WELCOME INTRODUCTION NEUROSURGERY

WELCOME


INTRODUCTION


NEUROSURGERY
 It

is a invasive procedure which is used to
treat the neurological disorders


INDICATIONS FOR CRANIAL SURGERY


INCREASED ICP
 Medical management
 Maintain cerebral oxygenation
 De crease ICP
 Cerebral perfusion
 Hyperventilation
 Manitol
 Barbiturates
 Neuromuscular blocking agent



•Surgical management

Burr hole


TEMPORAL LOBECTOMY


Head Injury
 Medical management
 Initial management
 Ongoing management



Burr hole
 Epidural

subdural hematoma evacuation



Craniotomy


Brain tumour
 Medical

management
 Chemotherapy radiation
 Radiation therapy
 Surgical management


biopsy

craniotomy


craniectomy


Stroke
 Medical

management

thrombolytic

antihypertensive

anticoagulant

anti platelet agent
 Surgical management

carotid endarterectomy



carotid revascularisation

AVM
 Medical








management
embolisation
irradiation
gamma knife radio surgery
bragy peak proton beam therapy
Surgical management
craniotomy
hematoma evacuation


 Excision

of abnormal vessels


CEREBRAL ANEURYSM
 Medical

management


Triple H therapy

endovascular coiling
 Surgical management
 Craniotomy
 Aneurysm clipping
 Excision of aneurysm


SEIZURE
 Medical

management

anticonvulscent
 Surgical management
 Cortical resection
 Temporal lobectomy
 Hemispherectomy
 VNS implantation


TERMINOLOGIES
 BURR

HOLES
 CRANIOTOMY
 SUPRATENDORIAL
 CRANIECTOMY
 CRANIOPLASTY

 STEREOTAXIS
 INTRACRANIAL SHUNTING


PRE OPERATIVE CARE
A.
B.
C.
D.
E.

Physiological preparation
Legal preparation
Psychological preparation
Physical preparation
Pharmacological preparation


A. Physiological preparation
Pre operative patient assessment
 Physical examination

head to foot examination

neurological assessment
i.
Comprehensive history
ii.
Neurologic physical examination
iii.

general & specific neuro diagnostic
studies



Physical examination
 Vital

signs
 Mental status
 Orientation
 Memory
 Mood and effect
 Intellectual performance
 Judgement and communication