医
China Med Service
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Intracranial aneurysm is focal dilation of intracranial artery; unruptured - monitor/clip/embolize based on size/location; ruptured SAH emergency.
神经外科Cerebral thrombosis is in-situ arterial thrombosis causing ischemic stroke; urgent imaging, antiplatelet, reperfusion, secondary prevention.
神经外科Cerebral embolism is embolic arterial occlusion causing ischemic stroke; urgent imaging, reperfusion (thrombolysis/thrombectomy), anticoagulate source.
神经外科Hypertensive ICH is deep hemorrhage (basal ganglia/thalamus/pons/cerebellum) from chronic HTN; emergency, lower BP, neurosurgery if needed.
神经外科CSF leak is CSF leakage from nose/ear/wound: risk of meningitis; treat by conservative, surgical repair if persistent.
神经外科Cerebral edema is brain-tissue swelling from vasogenic/cytotoxic/interstitial causes; treat by ICP control, treat cause.
神经外科Brain herniation is displacement of brain tissue by raised ICP/mass: life-threatening; treat by urgent ICP control, surgical decompression.
神经外科Cavum septi pellucidi cyst is a CSF cavity between lateral ventricles; usually asymptomatic, observe; surgery if symptomatic.
神经外科Arachnoid cyst is benign congenital CSF-filled arachnoid cleft; observe if asymptomatic, surgery if symptomatic.
神经外科Brain cyst is a benign intracranial CSF-like cavity; treat by observation if asymptomatic, surgery if symptomatic.
神经外科Hydrocephalus is excessive CSF accumulation with ventricular enlargement/raised ICP; treat by CSF shunt/ETV, treat cause.
神经外科High paraplegia is paralysis of both lower limbs from a high thoracic/cervical cord lesion; treat by etiology, rehab, respiratory care.
神经外科Frontal lobe epilepsy is focal seizures from frontal lobe: motor/versional/hypermotor nocturnal seizures; treat by antiepileptic drugs, surgery if focal lesion.
神经外科Hemifacial spasm is unilateral involuntary facial-muscle twitch from vascular compression of facial nerve; treat by botulinum toxin or microvascular decompression.
神经外科Torsion dystonia is sustained twisting involuntary movements/postures (primary torsion dystonia); treat by botulinum toxin/oral meds/DBS, supportive.
神经外科Spinal epidural abscess is pus in spinal epidural space: fever/back pain/radiculopathy/myelopathy; treat by urgent surgical drainage + antibiotics to prevent paralysis.
神经外科Spinal subdural abscess is pus in spinal subdural space: back pain/radiculopathy/myelopathy; treat by urgent surgical drainage + antibiotics.
神经外科Epidural (intracranial) abscess is pus between dura and skull: fever/headache/ear/sinus source; treat by surgical drainage + antibiotics.
神经外科Subdural empyema is pus in subdural space from sinusitis/otitis/surgery/trauma: fever/severe headache/neurologic deficits/seizures; treat by emergency drainage + antibiotics.
神经外科Ventriculitis is inflammation of the ventricular ependyma, usually as a complication of bacterial meningitis/CSF shunt: fever, altered mental status; treat by antibiotics + shunt management.
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