MD. PhD. FCNS. FACS. Associate Professor Neurosurgery | Skull Base @GeisingerHealth @GeisingerNsurg. Tweets and views are my own.

Scranton-WB, Pennsylvania
Joined March 2012
During tumor resection, preserving veins and vessels minimizes swelling, reducing brain inflammation. This approach facilitates clearer identification of the tumor-brain interface, particularly in non-swollen areas. For educational purposes only. #Neurosurgery #MedicalEducation
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Rafa Martinez-Perez retweeted
What comes next in neurosurgery? @DKondziolkaCNS and the @NeurosurgeryCNS associate editors offer thoughtful perspectives in “Evolution,” a timely read ahead of the CNS Annual Meeting exploring that very theme. What do you think will be our field’s next major advance? doi.org/10.1227/neu.00000000…
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The optic canal, a delicate area, requires a second osteotomy. Drilling directly over the optic nerve allows for 270-degree decompression. Freeing the anterior clinoid process attachments and utilizing a wiggle movement enables its removal. #Neuroanatomy #SurgicalTechnique
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Feliz Dia de la Hispanidad desde Geisinger – at Wilkes-Barre, PA
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Hyperostosis of the sphenoid wing involving the meningorbital band is addressed using a carbide bur for bulk bone removal, followed by a diamond drill for precise reduction and hemostasis. #Neurosurgery #SkullBaseSurgery #MedicalEducation
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Ay Hulio! Zi no zeh lo que es un tubo de enzayo! #humor
In a new Perspective, Pedro Sánchez (@sanchezcastejon), prime minister of Spain, and Tedros Adhanom Ghebreyesus (@DrTedros), director-general of the @WHO, reflect on the management of Andes hantavirus and the way in which careful, coordinated outbreak response can limit risk without undermining dignity. Read the full Perspective: nej.md/4hH61hM
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Rafa Martinez-Perez retweeted
💍 Que te pidan matrimonio en el pabellón de tu vida es bonito, pero... Que te lo vuelvan a pedir después de TODA UNA VIDA JUNTOS 𝙚𝙨 𝙤𝙩𝙧𝙤 𝙣𝙞𝙫𝙚𝙡. ¡QUE VIVA EL AMOR, @UCAMMurcia! ¡QUE VIVAN AGAPITO E ISABEL! ❤️ 📺 @DAZN_ES | #LigaEndesa
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When dissecting, preserving veins and vessels is key. This reduces swelling and makes the tumor-brain interface clearer, especially where swelling is minimal. #Neurosurgery #MedEd
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Falciform ligament release during sphenoid wing meningioma resection through a minipretemporal approach. Sharp dissection with the optic nerve in view. Full surgical video: youtu.be/rgXXZozSDbY?is=HELF… #Neurosurgery #SkullBase – at Dallas, PA
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EEA for Chondrosarcoma drill the tuberculum sellae and planum sphenoidale, using diamond drills and irrigation. They proceed from optic nerve to optic nerve, locating the medial opticocarotid recess. #Neurosurgery #MedicalProcedure
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Rafa Martinez-Perez retweeted
Friday was my last OR day @OSUWexMed @NeurosurgeryOSU *more emotional than I expected. I’m grateful for every patient who trusted us and for the colleagues who stood beside me through thousands of cases > 16y. I’ll carry this team and what we built together into my next chapter. – at Columbus, OH
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