Category Neurosurgery

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.
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
CCC Critical Care compendium 340

Decompressive Craniectomy

Decompressive Craniectomy: can be prophylactic or therapeutic; increases intracranial compliance and prevents/treats elevated ICP (especially if dura opened)