Goodman's Neurosurgery Oral Board Review最新文献

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Spine 脊柱
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1302/2048-0105.75.360636
A. Levi
{"title":"Spine","authors":"A. Levi","doi":"10.1302/2048-0105.75.360636","DOIUrl":"https://doi.org/10.1302/2048-0105.75.360636","url":null,"abstract":"Spine cases form a significant component of the neurosurgery Oral Board Examinations. A familiarity with the common cases is essential in preparing for the boards. Spine includes cases that span from the skull base to the sacrum. Another component of spine includes an understanding of spine stability as well as the use of spinal instrumentation such as cervical plating and pedicle screws. These techniques are now a standard part of the neurosurgical armamentarium. Current new technologies or approaches to the spine whether minimally invasive techniques or surgery for deformity are actively used and will continue to form a larger part of the oral exam. The following cases are discussed in this chapter: bilateral cervical facet dislocation with spinal cord injury, central calcified thoracic disc herniation, L5 congenital spondylolysis with spondylolisthesis, metastatic lesion, and a thoracolumbar spine deformity.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130194348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vascular Neurosurgery 血管神经外科
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190636937.003.0005
T. Leipzig
{"title":"Vascular Neurosurgery","authors":"T. Leipzig","doi":"10.1093/med/9780190636937.003.0005","DOIUrl":"https://doi.org/10.1093/med/9780190636937.003.0005","url":null,"abstract":"This chapter reviews a variety of neurovascular conditions including aneurysmal subarachnoid hemorrhage, arteriovenous malformation of the brain, intracerebral hemorrhage, spinal dural arteriovenous fistula, carotid stenosis, and decompressive craniectomy for malignant middle cerebral artery infarction. Emphasis is placed on the considerations for surgical management. Decisions on treatment need to be based on an understanding of the natural history of the disease process, possible alternative treatment options, and the potential risks and benefits of a chosen procedure. The general management aspects concerning these conditions are also discussed. These six case studies review the important features of the medical history, imaging, medications, surgical, and endovascular treatments associated with the specific condition. Findings from key neurovascular studies are incorporated into the discussion of each case.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141227676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Brain Tumors 脑部肿瘤
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190055189.003.0005
Angela M. Bohnen, K. Chaichana, A. Quiñones‐Hinojosa
{"title":"Brain Tumors","authors":"Angela M. Bohnen, K. Chaichana, A. Quiñones‐Hinojosa","doi":"10.1093/med/9780190055189.003.0005","DOIUrl":"https://doi.org/10.1093/med/9780190055189.003.0005","url":null,"abstract":"Having a general understanding of brain tumors is integral to mastering the oral board examination. For the general session, examinees should be able to identify both intra-axial and extra-axial tumors and provide a comprehensive understanding of the differential diagnosis and plan regarding treatment, while also verbalizing concepts behind the treatment modalities and articulating to a patient and family the alternative approaches as well as the complications related to management. Pathologies to familiarize oneself with include gliomas, meningiomas, metastatic lesions, and pituitary lesions. For subspecialty examinees, complex cases such as endonasal, endoscopic, keyhole, and skull base approaches should be mastered. For each case, a broad differential diagnosis should include infection, hematoma, infarction, thrombosed aneurysm, inflammation, and/or demyelinating disease. Discuss the preoperative workup the indications for surgery and surgical approach. Interpret the preoperative and postoperative imaging critically. Be prepared for potential intraoperative complications and discussion of postoperative management including adjuvant radiation and chemotherapy and long-term care.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114881930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endovascular Neurosurgery 血管内神经外科
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190055189.003.0007
A. Sweid, P. Jabbour
{"title":"Endovascular Neurosurgery","authors":"A. Sweid, P. Jabbour","doi":"10.1093/med/9780190055189.003.0007","DOIUrl":"https://doi.org/10.1093/med/9780190055189.003.0007","url":null,"abstract":"This chapter is designed in a case base fashion covering common vascular problems treated by endovascular techniques such as aneurysms, arteriovenous malformations, and strokes. The neurointerventionalist armamentarium is becoming rich with alternatives enabling management of broad range of pathologies in a less invasive way. The most recent innovation was the endosaccular flow diversion device indicated for wide-neck bifurcating aneurysms. Preliminary reports have shown it’s efficacy in treating both ruptured and unruptured aneurysms. Similarly, stents for aneurysm and stroke treatment, and microcatheters for embolization procedures are in continuous refinements for improved safety, deliverability, and outcomes. Six clinical cases are presented in this chapter with an analysis of the cases, a clinical management, and a focused review on the topic relevant to each scenario.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115707476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripheral Nerve 周围神经
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190636937.003.0011
R. Spinner
{"title":"Peripheral Nerve","authors":"R. Spinner","doi":"10.1093/med/9780190636937.003.0011","DOIUrl":"https://doi.org/10.1093/med/9780190636937.003.0011","url":null,"abstract":"The peripheral nerve is an important and historical part of neurosurgery. It also has been a major focus of both the written and oral examinations administered by the American Board of Neurological Surgeons. Candidates typically have considerable fears and concerns about their preparedness in this field because they have not had broad exposure during their neurosurgery training and practice. The candidate for the Oral Board Examination must be prepared for receiving one to several questions on some of the common disorders of the peripheral nervous system as part of a general neurosurgical practice or in an emergency room consultation. In this chapter, an approach to peripheral nerve problems is presented. Common areas that might be examined include tumors, injuries, inflammatory conditions, entrapments, and neuropathic pain. Six cases are illustrated, and “pearls” are provided.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"357 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications 并发症
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190636937.003.0014
A. Levi, Roberto C. Heros
{"title":"Complications","authors":"A. Levi, Roberto C. Heros","doi":"10.1093/med/9780190636937.003.0014","DOIUrl":"https://doi.org/10.1093/med/9780190636937.003.0014","url":null,"abstract":"Complications form a very significant element of the Oral Board Examination. The scoring system gives a grade for the handling of complications relevant to the treatment. The good news is that there are a limited number of complications in neurosurgery. Again, complications are expected on the Oral Board Examination. The most common complications are: postoperative neuropathic pain, postoperative wound infection, cerebrospinal fluid leak, C5 nerve palsy, postoperative cranial or spinal hematoma, hyponatremia, vasospasm, intraoperative aneurysm rupture (open or endovascular), major arterial injuries with cranial and spinal surgery, uncontrolled intracranial pressure, brain swelling during operative exposure, and esophageal injury. These are discussed in this chapter.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"20 3‐4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications 并发症
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190055189.003.0014
A. Levi, Roberto C. Heros
{"title":"Complications","authors":"A. Levi, Roberto C. Heros","doi":"10.1093/med/9780190055189.003.0014","DOIUrl":"https://doi.org/10.1093/med/9780190055189.003.0014","url":null,"abstract":"Complications form a very significant element of the Oral Board Examination. The scoring system gives a grade for the handling of complications relevant to the treatment. The good news is that there are a limited number of complications in neurosurgery. Again, complications are expected on the Oral Board Examination. The most common complications are: postoperative neuropathic pain, postoperative wound infection, cerebrospinal fluid leak, C5 nerve palsy, postoperative cranial or spinal hematoma, hyponatremia, vasospasm, intraoperative aneurysm rupture (open or endovascular), major arterial injuries with cranial and spinal surgery, uncontrolled intracranial pressure, brain swelling during operative exposure, and esophageal injury. These are discussed in this chapter.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124890897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurology 神经学
Goodman's Neurosurgery Oral Board Review Pub Date : 2020-03-01 DOI: 10.1093/med/9780190055189.003.0013
Kristine H. O’Phelan
{"title":"Neurology","authors":"Kristine H. O’Phelan","doi":"10.1093/med/9780190055189.003.0013","DOIUrl":"https://doi.org/10.1093/med/9780190055189.003.0013","url":null,"abstract":"The purpose of the Oral Board Examination is to determine a candidate’s competency in neurosurgical disorders, as well as in neurological disorders which may mimic neurosurgical conditions. Clearly, this goal of the examination process must be kept in the back of an examinee’s mind during questioning. It is not uncommon for a candidate to be presented imaging studies that clearly appear surgical; however, after carefully listening to the history and relevant neurological findings, it will become apparent that the imaging does not explain the patient’s symptoms. When this occurs, start by trying to localize the lesion within the neuraxis—brain, brainstem, spinal cord, peripheral nerve, neuromuscular junction, or the muscle itself. Clues such as hyporeflexia or hyperreflexia and distribution or absence of sensory symptoms are key. Then develop a differential diagnosis of neurological conditions that may present in these areas—vascular, demyelinating, inflammatory, axonal loss, and neuromuscular blockade.\u0000 Some of the common neurological ailments that the oral board examinee needs to be well aware of include amyotrophic lateral sclerosis, multiple sclerosis, Guillain-Barré syndrome, and Parsonage-Turner syndrome (brachial plexitis), some of which are covered either in this chapter or in other relevant chapters.","PeriodicalId":203295,"journal":{"name":"Goodman's Neurosurgery Oral Board Review","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123555027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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