Atlas of Emergency Neurosurgery

I. Cerebral Trauma and Stroke

II. a. Surgery for epidural and subdural hematomas

III. c. Surgery for cerebral contusions of the frontal and temporal lobes lobe including lobar resection

IV. d. Decompressive hemicraniectomy for intracranial hypertension and stroke

Include: Bone flap storage in the abdominal fat layer

e. Surgery for cerebellar stroke and occipital/suboccipital trauma

f.. Lobar resection for trauma

g. Elevation of depressed skull fractures

h. Invasive intracranial monitoring techniques:

Insertion of external ventricular drains

Insertion of intraparenchymal tissue ICP monitors

Insertion of brain tissue oxygen monitor

Insertion of Jugular bulb catheter

Insertion of cerebral blood flow monitor

i. Surgical debridement of penetrating injuries

i. Gunshot wounds to head

Bedside debridement

Operative management

ii. Principles of removing penetrating objects

j. Management of traumatic arterial vascular intracranial injuries

i. Operative/endovascular

k. Management of venous sinus injuries

l. Special Considerations for Pediatrics.



V. Emergency Operations in Combat

Cranial operations

Management of spinal injuries

VI. Spinal emergency procedures

Spinal Trauma:

a. Application of closed traction

i. Traction tongs

ii. Halo traction and general vest application techniques

b. Cervical Burst Fractures

c. Cervical Facet Dislocation

d. Odontoid fractures

e. Thoracic fractures

f. Thoracolumbar Burst Factures

Non-traumatic emergencies

g. Treatment of acute epidural compression

i. Epidural hematoma

ii. Epidural abscess

iii. Metastatic disease

h. Treatment of acute cauda equina compression from disc herniation

Special considerations for Pediatrics

VII. Non-traumatic emergencies

a. Removal of spontaneous intracerebral hemorrhages:

i. Supratentorial

include techniques for managing hematomas from ruptured AVMs

and aneurysms

ii. Infratentorial

a. Surgery for acute intracranial infections

i. Epidural and subdural abscesses

ii. Intracerebral abscess

1. Stereotactic

2. Open

b. Ventricular shunt malfunction

c. Pituitary apoplexy



VIII. Reconstructive surgery

a. Replacement of Cranial Bone Flap

b. Technique of cranioplasty with other materials (bone, PMMA)

Plate technology

Type, size, when to use resorbable

d. Surgery for frontal sinus injuries and repair of traumatic CSF rhinorrhea