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The Neurosurgical Consult Book

  • 1st Edition - September 2, 2022
  • Latest edition
  • Editors: Risheng Xu, Jordina Rincon-Torroella, Ann Liu
  • Language: English

Written by neurosurgery residents for neurosurgery residents and other providers, The Neurosurgical Consult Book focuses on the initial care and treatment of the neurosurgical co… Read more

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Description

Written by neurosurgery residents for neurosurgery residents and other providers, The Neurosurgical Consult Book focuses on the initial care and treatment of the neurosurgical consult patient, providing the key guidance you need when quick clinical management decisions are critical. You will learn to recognize the acuity of patient presentation and determine how to immediately triage the needs of the patient at an appropriate level of care. This portable, practical guide helps you quickly steer neurosurgical patients to medical stability and safety until a definitive treatment plan is implemented.

Key features

  • Features a real-life approach, based on actual consults, with chapters titled by the symptoms and clinical presentation of the patient, not by neurosurgical diagnosis.
  • Begins each chapter with the actual consult notification from the consulting team, mimicking how the neurosurgery provider is notified about a new patient in practice.
  • Presents initial imaging as it occurs in real life—whether imaging has already been done or whether the consulting physician needs guidance on what imaging is needed.
  • Includes "Walking Thoughts", guidance on how to tailor your thoughts toward the most important and pressing issues facing the patients before even meeting them, so that upon evaluation, the most important questions are asked first.
  • Covers the most essential neurosurgical grading scales, key physical exam findings, the systematic thought process behind triage management, and learning points to remember when seeing a particular type of neurosurgical patient.
  • Summarizes evidence-based standards of care and key literature.
  • Stepwise video
  • demonstration of the most common emergent bedside procedures.

  • An excellent learning tool for neurosurgery residents as well as neurosurgery fellows, neurology residents, emergency room providers, neurocritical care providers, registered nurses, clinical fellows, physician assistants, nurse practitioners, clinical nurse specialists, medical students, and nursing students.
  • Enhanced eBook version included with purchase.
  • Your enhanced eBook allows you to access all of the text, figures, videos, and references from the book on a variety of devices.

Table of contents

1 Fall with gradual drowsiness

2 Dizziness with syncope and fall

3 Fall and Altered mental status

4 Unresponsive after MVC

5 Unresponsive after gunshot wound to head

6 Neck pain after syncopal fall

7 Neck Pain after Trauma

8 Back pain after work accident

9 Left arm and neck pain after car accident

10 Back pain after low-impact trauma

11 Vomiting and neck pain after motor vehicle accident

12 Headache, nausea, and speech difficulty

13 Episodes of foul smell and bad taste

14 Headache and right arm weakness

15 New onset seizure with prior history of melanoma

16 Altered mental status with brain lesions

17 Incidental sellar mass after an accident

18 Sudden headache and vision loss

19 Headache, blurry vision, and intraventricular mass

20 Progressive neurocognitive decline

21 Unresponsive patient

22 Severe headache

23 Altered mental status

24 Patient found down

25 Acute aphasia and right sided weakness

26 Headache

27 Worst headache of life

28 Headaches and vomiting

29 Persistent altered mental status

30 Seizure

31 Right eye swelling and pain

32 Acute onset left hemiparesis

33 Acute loss of consciousness

34 Lower back and right leg pain

35 Neck pain and left arm weakness

36 Left neck and shoulder pain

37 Leg weakness and numbness

38 Leg pain, weakness, and saddle anesthesia

39 Right leg pain and weakness with prior lumbar fusion

40 Arm and leg weakness and numbness after MVC

41 Worsening back pain and leg weakness

42 Acute inability to walk

43 Subacute leg pain, numbness, and weakness

44 Sudden bilateral lower extremity weakness with hemodynamic instability

45 Right leg numbness and foot drop

46 Worsening back and leg pain

47 Prematurity and abnormal head imaging

48 Newborn with a lumbar spinal defect

49 Pediatric patient with headache and vomiting

50 Worsening leg weakness with a mediastinal mass

51 Pediatric depressed skull fracture

52 Loss of consciousness after bike accident

53 Right sided jerking and decreased appetite

54 Numbness and weakness after head collision

55 Worsening leg pain and weakness

56 Persistent headaches

57 Fever and forehead swelling

58 Gait difficulty and falls

59 Emesis and lethargy in a shunted patient

60 Nausea and lethargy in a shunted patient

61 Worsening vision in pseudotumor cerebri

62 Headache, confusion, and chronic rhinorrhea

63 Falls, memory loss, and fevers

64 Abdominal pain and fevers in a shunted patient

65 Increased spasticity and beeping baclofen pump

66 Baclofen pump infection due to wound breakdown

67 Abnormal eye movement

68 Right facial pain

69 Right arm swelling after surgery

70 Postoperative lethargy and left sided weakness after craniotomy

71 Postoperative leg weakness, numbness, and urinary incontinence

72 Drainage from cranial incision

73 Incisional swelling and drainage after spine surgery

74 Leakage from spinal incision with headaches

75 Hemiparesis with a previously treated arteriovenous malformation

76 Change in exam after brain tumor biopsy

77 Shunt Tap and Shunt Change

78 Intracranial Pressure Monitor

79 External ventricular drain

80 Lumbar Puncture and Lumbar Drain Placement

Review quotes

"The case descriptions are concise, relevant, and well referenced. I regret that I did not have access to this resource when I was starting out in neurosurgery!" -AVIVA ABOSCH, MD, PHD

"Illustrating key clinical principles with surgical efficiency, this book is the essential companion of the Neurosurgery resident."

-LOLA B. CHAMBLESS, MD, FAANS

"I predict this will be an indispensable reference for trainees in neurosurgery

." -EDWARD CHANG, MD

"The Neurosurgical Consult Book provides residents a library of the common consults with quick summaries of presentations, imaging findings, clinical signs, management plans, and learning points. This handbook will surely find its way into the pockets of neurosurgery residents."

-MICHAEL T. LAWTON, MD

"Whether you’re in the midst of a busy day on-call or between cases, this book will provide succinct, highly relevant background and management pearls on neurosurgical conditions at all levels."

-MICHAEL LIM, MD

"This is an outstanding book that fills a critical niche and will be a ‘must-have’ in resident call rooms for years to come." -WILLIAM J. MACK, MD, MS, FAANS, FACS, FAHA

"The mastery of clinical examination and a meticulous understanding of neurosurgical pathology is a continuous process, and it starts even before our residency and continues way after we finish our training. This book illustrates the importance of these consults for all of us and, most importantly, for the well-being of our patients."

-ALFREDO QUIÑONES-HINOJOSA, MD, FAANS, FACS

"While it is impossible to know and see everything throughout one’s career, this book offers highly practical information on the differential diagnosis, work-up and investigation, and management of patients presenting with neurosurgical disorders of all types. An especially valuable resource for junior trainees, and one which I wish I had at my fingertips back then!"

-JAMES T. RUTKA, MD, PHD

"I anticipate that this book will help consolidate the neurosurgical libraries of many providers into a single reference used on a routine basis."

-DANIEL M. SCIUBBA, MD, MBA

"This book will serve as the voice of reason to prepare the next generation of neurosurgeons to think about all problems in a broad sense while maintaining their confidence as they care for our patients and their families."

-NICHOLAS THEODORE, MD, FACS, FAANS

Product details

  • Edition: 1
  • Latest edition
  • Published: December 20, 2022
  • Language: English

About the editors

RX

Risheng Xu

Dr. Xu is an assistant professor of neurosurgery at Johns Hopkins Hospital, where he specializes in cerebrovascular/skull base and endovascular neurosurgery. He has published over 100 peer-reviewed papers in journals such as Nature, Neuron, Science Advances, Proceedings of the National Academy of Sciences, Neurosurgery, and Journal of Neurosurgery. He was a News Executive of The Harvard Crimson and was a contributing editor towards 50 Successful Harvard Application Essays: What Worked for Them Can Help You Get into the College of Your Choice.

JR

Jordina Rincon-Torroella

Dr. Rincon-Torroella is a chief resident at the Johns Hopkins Hospital Department of Neurosurgery. She has published over 90 book chapters and peer-reviewed papers in clinical and translational research. She has served as a content developer working together with Elsevier and Dr. Alfredo Quiñones-Hinojosa as an editor for The Video Atlas of Neurosurgery: Contemporary Tumor and Skull Base Surgery. She also co-authored chapters for major neurosurgical textbooks such as Youmans & Winn Neurological Surgery , Kumar’s Neurocritical Care Management of the Neurosurgical Patient, and Goodman’s Neurosurgery Oral Board Review.

AL

Ann Liu

Dr. Liu is currently a PGY7 resident completing an enfolded spine fellowship at the Johns Hopkins Hospital Department of Neurosurgery. She has published over 40 peer-reviewed papers and was the 2020–2021 NEUROSURGERY® Publications Resident Fellow. She continues to serve as an editor for Neurosurgery and Operative Neurosurgery.

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