Pranav Udupi

1/Talk about twisting your back! Do spine vascular lesions make your brain feel as tangled as the dilated vessels you see? Want some information on malformations? Here’s a thread on spine vascular anatomy to give you durable knowledge on dural arteriovenous fistulas (dAVF)

How durable is your knowledge of dural lesions? How’s your knowledge base of the skull base? Know the difference between petroclival & petrous face? Middle fossa & middle sphenoid wing? Clinoid & clivus? Here is a map of the names of skull base meningiomas. How many do you know? Recognizing a lesion is only the first step. Communication is the next step. If you can’t accurately communicate where a lesion is located, then you have only done have your job. When it comes to skull base meningiomas, high risk lesions are the medial lesions: Clinoid Cavernous sinus Tuberculum sellas Medial/incisural tentorium Clivus I think of a cone coming up from the foramen magnum encompassing these lesions that I call the “cone of risk”! Hopefully, this anatomy of skull base dural lesions with stay with you for the duration!