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Title
Acute care neurosurgery by case management : pearls and pitfalls / P.B. Raksin, editor.
ISBN
9783030995126 (electronic bk.)
3030995127 (electronic bk.)
9783030995119
3030995119
Published
Cham : Springer, [2022]
Copyright
©2022
Language
English
Description
1 online resource (xviii, 361 pages) : illustrations (some color)
Item Number
10.1007/978-3-030-99512-6 doi
Call Number
RD593
Dewey Decimal Classification
617.4/8
Summary
This book reviews the common clinical scenarios that might trigger emergent consultation for neurosurgical intervention, with attention to key components of the clinical interview and exam, optimal diagnostic evaluation, indications for and the goals of operative intervention, perioperative considerations, and strategies for complication mitigation. This is not a surgical atlas, but rather, a road map for the journey to the operating room door. The intent is to establish a systematic, evidence-based action plan for the patient presenting in neurologic crisis. Each chapter opens with a relevant case vignette and then unfolds through uniform sections to tell the story of how one might approach the disease entity in question, from initial request for consultation to definitive management, highlighting steps of the decision-making process. Each chapter is punctuated by 3-5 teaching pearls, summarizing these key elements. The overall goal is to create a framework for assessment that might be applied in the emergency department, the trauma bay, or the ICU when a neurologic emergency arises. The scope encompasses not only cranial and spinal trauma, but also entities such as shunt failure, stroke, aneurysmal subarachnoid hemorrhage, pituitary apoplexy, cauda equina syndrome, and central nervous system infection that might require time-sensitive intervention. An additional section addresses issues requiring emergent neurosurgical response in the ICU setting, including sudden neurologic worsening, status epilepticus, and abnormal clotting/ coagulopathy. .
Note
Includes index.
Access Note
Access limited to authorized users.
Source of Description
Online resource; title from PDF title page (SpringerLink, viewed September 9, 2022).
Available in Other Form
Print version: 9783030995119
Hemorrhagic stroke - spontaneous intracerebral hemorrhage
Cerebellar stroke and suboccipital trauma
Venous sinus thrombosis
Aneurysmal subarachnoid hemorrhage
Pituitary apoplexy
Hydrocephalus and shunt failure
Cerebrospinal fluid fistulae
Acute epidural compression syndromes of the spinal canal - epidural hematoma, metastatic disease, abscess
Cauda equina syndrome
Initial evaluation of concussion
Epidural and subdural hematoma
Cerebral contusion
Penetrating brain injury
Traumatic arterial vascular and venous injuries
Decompressive craniectomy - for stroke, trauma
Cervical spine fractures
Thoracolumbar fractures
Central cord syndrome
Approach to the patient with acute neurologic worsening
Status epilepticus
Central nervous system infection
Abnormal clotting and coagulopathy
Fever.