Acute Ischemic Stroke

Jan 31, 2018 by in NEUROSURGERY Comments Off on Acute Ischemic Stroke

Fig. 6.1 Non-contrast head CT demonstrating a hyperdense right middle cerebral artery 6.2.2 Case 2 Patient is an 87-year-old right-handed man with a history of hypertension, diabetes, and ischemic stroke…

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Intracerebral Hemorrhage

Jan 31, 2018 by in NEUROSURGERY Comments Off on Intracerebral Hemorrhage

Fig. 5.1 Example of cerebellar ICH with early hydrocephalus Fig. 5.2 Example of IVH Her ICH score was 3 (GCS 8, infratentorial, intraventricular hemorrhage). She had a six-hour stability CT…

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Pharmacology

Jan 31, 2018 by in NEUROSURGERY Comments Off on Pharmacology

General spectrum of activity Antimicrobial Typical daily dosing range (admixture in preservative-free solutions) Common adverse effects Gram positive Vancomycin 10–20 mg /1 mL NS Headache, mental status changes, possible hyponatremia…

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Aneurysmal Subarachnoid Hemorrhage

Jan 31, 2018 by in NEUROSURGERY Comments Off on Aneurysmal Subarachnoid Hemorrhage

Fig. 4.1 This 61-year-old woman presented with a sudden-onset, severe headache. (a) A CT head (axial) demonstrates a starburst pattern of subarachnoid hemorrhage. (b) A 3D reconstruction of a CTA…

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Spinal Cord Injury

Jan 31, 2018 by in NEUROSURGERY Comments Off on Spinal Cord Injury

Absolute indications  Complete spinal cord injury above C5 level  Respiratory distress  Hypoxemia despite attempts at oxygenation  Severe respiratory acidosis Relative indications  Complaint of shortness of breath  Development of quad breathinga…

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Malignant Ischemic Stroke and Hemicraniectomy

Jan 31, 2018 by in NEUROSURGERY Comments Off on Malignant Ischemic Stroke and Hemicraniectomy

Fig. 8.1 Left-sided malignant middle cerebral artery infarction evolving over 4 days (Images courtesy of Eric Jüttler) Fig. 8.2 Computed tomography (left, transversal) and magnetic resonance imaging (right, coronar) after…

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Seizures and Status Epilepticus

Jan 31, 2018 by in NEUROSURGERY Comments Off on Seizures and Status Epilepticus

Semiology for focal-onset seizures Frontal lobe Disinhibited behaviors Confusion Automatisms Temporal lobe Confusion Auditory hallucinations Chewing, lip smacking Parietal lobe Paresthesias (warmth, cold, tingling, numbness) Loss of awareness Confusion Occipital…

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Traumatic Brain Injury

Jan 31, 2018 by in NEUROSURGERY Comments Off on Traumatic Brain Injury

Fig. 10.1 Typical radiological appearance of the various primary injuries in TBI. (a) Non-contrast axial CT demonstrating right > left frontal lobe contusions with hemorrhage; (b) non-contrast axial CT demonstrating…

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