Chapter 16 Multimodal Assessment of Pituitary and Parasellar Lesions T. Brooks Vaughan, Lewis S. Blevins, Michael S. Vaphiades, Gary S. Wand Pituitary and parasellar lesions represent a unique variety of…
Chapter 7 Chemotherapy for Brain Tumors Manmeet S. Ahluwalia Factors Influencing Delivery of Chemotherapy to the Brain Blood–Brain Barrier Treatment of brain tumors with systemic chemotherapy poses challenges unique to…
Secondary to breakdown of blood-brain barrier, leakage of (normally excluded) intravascular proteins and fluid into the cerebral interstitial space. Primarily affects white matter. Seen around tumours, abscesses. Can occur in…
Brief posttraumatic loss of consciousness. Followed by recovery and a ‘lucid interval’ (between initial trauma and subsequent neurological deterioration). Leading to neurological decline with decreasing GCS. Finally, if untreated, death…
Toxic: Alcohol abuse and overdose with drugs, for example opiates. Metabolic/endocrine: Hypoglycaemia, hyperosmolar non-ketotic coma and diabetic ketoacidosis in diabetes; electrolyte disturbances, including hyponatraemia or hypernatraemia and hypercalcaemia; renal failure…
Remember: Cerebral metastases are the most common tumours in the CNS. History and Examination For presentation of specific tumour types, please see Appendices 1 and 2. The following are the…
Remember: Spinal injuries (see Chapter 35) are strongly associated with head injury. Ensure head-injured patients are immobilised in a hard cervical collar and log-rolled until the spine is cleared clinically…
Resting elbow on a firm surface (a desk or the base of a car window frame). Malpositioning/inadequate padding during surgery or while in a coma. • Elbow deformities. Congenital anomalies,…
Remember: Although the different syndromes in MND progress with a varying rate of evolution, eventually they overlap significantly and in late stages merge into a diffuse combined UMN and LMN…
Clinical Syndromes History/Examination Because of the anatomy of the cerebral vasculature, thromboembolic stroke tends to result in particular sets of symptoms and signs or ‘stroke syndromes’. Many of these are…
