Dr. Sam Brain, Spine, Pain

02/01/2026

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.

03/12/2025

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.

03/12/2025

This patient only had facial twitching. MRI showed a highly vascular tumor at the cerebellum.

07/11/2025

Brain cancers are devastating. They can masquerade as change in behavior and subtle memory loss before causing nasty headaches. Early complete removal will help with subsequent chemotherapy and radiotherapy.

26/10/2025

Continuous learning and teaching

Honoured to be part of this World Federation of Neurosurgical Societies Conference

11/10/2025

Accidents can cause severe paralysis when our neck vertebrae are fractured. Some need to be fixed from the front and back of the spine in order to achieve stability. spine trauma

01/09/2025

Cervical disc prolapse is responsible for arm pain, neck pain and even headaches at times.
Removal of the disc and replacement with a titanium implant is a safe and relatively simple procedure. Using a microscope during the procedure makes it more precise and avoids damaging the spinal cord.

10/08/2025

Done and dusted. Published an article on recurrent Brain aneurysms in World Neurosurgery X.

Difficult but possible.

https://www.sciencedirect.com/science/article/pii/S2590139725000778?via%3Dihub

08/07/2025

Honored to share on 2 topics during the Malaysia Stroke Conference 2025. Bypass surgery in stroke and Minimally invasive surgery for intracerebral bleeds. Great learning experience with neurologist, interventional radiologist and rehab physicians.

18/06/2025

https://youtu.be/gg454dvp4AI

Pr*****ed intervertebral disc is a very painful spine problem. They usually resolve after 6-8 weeks. Unfortunately about 20% of patients will require removal of the pr*****ed disc. Weakness and numbness is an absolute indication for surgery. Endoscopic removal is possible but costly. Open microdisectomy is faster and more cost efficient.

Pr*****ed intervertebral disc is a very painful spine problem. They usually resolve after 6-8 weeks. Unfortunately about 20% of patients will require removal...

12/06/2025

Spine tumors compress the spinal cord and lead to weakness, numbness, urinary incontinence and constipation. Back pain is another common symptom.

08/06/2025

Pituitary apoplexy(berdarah dalam kelenjar agong) is devastating. Blindness is scary. But neurosurgery can cure it!