Description
Written by neurosurgery residents for neurosurgery residents and other providers, The Neurosurgical Consult Book focuses on the initial care and treatment of the neurosurgical consult patient, providing the key guidance you need when quick clinical management decisions are critical. You will learn to recognize the acuity of patient presentation and determine how to immediately triage the needs of the patient at an appropriate level of care. This portable, practical guide helps you quickly steer neurosurgical patients to medical stability and safety until a definitive treatment plan is implemented.- Features a real-life approach, based on actual consults, with chapters titled by the symptoms and clinical presentation of the patient, not by neurosurgical diagnosis- Begins each chapter with the actual consult notification from the consulting team, mimicking how the neurosurgery provider is notified about a new patient in practice- Presents initial imaging as it occurs in real life—whether imaging has already been done or whether the consulting physician needs guidance on what imaging is needed- Includes "Walking Thoughts", guidance on how to tailor your thoughts toward the most important and pressing issues facing the patients before even meeting them, so that upon evaluation, the most important questions are asked first- Covers the most essential neurosurgical grading scales, key physical exam findings, the systematic thought process behind triage management, and learning points to remember when seeing a particular type of neurosurgical patient- Summarizes evidence-based standards of care and key literature- Stepwise video demonstration of the most common emergent bedside procedures- An excellent learning tool for neurosurgery residents as well as neurosurgery fellows, neurology residents, emergency room providers, neurocritical care providers, registered nurses, clinical fellows, physician assistants, nurse practitioners, clinical nurse specialists, medical students, and nursing students
Table of Contents
Section One- Trauma Consults. 1. Epidural Hematoma2. Traumatic Subarachnoid3. Acute Subdural Hematoma4. Diffuse Axonal Injury5. Gunshot Wound (spine and cranial)6. Odontoid Fracture7. Jefferson Fracture8. Chance Fracture9. Perched/Jumped facets10. Burst fracture with retropulsion11. Clay Shoveler FractureSection Two- Tumor Consults 12. Meningioma13. Low grade intra-axial tumors14. High grade intra-axial tumors15. Supratentorial Metastases16. Infratentorial Metastases17. Pituitary Tumors18. Pituitary apoplexy19. Intraventricular tumor20. Pituitary tumor with hypernatremia21. Tumor mimic: stroke22. Tumor progression vs treatment effectSection Three - Vascular Diseases 23. Supratentorial intracranial hemorrhage24. Infratentorial intracranial hemorrhage25. Chronic subdural hematoma26. Hemicraniectomy for stroke27. Thrombectomy for stroke28. Non-ruptured aneurysm29. Ruptured aneurysm – subarachnoid hemorrhage30. Perimesencephalic subarachnoid hemorrhage31. Arteriovenous malformation after radiosurgery32. Ruptured arteriovenous malformation33. Dural arteriovenous fistula34. Cavernous malformation35. Carotid-cavernous fistulas36. Internal carotid stenosisSection Four - Spine and Peripheral Nerve Consults 37. Non-operative degenerative spine disease38. Cervical myelopathy39. Neck pain - ACDF40. Thoracic myelopathy41. Lumbar degenerative disease42. Cauda equina43. Sagittal balance/adjacent segment disease44. Central cord45. Postoperative epidural hematoma46. Spinal tumor – intradural47. Spinal tumor – extradural48. Spinal dural arteriovenous fistula49. Spinal cord intrinsic tumor mimic: MS50. Nerve section injury51. Nerve crush injurySection Five – Pediatric consults 52. Perinatal intraventricular hemorrhage53. Myelomeningocele/chiari54. Shunt malfunction55. Endoscopic third ventriculostomy56. Pediatric brain tumors57. Pediatric spinal tumor58. Depressed skull fracture59. Non-depressed skull fracture60. Non-accidental trauma61. SCIWORASection Six – Hydrocephalus 62. Normal pressure hydrocephalus63. Acute shunt malfunction - distal64. Acute shunt malfunction - proximal65. Pseudotumor66. Spontaneous CSF leak/encephaloceleSection Seven – Infection Consults 67. Puffy Pott's Tumor68. Intraparenchymal abscess69. Osteomyelitis/epidural abscess - operative70. Osteomyelitis/epidural abscess - nonoperativeSection Eight – Functional and Pain Consults 71. Baclofen pump malfunction72. Baclofen pump infection73. Spinal cord stimulator74. Adult chiari and Ehler Danlos75. Trigeminal NeuralgiaSection Nine – Post-operative Complications 76. Post-operative DVT/PE77. Epidural hematoma – cranial78. Epidural hematoma – spinal79. Septic emboli/cement emboli80. Wound infection – cranial81. Wound infection – spinal82. Shunt infection83. Postoperative CSF leak84. Postop intracranial hemorrhageSection Ten – Procedures 85. Shunt change and shunt tap86. Intracranial Pressure Monitor87. Intraventricular catheter88. Lumbar puncture89. Lumbar drain
