Dr. Hawar Adnan Mykhan M.B.Ch.B., F.I.B.M.S. ( Neurology) 1.
NEUROSURGERY LECTURES Prof. Dr. Ali Al-Shalchy M.B.CH.B F.IC.S M.R.C.S F.R.C.S.
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Transcript of NEUROSURGERY LECTURES Prof. Dr. Ali Al-Shalchy M.B.CH.B F.IC.S M.R.C.S F.R.C.S.
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UNIVERSITY OF BAGHDADCOLLEGE OF MEDICINE
DEPARTMENT OF SURGERY
NEUROSURGERY LECTURES
Prof. Dr. Ali Al-Shalchy
M.B.CH.B F.IC.S M.R.C.S F.R.C.S
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HEAD INJURY
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CLASSIFICATION OF HEAD INJURY (H.I.)
1 -Blunt injuryA-Acceleration injuryB-Decceleration injury
C-Acceleration-Decceleration injury
D-Rotational injury
2-Penetrating injury
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SIGNS OF A H.I.
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CLOSED H.I.
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MECHANISMS OF CLOSED H.I.
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OPEN H.I.
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DAMAGE CAUSED BY H.I.
1-Primary2-Secondary
A-InfectionB-Brain oedema
C-Intracranial hemmorhage (I.C.H.)
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BRAIN INFECTION (ABSCESS)
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NORMAL & OEDAMATOUS BRAIN
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I.C.H.
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MANAGEMENT Of H.I.Investigations
1-Skull X-ray2-CT-Scan
3-MRI4-Angiography, EEG
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CT-SCAN MACHINE
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MRI MACHINE
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MANAGEMENT OF NON COMPLICATED H.I.
-Indications for admission of a patient with H.I: .
1.loss of consciousness2.skull fracture(s)
3.neurological deficit4.medical diseases
5.convulsion following head injury6.persistant headache and vomiting
7.doubtful cases
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Line of management runs in three lines1-ObservationA-Level of consciousnessB-PupilC-Vital signsD-CNS signs (focal signs)
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Level of consciousnessGlascow coma scale
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COMMENT SCORE ASSESSMENT AREA
Best possible score is 15, worst possible
is 3.
4321
Eye Opening (E) -Spontaneous
-To speech - To pain
- None
654321
BEST Motor Response (M) - Obeys commands- Localizes pain- Normal flexion (withdrawal)- Abnormal flexion (decorticate)- Extension (decerebrate) - None (flaccid)
54321
Verbal Response (V)- Oriented- Confused conversation- Inappropriate words- Incomprehensible sounds- None
Glasgow Coma Scale
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MANAGEMENT ACCORDING TO
SEVERITY
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UNEQUAL SIZED PUPILS
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2-Nursing care A-Airway
B-Management of restless patientC-Sphinctor care
D-Skin careE-Feeding
F-Antibiotics
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AIRWAY PIECES
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ENDOTRACHEAL TUBE
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ENDOTRACHEAL INTUBATION
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INTUBATED SEVERELY H.I. PATIENT
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TRACHEOSTOMY
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TRACHEOSTOMY TUBE CARE
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MECHANICAL VENTILATION
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BED SORES (PRESSURE ULCERS)
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TYPES OF NUTRITION
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NG-TUBE
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NG-TUBE
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GASTROSTOMY TUBE
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3-Indications for surgeryA-Simple stiching
B-Open H.I. (Penetrating)C-I.C.H.
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SUTURED SCALP WOUND
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SURGERY FOR A DEPRESSED SKULL FRACTURE (CRANIECTOMY)
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SURGERY FOR AN ACUTE SDH (CRANIOTOMY)
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