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neurosurgery
Indications:
- nervous system disease refractory to medical therapy
Management:
1) avoid hypotonic fluids
2) D5W-1/2 normal saline 1st line treatment after head trauma
3) add IV desmopressin if urinary output is excessiveor electrolyte abnormalities develop [2]
4) intermittent pneumatic compression immediately following cranial surgery [2]
Notes:
- also see surgery
Specific
ablative surgery
aspiration of spinal cord cyst/syrinx
autologous epidural blood patch
biopsy, spinal cord
brain biopsy
burr hole
burr hole for evacuation of subdural hematoma
burr hole for ventricular catheter
cerebrospinal fluid shunt
chemodenervation
corpus callostomy
cranial decompression
cranial decompression posterior fossa
craniectomy
cranioplasty
craniotomy
decompression of spinal cord
extradural resection, anterior cranial fossa
extradural resection, base of skull/C1-C3
extradural resection, base of skull/cavernous sinus/clivus
extradural resection, infratemporal fossa/parapharyngeal space/petrous apex
hemispherectomy
hypophysectomy
intradural resectioD, base of skull/cavernous sinus/clivus
intradural resection, base of skull/C1-C3
intraoperative neurophysiology testing
laminoplasty
laminotomy/laminectomy with decompression of nerve root
nerve avulsion
nerve pedicle transfer
nerve repair
nerve transfer
neurectasis; neurotony
neurectomy
neuroplasty
neurotomy; radiofrequency neurotomy; facet neurotomy
pallidotomy
reduction of craniomegalic skull
repair of CSF leakage
repair of meningocele
repair of myelomeningocele
resection of neurofibroma
resection of neuroma
spinal cordotomy
stereotactic computer-assisted navigational procedure
stereotactic lesion of spinal cord
subdural tap through fontanelle/suture
surgical neurolysis
suture of nerve
suture of nerve plexus
sympathectomy
temporal lobectomy
thalamotomy
tractotomy
trans-sphenoidal surgery
transcranial decompression of orbit
transcranial orbital exploration with removal of lesion
vagotomy
General
surgery
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Medical Knowledge Self Assessment Program (MKSAP) 14, 19.
American College of Physicians, Philadelphia 2006. 2021