Neurosurgical Consult Book, The

Seizure

Consult Page 40M with cerebral palsy presents with a seizure, MRI possible cavernoma. Initial Imaging Walking Thoughts ■ Have the ABCs of airway, breathing, and circulation been assessed? ■ What is the current GCS of the patient? ■ What is…

Persistent Altered Mental Status

Consult Page 60M with AMS and sepsis with SAH found on MRI to have possible vascular lesion. Consulting for further recs. Initial Imaging Walking Thoughts ■ What has been the patient’s hospital course so far? What other comorbidities does the…

Headaches And Vomiting

Consult Page 8F presents with headache, vomiting. CT shows intraparenchymal hemorrhage. Initial Imaging Walking Thoughts ■ Have the ABCs of airway, breathing, and circulation been addressed? ■ What is the patient’s current GCS? ■ Was there any witnessed trauma or…

Worst Headache Of Life

Consult Page 65F with worst headache of life, nausea, vomiting, confusion. CT + subarachnoid hemorrhage Initial Imaging Walking Thoughts ■ What is the current GCS of the patient? Is she able to protect her airway? ■ Is the patient on…

Headache

Consult Page 58F with PMH of lung cancer presents with headaches, MRI new met to brain and a right ICA aneurysm. Initial Imaging Walking Thoughts ■ How bad is the headache? Is it the worst headache of her life? ■…

Acute Aphasia And Right-Sided Weakness

Consult Page 89F with a left MCA syndrome and perfusion mismatch, consult for thrombectomy Initial Imaging Walking Thoughts ■ Have the ABC’s been appropriately addressed? ■ When was the patient last seen normal? ■ Has the stroke team evaluated the…

Patient Found Down

Consult Page Patient with large stroke and swelling causing midline shift Initial Imaging Walking Thoughts ■ What are the patient’s ABCs? ■ What are the patient’s medical comorbidities? ■ What is the patient’s baseline function, and what is his current…

Altered Mental Status

Consult Page 55M presenting with AMS and head CT with large left sided subdural hematoma Initial Imaging Walking Thoughts ■ What is the timeline of the patient’s symptoms? ■ What is his current GCS? ■ Is there a history of…

Severe Headache

Consult Page 57 year old female with large cerebellar hemorrhage Initial Imaging Walking Thoughts ■ What is the mechanism of the bleed? ■ What is the patient’s GCS? Does the patient need airway protection? ■ Was the exam performed on…

Unresponsive Patient

Consult Page 70yo male found down with a large brain bleed. Initial Imaging Walking Thoughts ■ Where is the hemorrhage? ■ What is the mechanism of the bleed? ■ What is the patient’s GCS? Does the patient need airway protection?…