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.
Category Neurosurgery
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
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 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.
RESCUEicp and the Eye of the Beholder
Alistair Nichol explains why the "favourability" of outcomes from brain trauma in the RESCUEicp trial are in the eye of the beholder.
Lifting the lid on a ‘proven therapy’
According to an editorial in the NEJM, decompressive craniectomy "has a proven benefit in the management of malignant cerebral edema after ischemic stroke”... We point out the caveats to this assertion.
Spinal Injury Patient Hot Case
GENERAL APPROACH INTRODUCTION CUBICLE INFUSIONS VENTILATOR MONITOR EQUIPMENT QUESTION SPECIFIC EXAMINATION -> scars, surgical wounds, drains-> motor level: myotomes, spinal reflexes, limbs and abdominal muscles, return of bulbocaveronsus reflex (resolution of spinal shock)-> sensory level: dermatomes, sensory tracts (dorsal columns,…
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
Decompressive craniectomy for Malignant MCA infarction
Decompressive craniectomy is a controversial therapy for malignant middle cerebral artery (MCA) stroke
Decompressive Craniectomy
Decompressive Craniectomy: can be prophylactic or therapeutic; increases intracranial compliance and prevents/treats elevated ICP (especially if dura opened)
Monitoring in Subarachnoid Haemorrhage
Monitoring in the critically ill subarachnoid haemorrhage patient is primarily to detect vasospasm.