Acoustic Neuromas (Vestibular Schwannomas)

Jul 11, 2016 by in NEUROSURGERY Comments Off on Acoustic Neuromas (Vestibular Schwannomas)

49 Acoustic Neuromas (Vestibular Schwannomas)Andrew T. Parsa and Michael E. Sughrue Indications Progressive hearing loss or recent worsening of symptoms Brain stem compression Observed tumor enlargement in a low risk…

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Toxoplasmosis

Jul 11, 2016 by in NEUROSURGERY Comments Off on Toxoplasmosis

76 ToxoplasmosisViolette Renard Recinos Indications Diagnosis when work-up is uncertain Failure to respond to medical management alone, with progressive neurologic decline ♦ Preoperative Medical management with either sulfadiazine 4 to…

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Neurocysticercosis

Jul 11, 2016 by in NEUROSURGERY Comments Off on Neurocysticercosis

75 NeurocysticercosisViolette Renard Recinos Indications Diagnosis when work-up is inconclusive Failure to respond to antimicrobial therapy alone; lesions are not resolving or are growing in number and/or size Progressive neurologic…

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Gunshot Wounds to the Head

Jul 11, 2016 by in NEUROSURGERY Comments Off on Gunshot Wounds to the Head

70 Gunshot Wounds to the HeadClinton J. Baird Indications Superficial wound débridement and repair of dura Glasgow Coma Scale (GCS) ≥ 8 or ≤ 8 but with good response to…

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Tentorial Meningiomas

Jul 11, 2016 by in NEUROSURGERY Comments Off on Tentorial Meningiomas

42 Tentorial MeningiomasJeffrey N. Bruce and Michael Lim ♦ Preoperative Operative Planning Review imaging: magnetic resonance image ± contrast, computed tomography, and angiography with particular attention to vascular supply and…

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Sphenoid Wing Meningiomas

Jul 11, 2016 by in NEUROSURGERY Comments Off on Sphenoid Wing Meningiomas

40 Sphenoid Wing MeningiomasJames E. Conway and Alfredo Quinones-Hinojosa Indications Resection of a symptomatic, sphenoid wing lesion ♦ Preoperative Operative Planning Imaging Gadolinium-enhanced brain magnetic resonance imaging (MRI): determine lesion…

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Tuberculum Sellae and Olfactory Groove Meningiomas

Jul 11, 2016 by in NEUROSURGERY Comments Off on Tuberculum Sellae and Olfactory Groove Meningiomas

41 Tuberculum Sellae and Olfactory Groove MeningiomasJames E. Conway and Alfredo Quinones-Hinojosa Indications Resection of symptomatic, tuberculum sellae or olfactory groove lesions possessing radiographic imaging characteristics consistent with meningiomas ♦…

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Corpus Callosotomy

Jul 11, 2016 by in NEUROSURGERY Comments Off on Corpus Callosotomy

64 Corpus CallosotomyRobert R. Goodman Indications Certain types of intractable generalized seizures, characterized by bihemispheric electroencephalography abnormalities without a solitary localized focal epileptogenicity: especially drop attacks; akinetic seizures ♦ Preoperative…

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