9F with enlarging cerebellar mass radiographically consistent with LGG. Underwent stereotactic biopsy followed by single catheter LITT Phoenix Children's Barrow Neurological Institute @ Phoenix Children's. Home POD1.

Excellence in action. Drs Jenny Ronecker and David Shafron performing a selective dorsal rhizotomy for a child with spasticity. Phoenix Children's Barrow Neurological Institute @ Phoenix Children's BarrowNeurological These are incredibly impactful surgeries that help children regain their independence and strengthen their gait.

Completion of a callosotomy in a child with LGS and atonic epilepsy. The single catheter splenium ablation is pretty straightforward, minding that you are aiming directly at the vein of Galen. Phoenix Children's Barrow Neurological Institute @ Phoenix Children's BarrowNeurological

This is an interesting one. Child who has recurrence of a cerebellar JPA resected years ago at OSH. Two catheter ablation transcerebellar approach. Complete coverage of the lesion. Tricky as prior SOC left very little bone to anchor the bolts into. Phoenix Children's Barrow Neurological Institute @ Phoenix Children's

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Left functional hemispherectomy in a child with perinatal injury and complex shunted hydrocephalus with slit like ventricles. A challenge technically. Ventricles were small and dysmorphic, so resected cingulate to interhemispheric fissure to find callosum. No temporal horn so

Suprasellar cyst causing hydrocephalus - underwent endoscopic cyst fenestration, third ventriculostomy with 0 degree @karlstorzusa rigid little lotta. Then placed flexible endoscope to visualize aqueduct, which was patent. Phoenix Children's Barrow Neurological Institute @ Phoenix Children's BarrowNeurological

It has been an incredible honor and pleasure to deliver the distinguished alumni professor lecture UCLA neurosurgery for their resident research conference. It was nice coming to campus and seeing how things have changed!! Thank you to Drs Linda Liau, Marvin Bergsneider, Dan Lu,

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TPO disconnection before and after in a 3M with posterior quadrant epilepsy and a VP shunt. This requires mapping the central sulcus, staying behind primary sensory, and complete lateral and medial disconnection down through the temporal lobe. Phoenix Children's BarrowNeurological

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Post-LITT ATLs seem to be more commonplace as LITT failure is probably in the 50-60% range for MTS. I think it’s even higher in children given MTS rarely isolated etiology. At our institution I talk a lot about proper informed consent for temporal LITT. I firmly believe the

Another post-LITT ATL. This one the temporal horn was completely obliterated. I find in these cases it’s best to empty the temporal pole first, then work form lateral to medial ITG->fusiform->PHG/collateral sulcus->HPC. This keeps you below the roof of the temporal horn and out

Right temporal-parietal-occipital (TPO), aka posterior quadrant, disconnection for multilobar cortical dysplasia. This child had a previous partial temporal lobectomy at an outside institution that resulted in temporary improvement followed by recrudescence. TPO is a technical