Titlebook: Neurosurgery; A Case-Based Approac Christos M. Tolias,Anastasios Giamouriadis,Prajwal Book 2019 Springer Nature Switzerland AG 2019 hydroce

ITCH

Diffuse Axonal InjuryM29, RH, plasterer, intoxicated with EtoH and crashed into a tree at 40?mph. At scene GCS E2 V2 M5, I+V+S, upon admission left pupil dilated to 5 mm

forager

Extradural HaematomaM51, RH, known epileptic, suffered GTCS whilst shopping, post ictal state GCS E1 V1 M4, left pupil fixed and dilated, I+V+S at scene, mannitol given, blue lighted to neuro theatres

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Inveterate

Chronic Subdural HaematomaM63, RH, taxi driver, pmh of HTN and on warfarin for AF, presents with 1w history of worsening headache and left sided weakness, Involved in RTA 3/52 ago when sustained mild head injury, o/e GCS E3 V4 M6, left sided weakness 4/5, INR 2.6

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Cervical Spine Fracture: DislocationM35 with background of schizophrenia attempted to suicide hanging himself, found collapsed on the floor with inability to move his legs and arms, o/e intact level of consciousness, complete sensory level at C7, MRC 0/5 power below deltoid muscles, ASIA A

向前變橢圓

Odontoid Peg FractureM67, RH, lives on his own, with known spinal and pelvic metastatic prostate Ca received in the past XRT and hormonal therapy presented with fall from stairs 3D ago causing significant neck pain and right shoulder soft tissue injury, o/e neurologically intact except mild limitation of right shoulder ROM due to localised injury

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毗鄰

Thoracic Wedge Compression FractureM30, RH, healthy, motorbike racing driver, sustained thoracic spine injury whilst racing expressed with back pain and no neurological compromise

occurrence

MENT

Lumbo-Sacral FractureF22, RH, previously healthy, sustained polytrauma after jump from three storey building in an attempt to escape from assault, upon admission intact level of consciousness, c/o lumbosacral pain and Right L5/S1 dermatomal distribution loss of pin prick sensation and weakness of EHL/ADF 3/5