Indications A lumbar puncture (LP) is indicated for both diagnostic and therapeutic purposes. It is used to sample the cerebrospinal fluid (CSF) to aid in the diagnosis of infectious, inflammatory, hemorrhagic, and oncologic conditions. An urgent LP is indicated to…
Indications and Contraindications The placement of an external ventricular drain (EVD) is a very common neurosurgical bedside procedure. EVDs are commonly placed to manage hydrocephalus and monitor intracranial pressure (ICP) in a wide variety of pathologies. Despite their widespread use,…
Indications and Contraindications Intracranial pressure (ICP) monitors directly measure ICPs in the epidural, subdural, intraparenchymal, or intraventricular space. Although they do not allow for direct cerebrospinal fluid (CSF) drainage, unlike external ventricular drains (EVD), ICP monitors are associated with fewer…
Indications and Contraindications A shunt tap has both diagnostic and therapeutic purposes. Two commonly encountered reasons to tap a shunt include determining if there is proper flow of cerebrospinal fluid (CSF) within the shunt and sampling the CSF for diagnostic…
Consult Page Hi there, for room 21, patient seems sleepier, please come evaluate him. Initial Imaging None Walking Thoughts π Why is the patient admitted? Did the patient have surgery and if so, what type of surgery and when did…
Consult Page Pt w known AVM, here with weakness. Initial Imaging Walking Thoughts ▪ How weak is the patient? Where is the patient’s weakness? How long has he been symptomatic? ▪ Does the patient have any other deficits on examination?…
Consult Page 55F s/p spine surgery with leakage from wound and headaches Initial Imaging Walking Thoughts ■ What surgery did the patient have? When was the patient’s surgery? ■ Were there any complications? Was there a durotomy or a cerebrospinal…
Consult Page 61F h/o prior lumbar spine surgery here with drainage from incision Initial Imaging Walking Thoughts ▪ What was the patient’s prior surgery? When was the surgery? ▪ Is there hardware present? ▪ How was the patient’s postoperative course?…
Consult Page 47F with recent brain surgery presenting with drainage from wound Initial Imaging Walking Thoughts ▪ What was the patient’s prior surgery? When was the surgery? ▪ How was the patient’s postoperative course? ▪ How long has the patient…
Consult Page 58M acute BLE weakness and urinary incontinence, postop neurosurgery patient Initial Imaging Walking Thoughts ▪ What surgery did the patient have? When was the patient’s surgery? ▪ Were there any complications or concerns from the prior operation? ▪…