know, ophthalmology or ology or ologyology, that's the branches. And people with the lowest scores, like me, go to the neurosurgery. So I think, I think Alim Ahmed is one of the first just to
1:46:48
graduate, he's one of our team. Aktham is one of our team, one of the highest score all over Iraq. Most of us, one is also one of the highest score
1:46:60
on graduation. And now we have most of our, I think he's the first in the score now in the Bardat College of Medicine. So this is very new culture, very new concept And I think they will inspire
1:47:16
the next generation. we don't know people with high school and neurosurgery yet. They will be the first with high school to enter neurosurgery and ERAC. That's one point to say because this is
1:47:31
related to the background and what you give today, most of all, I like it. And I think this is like a roadmap for many people on how to do things in the right way and how to make the most of
1:47:50
everything. I think it's very good. If we combine all what you say with you being one of the highest score in the college already, I think this is a very, very nice model for people. And
1:48:08
this is number one, number two, something I should share here that when we, When we do the CTA thing, when you say about the CTA, you think you remember the
1:48:22
resident and Eric when you are there. So can you share this?
1:48:30
My experience when there were residents in the hospital and you examined them about the radiological in the skill lab, you took them overlap, you asked them many questions about
1:48:43
the images and they were really confused about them, even the basic things. And then you asked me later after them and tell me what's this, for example, the spot diagnosed, for example. I
1:48:56
answered you, some of these slides, I really haven't seen them before, it was my first time, but I got them, I could get them correct. And then you tell the resident that I'm a resident too,
1:49:09
but at the end, you surprised them they're a medical student knowing, having acknowledged in their ideological skills.
1:49:20
Yeah, so it was really a moment of proud prize. So when we are teaching the new interns about the neuro-adiology, I usually invite most of her to be there in the back and people thinking through
1:49:37
his answers, like he's maybe a senior resident And at the end, they discover that he is a third year medical student.
1:49:49
And it's a nice experience when he's a proud of himself. We are all proud of him. And it's a huge message about focusing. I think you share with us the vascular thing that you already interested in
1:50:04
before me. And I think, yeah, I should congratulate you for your.
1:50:13
and we will wait you after graduation to
1:50:18
come back again and work with the team more thoroughly. Thank you.
1:50:27
Hello, actually, Mustafa is one of my best friends, and I didn't, I didn't knew about her achievement as achievement until now, and I'm very amazed by him I'm really proud. He didn't tell me.
1:50:44
My name is achievements. I knew it here, and I'm amazed, and I'm congratulating him. Because he's very shy, but that's the point. He's very, very shy. He come here with Chinese. Yes, Dr.
1:51:02
Luv Yeah, I congratulate him as well, very good at the presentation, and I will say, taking something of your last slide. of your slide of the penalty kick. By the way, my team in Argentina is
1:51:15
river played. And the player who is kicking that penalty kick is from river.
1:51:23
So that I won't forget that.
1:51:28
It's river, that's river. That's it, the stadium monumental. And I don't know who is the guy who had the luck of stopping that penalty kick But now, being serious in the analogy is this. We talk
1:51:45
about ACA aneurysm, or we talk about whatever the pathology. And I think that this is worth studying, what is the
1:51:58
patient who has an ACA aneurysm or a middle-cerevera laboratory aneurysm, or what we know about the patient who has there in the Silling of Mahelia. what do we know about patients who have single
1:52:13
myelon? Not what do we know about this specific individual who happens to be the father of three children? No, no, no, no. What's the understanding of what happens, how the patients with ACA
1:52:27
percents? And this both again to your analogy of the goal keeper. In the World Cup in 2006 in Germany, Argentina and Germany tied one, one, one. And they went to the penalty kids. And the
1:52:44
penalty kids, Germany beat Argentina and of course was a period victory because Italy was waiting for them and Italy would have beaten any of them. Italy won that the championship got here. But the,
1:53:00
the, the, the point is the Argentinian goal keeper That was very good, it was a very good neurosurgeon.
1:53:09
a gold tipper also was very good, was a very good neurosurgeon, but why Germany beat Argentina is because they studied the Argentinian players and they knew beforehand to which side they will keep.
1:53:26
So they knew that Ortega keeps to the right. So before Ortega started running, the German gold tipper was leaning to the right or to the right. I mean, we are on the other side, no.
1:53:41
What I mean with this is when you, it is important to the study say, okay, I have a patient who has an aneurysm of ACI, I'm not at a vascular surgeon, I don't know very much about those things.
1:53:53
But okay, what else do we know about what happens to those patients? What other information we can call it? And that information is there in your medical records, in the medical a regular social
1:54:06
hospital. Anybody can go and see, I mean, I am inspiring, if possible. You go and look, I mean, patients with ACA aneurysm, what happened to their master? How did they percent? When was the
1:54:21
time of the
1:54:26
time of the presentation between the treatment were 24 hours, 72 hours, seven weeks? What do we know? So this goes again to your wonderful, most often, wonderful representation and use that
1:54:40
slide, which is very good. I mean, nobody knows, it was real, I know it was real, but because that's my thing. But they, at the point is again, the good gold keeper as the good neurosurgeon,
1:54:55
he doesn't stand in front of the kicker and says, okay, let's see what happens, no? And I go to the left and I was lucky I go to the right, I was lucky. No, that the good girl keeper knows,
1:55:07
okay. This guy has an HCA arterionerism. I have to be very, very careful because in the post-op in day seven, they develop diabetes incipidus. For example, that's his, at the possibility. So
1:55:21
what can we know about the patient's per se, or the biology TDC the on based patient the of
1:55:31
system?
1:55:35
Okay, Professor, thank you very much. No, no, thank you, Mr.
1:55:41
Thank you, thank you, Mr. Faufau.
1:55:46
Welcome to the 19th SNI and SNI Digital Bag Dead Neurosurgery Online Meeting, held October 23, 2022. The introduction will be given by the meeting originator and coordinator, Samir Haaz, from the
1:56:05
Universities of Bag Dead and Cincinnati.
1:56:11
The speaker will discuss in the midst of research, my way to neurosurgery. The speaker is Al Kowathar M. Abdul-Sada, medical student, Azerbaijan Medical University, Baghdad, Iraq, and
1:56:30
Baku, Azerbaijan. The lecture and discussion is 17 minutes.
1:56:41
Professor, which is before the last presentation from a co-author, a co-author, are you there?
1:56:49
Yeah, yeah. Hello, everyone. Hello, Professor, Secretary, and colleagues. Yeah, hello. So, a co-author, she's originally from Iraq. She's now doing her medical college and the fifth year
1:56:57
in Azerbaijan, and she will share her experience It's a little different experience, and, yeah,
1:57:13
the stage is yours. Hello, everyone. I am a co-author,
1:57:19
Abhisadeh, a fifth year medical student, Iraqi based at Azerbaijan Medical University. So, before going to the midst of neurosurgery, I'm going to talk a little bit about my journey So, as I
1:57:32
always say, the first decided not to move the cover. This is the picture of my university.
1:57:38
It's not that common.
1:57:42
So after finishing high school in Iraq, I was 17 years old and I had to move to Azerbaijan to start my med school. And as you see, it's a very modern country. They have a European lifestyle, but
1:57:55
they are a former Soviet Union country. And we have borders with Russia and Armenia.
1:58:03
So the beginning was very fine until the second year when COVID-19 started and the quarantine was very restricted. And so it was fine too there. So we had online lessons, but then the war started.
1:58:17
We had war with Armenia and the wife I was cut. So I can't contact my family. I can't see them. I can't go outside until a year and a half. Then the girls wasn't there and we couldn't cook. It
1:58:30
was a very hard situation
1:58:34
with the questions, how to comment in such case. And I'm sharing this because
1:58:42
I want anyone who had the same situation to know that he's not alone. So metaphor, I use that when I went to attend the operations, neurosurgical operations. So I was comparing the neurosurgical
1:58:58
anatomy with when the patient is awakening, the post-op. And when I realized that my hands were inside a human brain.
1:59:11
The answer to how to cope is to stay busy. I was trying to read books to beg it and also to study some of the vascular anatomy. I was wishing to, I was striving to find a mentor because the other
1:59:26
lessons were cut also. And it was my dream to find a good mentor. So after the war, after the year and a half, I went back to Iraq and they was looking online. And here the changes started. And
1:59:43
it's not like
1:59:46
a movie. It's very unchanged. I saw this post on Instagram. It all started from a phone. So I contacted Dr. Hose. I told him about my story and he allowed me to attend each procedure that they
2:00:02
do on the team. So here's the start I met him and I started to attend the
2:00:10
neurosurgical operations. And I had very nice friends from the mentorship. It was the previous mentorship last year.
2:00:22
And this one is really interesting because the patient was my father. He had a cervical likeoma and Dr. Haidar-style have from the team operated under. And this is Dr. Ofa, Dr. Mutena and also
2:00:35
Dr. Hederseil and Dr. Mohammed Amin were my mentors there.
2:00:42
So the centers that I had my practice were the governments on the private hospitals in Iraq.
2:00:51
I was very excited to start writing medical researches, but I wasn't familiar to the system there. So I started with paperwork, like organizing the students' attendings and also the international
2:01:06
collaboration in the papers.
2:01:10
This was the task that we had to do by Dr. Ofa to the 15-month research, so that we can do our first interpretive future. And it started a point of change in every student's life.
2:01:28
Then we started to go to the scientific-wise progress I prepared two presentations and gave them the previous mentorship.
2:01:41
The interesting things that in these two months I attended more than 17 years of study found in the vascular procedures and I made this look which was signed by the third house.
2:01:55
And they were equal for the vascular and vascular surgeries and the neurovascular surgeries were equal also for the oncology and vascular
2:02:09
Here the era of Iraq ended and I have discussions, my favourite from a movie, Let Everything Happen to Beauty and True Not Feeling This Final.
2:02:24
So I went back to Iraq. It was my fourth year medical. I went back to Azerbaijan to my fourth year medical school, and I kept my own connection with Dr. Hose. And we started the Dan, the
2:02:36
neurosurgical club in Iraq to establish and I was a founding member and membership officer And
2:02:45
I, unfortunately, I couldn't practice at
2:02:49
the panera meeting that was held in Beirut because I was here, I couldn't travel. But I was looking for conferences here and I participated at the student scientific society conference, which was
2:03:01
held in our university
2:03:05
And I kept my practice in neurosurgery. I was also attending in the government's own private hospitals.
2:03:18
Then I didn't stop there, I was looking for a second mentor, so I contacted Dr. Uff, he's my second mentor here. He's a brilliant neurosurgeon, he has a practice in Germany, and
2:03:31
also on Turkey. He finished his specialty in Turkey. So the first day I went to meet him after I contacted him, I saw this patient She was two years old, and I asked about her. He said that it's
2:03:47
a one-year follow-up.
2:03:51
I asked about her case, and he said that she hadiktabukishwaraoma, and it's a
2:03:56
very rare case. So I decided to make a research about it, and I took her data, I took her pre-adpass amorise, I took her into crying analysis, and it was also an Azerbaijan language I translated
2:04:10
them to English, and started to look in the literature.
2:04:18
So I made a case report on the literature review and this is the MRI, the preoperative MRI and it shows the cellular and the systemic surprise delivery compressing the third ventricle H1oma.
2:04:35
And post-operatively, it's a perfect tumorctomy.
2:04:42
So I made the literature review and I found that the
2:04:47
reported cellar schwannomas are 34 cases, but interestingly, it was all for adults. And this was the first case to be reported in pediatrics.
2:05:01
Actually, this case is published in SI, and this is post-operative and swanning for Laura?
2:05:16
So, Dr. Roff is asking her about Foma Shiso as she said Sua and three in a terrible challenge.
2:05:28
I forget to explain about the case. So, the Shua nomads are crayon nerve-shaped tumors. They arise from the Shua nomads that are covering the exones of crayon nerves And the interesting thing about
2:05:39
this case that wasn't related to any crayon nerves, it was ectopic. So, I made the case report about the discussion exactly about the theories that these Shua nomads can be arranged for
2:06:00
And the reviewers' comments were very nice. They said that about Dr. Rov's work towards ex-century section, especially in the perspective of a highly vascular and rubbery tumor tissue. And it was
2:06:12
a valuable contribution to that literature. And the third comment was about asking about the histopathology pictures, which I ordered also.
2:06:24
This is the second research I actually like these researches, the most because I wrote them from zero, and they were my first. So this one is about the functional anatomy of the four amino fushka
2:06:36
revisited. I made a timeline about the
2:06:41
milestones and related events about the development of the 400 fushka discovery, revising the original work written by a fushka, word for fushka, the
2:06:54
German anatomist
2:06:57
And it was also accepted by the. SNI, but they also wanted the additional picture from the original work. And the director has made this very comment that we thought it's a trend that everything I
2:07:13
write is accepted unless I add a figure. And this is actually the figure I added from the original work And back on track, I
2:07:26
kept on attending the doctorate of surgeries, my second letter. And this one was about to great forgive your bloodstone.
2:07:38
Now getting the limits of research, these are the two papers that are published now, and these one are accepted and the file is about, this file is about all the submitted papers. So now, after a
2:07:53
year of being in this mentorship
2:07:59
And new concept and this mentorship was the sub mentorship that the new students who are now on to research may teach another students. So I have to be a leader for five teams, and these are ongoing
2:08:15
researchers now For example, yesterday we had this Zoom with Dr. Hose and he was reviewing our writing like a review series for all our works.
2:08:31
And this is a routine Google search that we make before and after the mentorship.
2:08:37
It's very interesting that it was zero results and now we have like eight results.
2:08:48
This is about repeating the loop like the war started again with Russia and it affected us between Russia and Ukraine and also the monkey pucks and the quarantine again,
2:09:01
but we are going on.
2:09:04
So the take-home messages are never even an opportunity. I can add to this that look for opportunity, don't just wait for it because I was trapped here, I was between four walls exactly and I was
2:09:20
trying, I was striving to find a mentor and finding a good mentor is a really gift. And adaptation is necessary everywhere, I didn't finish my, or I didn't type my medical school at Iraq, but
2:09:33
when I went back last year, I tried to adapt everything. And mindset
2:09:44
is flexible wherever you are, wherever you want to be The journey is the fun. the arrival is just boring. Maybe someone will see this is very difficult and I won't be able to finish any of this,
2:09:54
but it's really interesting. And my favorite quote from Dr. Hood is that, Honestly, I'm good intentions are the answer to hopebecause I had good intentionsand I really want to learn I found him.
2:10:15
Yeah, I
2:10:21
see the neurosurgical research process is undeveloped here, but psychiatrists and oncology are well-developed. Yes. Thank you. Thank you. I really congratulate you. And I feel that you have a
2:10:32
really resident level. You are not a medical student, especially with that Kafka. And.
2:10:40
Yeah, thank you Thank you. Thank you.
2:10:46
Welcome to the 19th SNI and SNI Digital Baghdad Neurosurgery Online Meeting, held October 23, 2022. The introduction will be given by the meeting, originator and coordinator, Summer House, from
2:11:05
the Universities of Baghdad and Cincinnati
2:11:10
The speaker will discuss an update on Iraqi neurosurgery research team dynamics.
2:11:19
The speaker is Mustafa Ismael, graduate of the University of Baghdad College of Medicine, Baghdad, Iraq. The lecture and discussion are 15 minutes
2:11:36
Let's go to that, because we are running late. I know it's late in Baghdad, but I think now we are getting to the last talk It's by the recently graduate, I consider him a resident now, he's a
2:11:50
master of
2:11:54
SMI. I think he's holding much of the work, or especially research wise on his shoulder these days. And we are happy with his collaboration with everybody. And I think that's a huge family spirit,
2:12:09
as described by a master of a variety before And
2:12:15
yeah, I think his presentation is kind of a summary to the current work as well. And yeah, most of the stage is yours. So yeah, hi everyone, my name is Mustavas Meid. I'm a recent graduate of
2:12:37
University of Wisconsin-Madison. In this talk, I will give you an update about the research dynamic within the hosement or ship. Yeah, so I will discuss the, what's the mainly in general points,
2:12:52
what the team structure is about the research and the display some numbers about the articles that are published or accepted or submitted, or those are under writing or reviewing within internally
2:13:06
within that
2:13:08
team And we will destroy this focus the point about the activities, especially within the last month, and we also give an example, like for example how to capture an idea and transform it to a
2:13:21
paper So yeah, the structure is mainly the leader, Dr. Hose, and the others are mainly all of us are medical students. If I am graduate and still within the medical students. And the themes of
2:13:36
the research usually it is about vascular trauma and recently more interesting or more.
2:13:44
medical education and unique case observation, especially in the maybe in the oncology or other things other than the vascular and trauma. So these are the main themes of the research we are doing.
2:13:54
So how the project is distributed, which has started on them, especially first draft or
2:14:05
first part of the case report, especially if this only the case description, maybe the whole article, it depends on the medical student level And they are mainly in the core team, which is about
2:14:17
20 students. Those are like high have skills in research. So they start the draft and yeah, then we receive it. They send it to me. I will make it better. I review it. I comment on it day and I
2:14:38
will share with the doctor host then maybe a suggestion to change or to review or to add something. they will, it will be added to the team that's routed. And especially for example, I'll call her
2:14:50
when with her team or playboard her team or hajor with her team. So those come back to us. And after that, after the, after make it the best possible way, we go to the journal. So this is the
2:15:06
main journey of the paper here within the team. So here I will just display for you some numbers of the mainly within the last six months and recently about the last month. So within the last six
2:15:20
months, we have a total work of
2:15:25
110 projects. So those are 75 mainly research projects papers and 35 book chapters. So at the last three months, 65 projects. How, what are the contents of them? like these are just some
2:15:43
examples. reports, eight or 10, 12 reviewed. I mean, my review it is still internally distributed is not yet made ready to be submitted. And from those are six accepted for submitted and 10
2:15:60
reviews. Original articles, 12 of those numbers, editorial or letter to editor, and review articles Recently, we are more interested and there is an increased number of review articles within the
2:16:15
team.
2:16:17
I suspect this number will grow later in the future. And others, like we are starting a systematic review branch within the team. We are building this
2:16:29
skill of systematic review and meta analysis. Also, another area like recently, especially when Dr. Ho's traveled, there was a sense of natural research within Dr. Ho's. So all these are made
2:16:38
encapsulate the
2:16:45
the current work of the POS project or the research team within Dr. Hosmentorship. So I will just display numbers in the last 20 days only. There's 15 submissions and the six are accepted until now
2:17:03
and we are aiming to reach 30 by the end of the month. That's the goal for the current situation. So these are just display for the numbers. Now I'll just give an example about how the
2:17:19
examples of the ideas converted to a paper like within the research team how we usually do this process like this from my perspective. I'm also referring back to the
2:17:32
16th meeting. I'm giving one example from one idea like I enjoyed by listening to
2:17:39
Professor Osman talking about the neurosurgery.
2:17:43
of neurosurgery the next 100 year and the Dr. Osman mentioned the point of inflammation and inflammation especially within the aneurysm. So these are the current literature like as Dr. Osman
2:17:58
mentioned
2:18:00
and I search literature there is this point. So at
2:18:07
the same time I am what was watching like one
2:18:14
documentary about the psychedelics and and how they are coming back when
2:18:24
they being forbidden like since since the 70s now they are coming back especially in the research area. So I search like could be this for example and
2:18:37
recently this assignment would be a depression especially with a patient of
2:18:43
ourselves, but does the
2:18:46
cyclist have another
2:18:48
qualities like, for example, anti-inflammatory. So they started to look as the cyclist as an anti-inflammatory agent. So hold this idea like started with the professor osmosis inflammation and
2:19:02
brain aneurysm. And now we have like psychedelics as anti-inflammatory. So why we don't make it a paper and just suggest that maybe the psychedelics maybe an excess step is an anti-inflammatory
2:19:14
process that may aid in the treatment of cerebral aneurysm. And this paper is made in the letter and it is accepted in the SNI. That's published. The other example is a more long term process.
2:19:28
Like in the 14th meeting,
2:19:32
the team like we led of Dr. Hose about the
2:19:37
effectiveness of
2:19:39
was that was the whole title of the survey, the effectiveness of SNI Baghdad meeting. So we presented that at the SNI at that time. It was in May in this year and we displayed these numbers and we
2:19:54
talked about the numbers and fortunately like through these months and we started with the
2:20:01
writing of the manuscripts and so many
2:20:07
professor Osman and the team in the SNI also had their facts and now it is published in the SNI. This is an example of long term long term process of an idea converted to a paper and yeah and the
2:20:23
first one was like a more and an easy process or short term process. So
2:20:28
these are two examples and yeah for these with these all numbers that's mainly what's going on within the research team within Dr. Hose. So yeah thank you very much and I hope you enjoy.
2:20:45
Wonderful, and the most awesome, wonderful outstanding. Thank you. And most often you do actually wanna work and we appreciate all the work you're doing with the editing and
2:21:00
you're highly motivated
2:21:03
and we wanna recognize you and the others. And that's why we've SI digital and we wanna section for young neurosurgeons and students.
2:21:15
Sammer knows about that. Hori knows about that. So you have a chance to communicate with others around the world about what people your own age are doing and have a chance to compare your experience.
2:21:31
I think you will find your doing extremely well. So thank you very much for your work and for that summary Yeah. You're welcome. Thank you. you. Absolutely. Thank you. Thank you. Thank you.
2:21:45
Most of I thank you for your effort. And I think
2:21:50
it's a summary, as you say, it's not about, you know, it's not about Dr. Hose. It's about back that team. Or let's say it's our team. And I think it's beyond really beyond mentorship. It's
2:22:03
more than a family. And what I'm really proud of is that those are just the finished paper number. We have a huge number area to come. And because you are expanding, and
2:22:20
Cather was writing a paper, now, Cather is a team leader doing many research together, like four research at the same time. Mahood is a new show. We have many new members. And they are included
2:22:35
and integrated more and more. I think that's that's very good for the future And yeah. Thank you for everyone for your efforts. And I think here I should say that we are all proud of you. It's
2:22:52
more about your story. It's more about your experience. And I think through your talk, Mustafa and all the other talk, you are giving us the same idea that we think that we know, but from your
2:23:09
perspective And I think that's very important for all to understand and to build on. And as Dr. Osman say that we are happy to help you because you have the potential, all of you. For me, I can
2:23:28
finish
2:23:30
the program. Just let's listen to a few comments. Yekater
2:23:39
I want to talk more stuff about this. presentation actually he's doing a huge effort and running the research process with Dr. Hose and his idea about the psychedelics is really innovative. Thanks.
2:23:52
You're welcome. Thank you. Thank you Yeah,
2:23:57
Jaffa.
2:23:59
Good to see you all. I'm Jaffa Abdul-Ahad, a fifth-stage medical student. And I just want to say I'm proud of my friend,
2:24:09
observing them, their development, which was a point, it was a point of, let's say,
2:24:17
inspiring to me Thank you, and I wish you the best, always. And I want to thank Dr. Hose for his patience and time to provide such opportunities to the student to shine like this. Thank you, and
2:24:36
many thanks to the SNI team as well. Thank you all.
2:24:41
Thank you, Jeff. You're welcome. Yeah, I think the talk of your friends are really a guideline. I think each one of them doing the grade and all of us, like a young medical student, we will put
2:24:57
this as a guideline. We will go through those presentation and build our experience.
2:25:05
Yeah, thank you, Jeff, right, Dr. Eglie. Dr. Osman, Dr. Lazar, any final comments before ending the session?
2:25:14
No, congratulations to all of you, Eglie. I agree with Hori. And I especially to you, Senator, for inspiring these young people and allowing them to have hope and dreams and achieve them.
2:25:31
Absolutely. Thank you, thank you, professors, for your time. I think the very interesting point They have now, I can say, a little bit mature experience. It's not just experience of young
2:25:46
people. I like this topic, and that's it. No, with the time they are building more and more. And I think they represent the future of their countries. And
2:25:60
I'm happy to be part of their journey So
2:26:05
we are a little bit late by one hour, but -
2:26:14
Yeah. Thank you,
2:26:18
Professor Osman, for your time. Thank you, Professor Lazar, for your time. Thank you all. Thank you. Thank you for your time. Thank you, Dr. Mohan for being here till now. And thank you,
2:26:29
those who attend, who present, and see you later in the next meeting. Thank you. See you in the meeting. Thank you. Bye-bye. Bye-bye. Thank you. Bye-bye. Thank you.
2:26:40
We hope you enjoy these presentations.
2:26:46
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2:27:02
profession.
2:27:06
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