Neurosurgical Consult Book, The

Back Pain After Low-Impact Trauma

Consult Page 57F sp fall, CT T12 burst fracture. Initial Imaging Walking Thoughts ■ What was the mechanism of injury? ■ Does the patient have any neurological deficits? ■ What kind of pain does the patient have? ■ What is…

Left Arm And Neck Pain After Car Accident

Consult Page 73yF passenger in an MVC p/w neck and LUE pain. L C6-7 perched facet on CT. Initial Imaging Walking Thoughts ■ What was the mechanism of the accident? Was the patient wearing a seat belt? ■ Has the…

Back Pain After Work Accident

Consult Page 38M pw severe pain with severe trauma to the back Initial Imaging Walking Thoughts ■ What was the mechanism of injury? Was it witnessed? ■ What treatments have been given en route to the hospital? ■ Has the…

Neck Pain After Trauma

Consult Page 60 year old male pedestrian struck, found to have C1 burst fracture Initial Imaging Walking Thoughts ■ What is the mechanism of injury? ■ Does the patient have any neurological deficits? ■ What is the exact fracture pattern…

Neck Pain After Syncopal Fall

Consult Page A 75 year old man with syncope and fall with dens fracture Initial Imaging Walking Thoughts ■ Does the patient have any other injuries? ■ Is the patient hemodynamically stable? ■ What is his neurological exam? ■ Is…

Unresponsive After Gunshot Wound To Head

Consult Page TRAUMA; 24M gunshot wound to the head, GCS 7 in field Initial Imaging Walking Thoughts ■ What is the current GCS and neurological exam? ■ Is the patient hemodynamically stable? ■ Are there any additional injuries or other…

Unresponsive After MVC

Consult Page STAT MVC trauma, 2Y with GCS3 Initial Imaging Walking Thoughts ■ What is the patient’s current neurological exam? Is the patient intubated? ■ Why is the patient’s GCS so poor? Is the patient currently paralyzed or sedated? ■…

Fall And Altered Mental Status

Consult Page 69F altered after a fall, CT brain bleed. Initial Imaging Walking Thoughts ■ What is the current GCS of the patient? Is she able to protect her airway? ■ What is the baseline function of the patient? ■…

Dizziness With Syncope And Fall

Consult Page 77 year old woman with syncope and fall 3 days ago with intracranial bleed on CT Initial Imaging Walking Thoughts ■ What was the etiology of her syncopal event? Why is she presenting 3 days after the fall?…

Fall With Gradual Drowsiness

Consult Page 3 year old girl status post fall with head strike, worsening GCS, CT with large brain bleed Initial Imaging Walking Thoughts ■ What is the patient’s current GCS score and neurological exam? ■ Does the patient have any…