Rhotonian microsurgical anatomy and headache course: Revisiting anatomy to understand symptoms and improve procedures

Abstract

Introduction
Headache disorders constitute a broad subspecialty within Neurology, traditionally managed pharmacologically. However, interventional procedures have gained traction, shaping the emerging field of interventional cefaliatry. The International Rhoton Society (iRS), guided by Prof. Rhoton’s principle -“we study microsurgical anatomy to make what is a delicate, fateful, and awesome experience for our patients more accurate, gentle, and safe”- advocates for anatomical precision in headache management. This study applies the iRS mission to this evolving domain.

Objective
To detail the creation and implementation of the Rhotonian Anatomy and Headaches Course.

Methods
The course integrates basic sciences, semiology, neurology/neurosurgery, and applied anatomy, structured into three modules: i) Cervical Nerve Plexuses, ii) Trigeminal, and iii) Intermedius Systems. Each module entails a 4–6-hour program combining 2D/3D microneuroanatomy, clinical/surgical applications, practical exercises, and gamification.

Results
Implementation commenced with pre-sessions to streamline contributions, refine time allocations, and assess material needs. A soft-launch involved small groups (12 participants), including students and professionals, yielding a notable increase in knowledge retention—from 42% pre-course to 81% post-course. Refinements led to a full-scale launch within a national three-day event, which garnered positive international reviews, prompting a transition to a 3D format.

Conclusions
Advanced anatomical comprehension is crucial across medical disciplines. As science, technology, and clinical insights evolve, continual reassessment is essential for optimizing established practices. Headache management exemplifies the benefits of the iRS mission, reinforcing the necessity of anatomical precision in both clinical and surgical fields.