Neurosurgical Procedures

This is a collection of curated and illustrated 5-minute videos demonstrating common neurosurgical procedures performed by the Division of Neurosurgery. The aim is to stimulate interest, share the knowledge, and provide an opportunity for undergraduate medical students to have a taste of Neurosurgery in Action. We will include general and basic procedures in the beginning, and expand to more advanced operations later in the collection. Enjoy!

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    Examining the Sensory System

    Subtitles in English for this video can be displayed by clicking on  (first button on the bottom right hand corner of the video). Examining the Spinothalamic Tract of the Upper Limbs Examining the Posterior Column Pathway of the Upper Limbs Examining the Spinothalamic Tract of the Lower Limbs Examining the Posterior Column Pathway of the Lower…

  • Arterio-venous Malformations

    Cerebral vascular malformations can be classified by histopathology into 4 major types: Arterio-venous malformations (AVMs) Venous angiomas (developmental venous anomalies) Capillary telangiectasias and Cavernous malformations Arterio-venous malformations (AVMs) are congenital vascular lesions due to dysregulated angiogenesis. They are most often solitary but rarely could be multiple, in which case an underlying syndrome (e.g. hereditary haemorrhagic telangiectasia,…

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    Artificial Eye

    This patient did not have any recent ocular symptoms but was noted to have significant right eye ophthalmoplegia during examination, whilst the left eye movements were completely normal. There was no double vision upon testing. Whilst one would need to consider a combined third, fourth and sixth nerve palsy in a patient with unilateral opthalmoplegia,…

  • Hemi-craniectomy

    This is a non-contrast cranial CT from a middle-aged man with multiple cardiovascular risk factors who suffered a severe ischaemic stroke involving the left middle cerebral artery territory. There was significant cytotoxic cerebral oedema as a result of the extensive infarction. The patient was operated on by the Neurosurgeons and a left hemi-craniectomy was performed…

  • Parkinson-plus Syndromes

    The Parkinson-plus syndromes include 1) multi-system atrophy, 2) progressive supra-nuclear palsy and 3) corticobasal degeneration. Multi-system atrophy Multi-system atrophy (MSA) is a rare adult-onset sporadic neurodegenerative disorder. There are two main subtypes, as identified by its dominating symptomatology. MSA-P is when parkinsonian symptoms predominate, and MSA-C if cerebellar symptoms dominate. These two terms have replaced…