Clinical Priority For Common Emergency And Urgent Conditions In Neurosurgery

Emergency Neurosurgery is a constantly evolving specialty, resulting in ever increasing challenges posed on the higher specialty trainee. The focus of this Element is to guide the reader on the application of robust and easily applicable management strategies whilst dealing with the most challenging aspects of their professional workload. The authors have categorised the various subgroups of emergency neurosurgical workload, devised a comprehensive management algorithm, included case scenaria related to the most challenging emergency situations and highlighted easily overlooked clinical information. In summary, this Element will provide robust and easily applicable management strategies whilst dealing with the most challenging aspects of the emergency neurosurgical workload.

Emergency Neurosurgery is a constantly evolving specialty, resulting in ever increasing challenges posed on the higher specialty trainee. The focus of this Element is to guide the reader on the application of robust and easily applicable management strategies whilst dealing with the most challenging aspects of their professional workload. The authors have categorised the various subgroups of emergency neurosurgical workload, devised a comprehensive management algorithm, included case scenaria related to the most challenging emergency situations and highlighted easily overlooked clinical information. In summary, this Element will provide robust and easily applicable management strategies whilst dealing with the most challenging aspects of the emergency neurosurgical workload.

On-call neurosurgery concerns practice related to urgent and emergency neurosurgical care including outside of 'normal' working hours. Being on-call involves many competing responsibilities and is regarded as one of the most demanding aspects of a neurosurgical career. The on-call work pattern has evolved over the past decade due to changes in demographics, technology and working practices, each of which have brought new and emerging challenges. These challenges aside, the on-call provides a unique and rewarding environment to make a meaningful difference to patients and to learn the science and art of neurosurgery. Success in on-call work requires not only good technical knowledge and application but also a wide variety of non-technical skills. These skills will help deal with some of the difficult situations neurosurgeons in training face when on-call to make the experience more manageable and educational.

Seizures are a presenting feature of many neurosurgical disorders, and can arise as a result of neurosurgical treatment or its complications. Recognition and effective management of seizures can be life-saving, and will minimise long term seizure induced morbidity. In this Element the authors describe seizure diagnosis, emergency and ongoing management, and considerations in neurosurgical conditions.

Central nervous system, affliction, although rare, represents one of the most severe extra-pulmonary manifestations of tuberculosis, potentially leading to substantial morbidity and mortality if not promptly addressed. Cranial tuberculosis can manifest in various forms, including tuberculomas, encephalitis, abscesses, and meningitis, with the latter being the most critical and carrying a poor prognosis if left untreated. Spinal tuberculosis, accounting for approximately 50% of musculoskeletal TB cases, can present with a spectrum of symptoms, ranging from simple back pain to more severe neurological deficits such as weakness and deformity. Anti-tuberculosis medications remain the cornerstone of treatment, and this Element offers an algorithmic approach to managing referrals of suspected tuberculosis, incorporating pertinent clinical information to facilitate effective decision-making.

This book provides a practical, accessible guide to all emergency situations found before, during, and straight after surgery. It covers approaches to the emergency surgical patient, problem-based emergency surgery, disease-based emergency surgery, post-operative complications, procedures and miscellaneous material such as transfusion.

Covering the most frequently encountered neurosurgical emergencies caused by disease, infection, trauma, and complications. This work presents the surgical guidelines for managing a range of neurosurgical emergencies including those involving intracranial, spinal, and peripheral nerve pathology, and neurosurgical problems in pediatric patients.

A definitive, accessible, and reliable resource which provides a solid foundation of the knowledge and basic science needed to hone all of the core surgical skills used in surgical settings. Presented in a clear and accessible way it addresses the cross-specialty aspects of surgery applicable to all trainees.