I'm a neurosurgeon focused on functional and epilepsy surgery. Here I share what I have learned in theatre, clinic and research, written for doctors who want to understand the reasoning, not just the technique.
Each lesson starts from one clear question, gives a short answer, then the reasoning, the video where there is one, and the references.
Lessons on epilepsy surgery, movement disorders and DBS, and FRCS & core neurosurgery, each built around one clinical question.
Lessons from theatre, clinic and the ward: timing, judgement, and the decisions that shape outcomes.
Free guides on judging a research idea, writing efficiently and getting a manuscript submitted.
In neurosurgery, we don't make miracles. The brain and spine do not forgive. The most important lesson I have learned: timing is everything.From one of my most-read posts · Notes from Practice
Anatomical hemispherectomy, removing a whole cerebral hemisphere, could stop seizures in catastrophic unilateral epilepsy, but years later some patients developed superficial cerebral haemosiderosis from repeated bleeding into the large cavity.…
Read the lesson →In awake subthalamic (STN) deep brain stimulation for Parkinson's disease, testing the patient during electrode placement shows, in real time, where stimulation improves bradykinesia, rigidity and tremor, and where it…
Read the lesson →The surgical window is the period in which an operation can still change the outcome. Operate too early and we add unnecessary risk; operate too late and we may only…
Read the lesson →My journey started in Alexandria, Egypt, and continued in the UK: more than ten years in neurosurgery across different teams, hospitals and ways of working. It was never perfectly planned; it was built step by step, guided more by curiosity than certainty.
Along the way came the FRCS (SN), an MD (Res) in Neuroscience, and a growing conviction that surgery, neuroscience and education are deeply connected.
Read the full story →Occasional notes on functional and epilepsy surgery, the surgical mindset and publishing research. Choose the topics you care about. No spam; unsubscribe any time.
