Youmans and Winn Neurological Surgery

The Use and Misuse of Antibiotics in Neurosurgery

Key Concepts Risks and benefits of antibiotics should be carefully considered prior to administration. Drug resistance and adverse drug reactions can result from misguided antibiotic delivery. Selection of antibiotic, dosage, and frequency requires an understanding of what organism is most…

Postoperative Infections of the Spine

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 54.1 . Key Concepts Surgical site infections are frequently encountered and cause significant morbidity, placing an enormous financial burden on the health care system and…

Postoperative Infections of the Head and Brain

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 53.1 . Key Concepts The diagnosis of postoperative cranial infections is often challenging, with many of the typical clinical, laboratory, and radiographic correlates of infection…

Basic Science of Central Nervous System Infections

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 52.1 . Key Concepts The CNS is protected from infections by a wide variety of pathogens by virtue of the blood-brain barrier (BBB), humoral immune…

Brain Tumors During Pregnancy

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 51.1 . Key Concepts The unique physiologic state of pregnancy creates challenges and affects the timing of treatment for the pregnant patient. The incidence of…

Vascular Lesions During Pregnancy

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 50.1 . Key Concepts Cerebrovascular disorders during pregnancy and the puerperium are infrequent but can be devastating to the mother and fetus. Management of cerebrovascular…

Neuroanesthesia During Pregnancy

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 49.1 . Key Concepts The need for neurosurgery during pregnancy is rare but may include procedures for management of intracranial hemorrhage, traumatic brain injury, symptomatic…

Systemic and Central Nervous System Changes During Pregnancy

This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 48.1 . Key Concepts Maternal adaptation to pregnancy involves all organ systems and requires a panoply of physiologic alterations. Particularly dramatic are homeostatic changes in…

Pathophysiology of Chronic Subdural Hematomas

This chapter includes an accompanying lecture presentation that has been prepared by the author: Video 46.1 . Key Concepts The annual incidence of chronic subdural hematoma (CSDH) is approximately 20 per 100,000 and is increasing. The etiology of CSDH is…