Category Neurosurgery

Hunt-Hess Scale

Description The Hunt-Hess Scale is a graded scale used to predict the rate of mortality based solely on the clinical features seen in a patient presenting with an aneurysmal subarachnoid haemorrhage. Grade Characteristic Mortality Rate1,2 0 Unruptured aneurysm without symptoms…

Tolosa-Hunt syndrome 340

Tolosa-Hunt syndrome

Tolosa-Hunt syndrome: severe unilateral periorbital headache and ophthalmoplegia resulting from a non-caseating granulomatous inflammation of the cavernous sinus and/or superior orbital fissure.
LITFL Medical Humor 340

Not exactly emergency medicine is it?

More hilarious brilliance from ‘That Mitchell and Webb Look‘ – following on from their ‘homepathic A&E‘ masterpiece. This skit reminds me of a half-remembered anecdote from Frank Vertosick Jr.’s classic book about neurosurgical training, ‘When The Air Hits The Brain‘.…

William Henry Battle (1855 – 1936) 340

William Henry Battle

William Henry Battle (1855–1936) English surgeon. Battle sign, postauricular (mastoid) ecchymosis fracture of the base of the skull (BOS).

“Beholders” or patients and families?

Guest post by Dr Peter Hutchinson, Professor of Neurosurgery; Dr Angelos Kolias, Clinical Lecturer in Neurosurgery; and Dr David Menon, Professor of Anaesthesia – all at the University of Cambridge and Addenbrooke’s Hospital, Cambridge, UK. It is a response to the recent…

ICE -Ian’s clinical emergencies 340

ICE 002: Trampoline injury

A 9 year old boy fell while trampolining and struck his head on the trampoline frame. There was definite loss of consciousness but just for how long is unclear as the only witnesses were friends his age. The clinical image shows findings on the left side of his head.
CCC Critical Care compendium 340

Spinal Injury Patient Hot Case

GENERAL APPROACH Phase of injury— Acute: ileus, cardiovascular, ventilation— Sub-acute: recurrent atelectasis and segmental collapse— Chronic: pain, psychological issues, infection (uro, resp, pressure areas), autonomic dysreflexia, spasm. Stability of spine Tracheostomy Other injuries INTRODUCTION CUBICLE Edgerton spinal bed until spine…

CCC Critical Care compendium 340

Spinal epidural abscess

Spinal epidural abscess is considered a neurosurgical emergency; morbidity and mortality is worse with delayed diagnosis, and the worse the neurological deficit at the time of surgery the worse the outcome