Neurosurgical Consult Book, The

Arm And Leg Weakness And Numbness After MVC

Consult Page 55M hx of C4-6 fusion presenting with loss of sensation and weakness in right arm after MVC Initial Imaging Walking Thoughts ■ What are the patient’s current ABCs? Has the trauma team evaluated him yet? ■ What is…

Right Leg Pain And Weakness With Prior Lumbar Fusion

Consult Page 73M with history of prior lumbar surgery with right leg pain and thigh weakness. MRI shows synovial cyst. Please evaluate. Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ What other symptoms does the patient…

Leg Pain, Weakness, And Saddle Anesthesia

Consult Page 31F pregnant with leg weakness and pain. MRI with severe compression. Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ What symptoms does the patient have? What is the timeline of her symptoms? ■ Does…

Leg Weakness And Numbness

Consult Page 47M with leg weakness, and sensory level Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam—how weak are his legs? Where is his sensory level? ■ How long has he had symptoms? ■ What is the…

Left Neck And Shoulder Pain

Consult Page 54M with prior shoulder surgery now with L neck/shoulder pain and numbness. MRI with disc herniation. Please evaluate. Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ Are the symptoms limited to pain and numbness…

Neck Pain And Left Arm Weakness

Consult Page 50M p/w worsening neck pain and new LUE weakness, cord compression on MRI Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? Are there any long tract findings? ■ What is the timeline of the patient’s…

Lower Back And Right Leg Pain

Consult Page 72F w L4-5 stenosis with worsening lower back and leg pain Initial Imaging Walking Thoughts ■ Where is the patient’s back and leg pain? ■ What is the patient’s neurological exam? ■ Is there any concern for cauda…

Acute Loss of Consciousness

Consult Page 35F found down, head CT with bleed, bradycardic now Initial Imaging Walking Thoughts ■ What is the patient’s GCS? How is her airway, breathing, and circulation? ■ When was the patient last seen normal? How long was she…

Acute Onset Left Hemiparesis

Consult Page 72M presents with L sided weakness, stroke team activated, R ICA stenosis. Initial Imaging Walking Thoughts ■ Have the patient’s ABCs been addressed? ■ What is the patient’s neurological exam? When was the patient last seen normal? ■…

Right Eye Swelling And Pain

Consult Page 81M here with right eye swelling and pain, CT angiogram possible carotid-cavernous fistula Initial Imaging Walking Thoughts ■ Is the onset of symptoms sudden or gradual? Is there antecedent trauma? ■ Does the patient take any anticoagulant or…