By Aaron A. Cohen-Gadol, Dennis D. Spencer
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Extra info for The Legacy of Harvey Cushing: Profiles of Patient Care
43 44 OXFORD CASE HISTORIES IN NEUROSURGERY References Bederson JB, Connolly Jr S, Hunt Batjer H, et al. (2009). Guidelines for the management of aneurysmal subarachnoid hemorrhage. A Statement for Healthcare Professionals from a Special Writing Group of the Stroke Council, American Heart Association. Stroke; 40: 994–1025. Brain Trauma Association (2007). Guidelines for the Management of Severe Traumatic Brain Injury (3rd edn). org/coma-guidelines/ btf-guidelines/ (accessed 1 April 2011). Forsyth PA, Weaver S, Fulton D, et al.
Extradural haematomas can be managed operatively or conservatively. An expanding extradural haematoma can cause rapid neurological deterioration, and immediate surgery is indicated if there is significant or ongoing neurological deficit. Conservative management may be suitable if the haematoma is small and the patient is neurologically intact. In this case, the haematoma is large but the patient is neurologically intact. The risks of surgery must be balanced against the risk of deterioration from conservative management.
Left: ambient, interpeduncular, prepontine, premedullary, anterior spinal cisterns. Right: quadrigeminal, superior cerebellar, and posterior spinal cisterns, cisterna magna, cerebellomesencephalic fissure. Fig. 5 (b) Dural partitions of the cranial cavity. , Gray’s Anatomy for Students. © Elsevier 2005. (c) Subarachnoid cisterns. Reproduced with permission from Rhoton, The posterior fossa cisterns, Neurosurgery, 47(3), Lippincott, Williams & Wilkins, 2000. 25 26 OXFORD CASE HISTORIES IN NEUROSURGERY Case 3 An 18-year-old man attends the emergency department 30 minutes after being hit on the head with a champagne bottle at a party.
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