Thoracolumbar Trauma Classification

Oct 12, 2017 by in NEUROSURGERY Comments Off on Thoracolumbar Trauma Classification

Useful thoracolumbar injury classifications allow for meaningful and concise communication between surgeons, trainees, and researchers. Although many have been proposed, none have been able to obtain universal acceptance. Historically, classifications…

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Update on New Imaging Techniques for Trauma

Oct 12, 2017 by in NEUROSURGERY Comments Off on Update on New Imaging Techniques for Trauma

Computed tomography (CT) and MRI are complementary imaging modalities for the evaluation of the traumatic spine. Osseous delineation is best assessed with CT, whereas MRI gives superb soft tissue description….

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Adult and Pediatric Spine Trauma

Oct 12, 2017 by in NEUROSURGERY Comments Off on Adult and Pediatric Spine Trauma

Douglas L. Brockmeyer, MD, Editor Andrew T. Dailey, MD, Editor Almost all neurosurgeons manage spinal trauma in their clinical practice, and most, if not all, are comfortable with their pre-existing…

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Adult and Pediatric Spine Trauma

Oct 12, 2017 by in NEUROSURGERY Comments Off on Adult and Pediatric Spine Trauma

NEUROSURGERY CLINICS OF NORTH AMERICA www.neurosurgery.theclinics.com January 2017 • Volume 28 • Number 1 Related posts: Thoracolumbar Trauma Classification Timing of Surgery After Spinal Cord Injury Classification and Management of…

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Management of Recurrent Subdural Hematomas

Oct 12, 2017 by in NEUROSURGERY Comments Off on Management of Recurrent Subdural Hematomas

Subdural hematomas commonly recur after surgical evacuation, at a rate of 2% to 37%. Risk factors for recurrence can be patient related, radiologic, or surgical. Patient-related risk factors include alcoholism,…

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Perioperative Management of Anticoagulation

Oct 12, 2017 by in NEUROSURGERY Comments Off on Perioperative Management of Anticoagulation

Antiplatelet and anticoagulant drugs (antithrombotics) predispose to acute and chronic subdural hematomas. Patients on these drugs are at higher likelihood of presenting with larger hematomas and more severe neurologic deficits….

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Cranioplasty

Oct 12, 2017 by in NEUROSURGERY Comments Off on Cranioplasty

Cranioplasty following craniectomy for trauma is a common, safe neurosurgical procedure that restores the natural cosmesis and protective barrier of the skull and may be instrumental in normalizing cerebrospinal fluid…

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Neurocritical Care of Acute Subdural Hemorrhage

Oct 12, 2017 by in NEUROSURGERY Comments Off on Neurocritical Care of Acute Subdural Hemorrhage

Although urgent surgical hematoma evacuation is necessary for most patients with subdural hematoma (SDH), well-orchestrated, evidenced-based, multidisciplinary, postoperative critical care is essential to achieve the best possible outcome. Acute SDH…

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Natural History of Acute Subdural Hematoma

Oct 12, 2017 by in NEUROSURGERY Comments Off on Natural History of Acute Subdural Hematoma

Because published guidelines for surgical decision-making in patients with acute subdural hematomas (ASDHs) are based largely on case series and other weak evidence, management often must be individualized. Nonoperative management…

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Chronic Subdural Hematoma ICU Management

Oct 12, 2017 by in NEUROSURGERY Comments Off on Chronic Subdural Hematoma ICU Management

Patients with cSDH presenting with new or worsening neurological deficits, especially if they are debilitating and adversely affecting quality of life require urgent medical and surgical attention. Neurological and neurosurgical…

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