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A medical history and physical examination can be sufficient in clearing the cervical spine. Notable clinical prediction rules to determine which patients need medical imaging are the Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS).
Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty that focuses on the surgical treatment or rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nervous system, and cerebrovascular system. [1]
The outcome of the procedure is identical to an open approach (laparotomy), but the incisions are much smaller allowing for less post-operation pain. Less pain following this surgery allows for a quicker recovery period too; two weeks as opposed to six weeks, on average. [6]
Intraoperative neurophysiological monitoring (IONM) or intraoperative neuromonitoring is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures (e.g., nerves, spinal cord and parts of the brain) during surgery.
Another randomized study compared surgery to sham surgery. 57% of the surgery group experienced complete elimination of migraine headaches, compared on only 4% of the sham surgery group. [33] A separate study examining outcomes found that there was a bimodal distribution (two main outcomes), where approximately >80% of patients saw either at ...
Neurosurgical anesthesiology, [1] neuroanesthesiology, or neurological anesthesiology [2] is a subspecialty of anesthesiology devoted to the total perioperative care of patients before, during, and after neurological surgeries, including surgeries of the central (CNS) and peripheral nervous systems (PNS). The field has undergone extensive ...
Spinal decompression is the main surgical intervention and is the most common back surgery in patients over 65. [1] Other forms of surgical procedures include: laminectomy, microdiscectomy and laminoplasty. [8] [11] Patients with minor symptoms are usually advised to undergo physical therapy, such as stretching and strengthening exercises.
An electroencephalograph (EEG) may help guide the surgical team to determine the optimum depth of anesthesia and prevent high or low doses during the surgical procedure. [6] This approach may reduce the risk of a neuroinflammatory response and/or neurological disturbances including cognitive dysfunction. [6]