• -8%-8% Intra-dural Spinal Tumours with Acute Symptoms

    Intra-dural Spinal Tumours with Acute Symptoms

    Series: Elements in Emergency Neurosurgery

    Intra-dural spinal tumours are a rare, yet diverse group of neoplasms, which may occur anywhere along the spinal neuroaxis. Their clinical presentations are typically slow and progressive in nature. Signs and symptoms are dictated by tumour location and size, and occur due to the sequalae of mass effect, oedema, ischaemia and subsequent metabolic dysfunction of […]

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  • -8%-8% Patient with Acute Thoracic Myelopathy due to Degenerative Disease

    Patient with Acute Thoracic Myelopathy due to Degenerative Disease

     Series: Elements in Emergency Neurosurgery
    Whilst thoracic myelopathy secondary to degenerative disease is relatively uncommon, left untreated it carries significant morbidity. It is thus of critical importance that patients are correctly diagnosed and managed expediently and effectively. Unfortunately, the management of thoracic myelopathy can be challenging, not least due to the technical difficulty accessing the site of compression and indeed […]

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  • -8%-8% Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

    Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

    Part of Elements in Emergency Neurosurgery

    Emergency neurosurgery encompasses serious and high-risk cranial and spinal conditions across all ages. The authors provide an overview of the changes occurring within emergency surgery to meet the challenges provided from unscheduled care. Considering the wider landscape of emergency surgery provides a context for the changes occurring within emergency neurosurgery. The delivery of emergency neurosurgery […]

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  • -8%-8% Assessment of a Patient in Coma

    Assessment of a Patient in Coma

    Part of Elements in Emergency Neurosurgery

    The authors start with definitions and classification of a depressed conscious state and proceed to detail practical tips in the initial assessment of patients with coma, focussing on the history and examination. They impress the number of non-neurological causes of coma, which may need to be considered. The assessment of pupillary responses, eye movement abnormalities […]

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