Dr. Sam Brain, Spine, Pain

Brain Endoscopic Surgery through the nose is possible. No scars. Mainly used for pituitary and sellar tumors.

It's always a pleasure to host and facilitate ACNS webinars. International discussions on complex neurosurgical topics and cases. Never ending learning and teaching.
https://youtu.be/YjsGECX46i4?si=IS7Dam-49pZ7lY4l

Skin lipomas. They feel soft, grow slowly, are painless and does not change the overlying skin colour. Why remove it? They can grow to very large sizes and disturb movement. Not to mention cosmetically ugly. This lipoma was located at the back of the neck.

According to WHO, an estimated 684,000 individuals die from falls annually, with the death rate for older adults rising significantly, partly due to an aging population. Prevent falls. 50% of elderly patients I see are hurt just from simple falls.

Cervical herniated disc does not always present with weakness or numbness. It’s sometimes just a nagging pain in the shoulders, that just won’t go away regardless of any massage or medications taken. It’s easily rectified with a simple ACDF surgery. Remove the damaged discs and replace with new ones. In just one week. Everything is as good as new.

https://youtu.be/PhWmMAbjL4k
MIS or minimally invasive surgery is becoming more popular. There is less pain, less bleeding and minimal side effects.
Pr*****ed disc are very common. Instead of large surgeries, 1.5cm incisions are all it takes to remove the disc completely. That's the beauty of endoscopic spine surgery.

endoscopic disectomy for herniated L5/S1 disc causing sciatica MIS or minimally invasive surgery is becoming more popular. There is less pain, less bleeding and minimal side effects. Pr*****ed disc are very common. Inste...

Hemangioblastomas are very vascular tumors. They usually grow at the cerebellum. Near the brainstem. Although, they can occur sporadically, it can be associated with Von Hippel Lindau Syndrome. Loss of balance is not always an inner ear problem, it can be due to a brain tumor. Happy New Year 2026.

Subdural hemorrhage(bleeding in the compartment under the brain coverings) occurs very commonly even without head injury. A simple brain surgery can restore the brain back to its original state. Sometimes after surgery, there will be some residual but this resolves on its own with time.