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NEUROSURGIC Blog and News channel

A short description about your blog Eri

Don't let this misguide you!

Whenever you assess a patient with no history of trauma you don't expect him to have any trauma injury or fracture nor dislocation in most cases. Ok, you might say there are patients, who develops pat ...

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Could the next step to control infection be chemical compounds?

There are times that patients with severe injuries and intubated under ICU care who are very sick, with multiple lab dearrangement, under three antibiotics, with WBC (Neu rise) count on the rise (with ...

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Dilemma! A patient with a spontaneous left basal ganglia hemorrhage

A patient was brought to the ER after a spontaneous left basal ganglia hemorrhage,- known chronic HTN carrier-, he had an acute neurological deficit comprising right hemiplegia along with aphasia, neu ...

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I urge you to read about the glymphatic system!

The glymphatic system is thought to be the sewage plumbing of the brain, this have years described but recently has showed importance , since it explains somehow the beta amyloid protein (Parkinson's) ...

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When is the proper moment to operate a lumbar spinal stenosis?

There are many low back pain patients, according to the scientific american in one of its articles, developing countries are on the rise for this disease in particular. It is well known that this path ...

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Isolated 3rd and 4th hemoventricule related to MVA

A young 17 year-old female was brought to ER after trauma, she was unconscious, GCS: E1 V1 M5 8/15, pupils PERRL, no ENT bleeding, no vomiting nor fits. Moving all limbs actively. Breathing spontaneou ...

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Gray subjects in Neurosurgery

A gray subject is when whether doing or not doing there is no statistical difference but for me this is a wider topic than leads to conflicts or dilemmas most of the times, like to be or not to be tha ...

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Quick draw: to immediately drain a traumatic extraxial brain hematoma!

A RTA (UK) or MVA (US) brain injury (TBI) , is a known disease that surpasses many according to the country, in my country many are brain hematomas and in another countries are spinal cord injury the ...

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When you don't have an ICP monitor on an acute SDH evacuation what to do?

Critical patients develop huge oedema after craniectomy from aSDH, there is the stepwise treatment explained by the AANS, but when you don't count with much of these steps, what to do! You need to kno ...

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TBI: a brief history of a treated patient and the outcome

A 24 years old female patient after a crash accident is hospitalized, she had an stable broken leg (ankle), and she was very irritated, with glasgow score : VR:4, OR:4 MR:6, 14/15, the CAT showed an e ...

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