A5067613237- Head and Neck Surgical Oncology
- Meningioma and schwannoma management
- Neurosurgical Procedures and Complications
- Pituitary Gland Disorders and Treatments
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebrospinal fluid and hydrocephalus
- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Sinusitis and nasal conditions
- Craniofacial Disorders and Treatments
- Trigeminal Neuralgia and Treatments
- Glioma Diagnosis and Treatment
- Aortic Disease and Treatment Approaches
- Neurofibromatosis and Schwannoma Cases
- Cerebrovascular and Carotid Artery Diseases
- Facial Trauma and Fracture Management
- Ophthalmology and Eye Disorders
- Cardiovascular Health and Disease Prevention
- Spinal Fractures and Fixation Techniques
- Mechanical Circulatory Support Devices
- Intraoperative Neuromonitoring and Anesthetic Effects
- Parasite Biology and Host Interactions
- Oropharyngeal Anatomy and Pathologies
- Peripheral Nerve Disorders
Thammasat University Hospital
2016-2025
Thammasat University
2018-2024
The Ohio State University Wexner Medical Center
2018-2023
Neurological Surgery
2018-2019
Hospital Virgen de la Salud
2018
The Ohio State University
2018
University of Missouri
2018
Neurological Institute of Thailand
2015
Abstract BACKGROUND Transorbital endoscopic approach (TOEA) to the cavernous sinus (CS) is a novel surgical technique. However, necessity of lateral orbital rim (LOR) osteotomy questionable. OBJECTIVE To illustrate dissection TOEAs CS and investigate additional benefit LOR osteotomy. METHODS Anatomic dissections were carried out in 7 cadaveric heads (14 sides). The performed before after osteotomy; herein referred as transorbital (LTOA) wall (LOWA), respectively. stereotactic measurements...
There is a lack of available data regarding the incidence and characteristics optic canal invasion (OCI) in large midline non-tuberculum sellae anterior skull base meningiomas (NTSAM), specifically those originating predominantly from olfactory groove planum sphenoidale. This study aims to describe OCI as well clinical visual outcomes following extensive tumor resection with exploration intra-optic removal. In addition, predictive performance by preoperative magnetic resonance imaging (MRI)...
Background Cavernous malformations (CMs) are benign vascular anomalies that most commonly occur in intra-axial locations but rarely develop the suprasellar region. Suprasellar CMs pose unique diagnostic and therapeutic challenges due to their proximity critical neurovascular structures, such as optic chiasm, pituitary stalk, hypothalamus. Although visual disturbances headaches typical symptoms of CMs, cognitive impairment, especially memory loss, has been reported. Case Description We...
OBJECT This study proposes a variation of the transorbital endoscopic approach (TOEA) that uses lateral orbit as primary surgical corridor, in minimally invasive fashion, for posterior fossa (PF) access. The versatility this technique was quantitatively analyzed comparison with anterior transpetrosal (ATPA), which is commonly used managing lesions PF. METHODS Anatomical dissections were carried out 5 latex-injected human cadaveric heads (10 sides). During dissection, PF first accessed by...
Abstract BACKGROUND Numerous minimally invasive approaches to the skull base have been successively developed. Knowledge of surgical nuances a specific approach may facilitate selection. This study sought compare an extended version minipterional craniotomy (EMPT) with those transorbital endoscopic (TOEA) anterior and middle cranial fossae (ACF MCF, respectively). OBJECTIVE To quantitatively analyze area exposure freedom between EMPT TOEA ACF MCF. METHODS were carried out in 5 latex-injected...
The aim was to identify clinical predictors for survival and examine treatment outcome in patients with high-grade glioma (HGG).The authors retrospectively reviewed medical records of who diagnosed HGG between January 2007 December 2009. Demographic data, radiological data were analyzed.A total 100 analyzed. There no difference demographic Grade III IV glioma. Patients had median time (MST) 18 months, MST 26 13 respectively. In this study, only anaplastic oligoastrocytoma radiotherapy did...
Cerebral vasospasm (CV) after aneurysmal subarachnoid hemorrhage (aSAH) is still a problem. Hypertension, hypervolemia, and hemodilution (triple-H) therapy oral nimodipine only modest effect on patients. Intra-arterial treatment, including nimodipine, has been studied, but as retrospective single-arm prospective studies. We compared the outcomes between CV patients who received an adjunct intra-arterial infusion (IANI) those standard medical treatment alone in randomized controlled trial. In...
Transorbital endoscopic approaches (TOEAs) have emerged as adjunct and alternatives for accessing the middle cranial fossa (MCF). Nuances of skull base anatomy from a ventral transorbital viewpoint remain to be fully described.To assess "crista ovale" (COv), described transcranially midsubtemporal ridge (MSR), perspective evaluate its role landmark in TOEA MCF.Lateral TOEAs MCF were performed 20 adult cadaveric heads (40 sides). The presence COv/MSR was evaluated under visualization....
Sparganosis is a very rare parasitic infection in various organs caused by the larvae of tapeworms called spargana. The larva usually lodges central nervous system (CNS) and orbit. However, lumbar spinal canal involvement, as noted present case, extremely rare. We report case disseminated CNS sparganosis involving brain review literature.A 54-year-old man presented with progressive low back pain neurological deficit at lumbosacral level for 2 months. Imaging indicated arachnoiditis an...
The expanded endoscopic endonasal approach (EEA) is limited laterally by the internal carotid artery (ICA). EEA to paramedian skull base often requires complex maneuvers such as dissection of Eustachian tube (ET) and foramen lacerum (FL), ICA manipulation. An contralateral transmaxillary (CTMA) has potential provide adequate exposure while bypassing manipulation aforementioned anatomic structures.To quantify compare surgical nuances a CTMA when approaching in cadaveric specimens.Five adult...
Current evidence supporting the use of continuous intravenous labetalol for blood pressure (BP) control in neurosurgical patients is limited. This study aims to assess efficacy and safety identify potential contributing factors these outcomes.We retrospectively reviewed medical records who received infusion BP control. Efficacy was assessed based on time needed achieve target (systolic ≤ 140 mmHg or diastolic 90 mmHg). Safety according adverse events that occurred during administration....