Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Boissaud-Cooke, Matthew A.; Broekman, Marike; van Dijck, Jeroen; Lee, Marco; Grundy, Paul

doi:10.1017/9781009366113

2024

DOI: 10.1017/9781009366113

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Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Matthew A. Boissaud-Cooke,

Marike Broekman,

Jeroen van Dijck

et al.

Abstract: Emergency neurosurgery encompasses serious and high-risk cranial and spinal conditions across all ages. The authors provide an overview of the changes occurring within emergency surgery to meet the challenges provided from unscheduled care. Considering the wider landscape of emergency surgery provides a context for the changes occurring within emergency neurosurgery. The delivery of emergency neurosurgery within the UK, the Republic of Ireland, the Netherlands, and the United States of America (USA) is then de… Show more

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Cited by 9 publications

References 34 publications

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Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Boissaud-Cooke,

Broekman,

van Dijck

et al. 2024

View full text Add to dashboard Cite

Emergency neurosurgery encompasses serious and high-risk cranial and spinal conditions across all ages. The authors provide an overview of the changes occurring within emergency surgery to meet the challenges provided from unscheduled care. Considering the wider landscape of emergency surgery provides a context for the changes occurring within emergency neurosurgery. The delivery of emergency neurosurgery within the UK, the Republic of Ireland, the Netherlands, and the United States of America (USA) is then described to provide an overview of different models of care.

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Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Boissaud-Cooke,

Broekman,

van Dijck

et al. 2024

View full text Add to dashboard Cite

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Cranial and Spinal Tuberculosis Infections including Acute Presentations

Shetty,

Bhatt

2024

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Central nervous system, affliction, although rare, represents one of the most severe extra-pulmonary manifestations of tuberculosis, potentially leading to substantial morbidity and mortality if not promptly addressed. Cranial tuberculosis can manifest in various forms, including tuberculomas, encephalitis, abscesses, and meningitis, with the latter being the most critical and carrying a poor prognosis if left untreated. Spinal tuberculosis, accounting for approximately 50% of musculoskeletal TB cases, can present with a spectrum of symptoms, ranging from simple back pain to more severe neurological deficits such as weakness and deformity. Anti-tuberculosis medications remain the cornerstone of treatment, and this Element offers an algorithmic approach to managing referrals of suspected tuberculosis, incorporating pertinent clinical information to facilitate effective decision-making.

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Spinal Discitis and Epidural Abscess

Veljanoski,

Bhatt

2024

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Spinal infections (SIs) are rare conditions affecting the intervertebral disc, vertebral body and/or adjacent spinal tissues. The lumbar region is most commonly involved, followed by the thoracic and cervical regions. Patients present with varied, non-specific clinical features leading to diagnostic and treatment delays. Clinicians need to have a low threshold to suspect SI. In this Element, two real-life cases of patients with SIs will be presented first. Core knowledge will be reviewed next, followed by diagnostic pitfalls and clinical pearls. Finally, the 'typical' clinical workflow for a patient with SI will be presented and the various treatment options will be explored.

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Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Cited by 9 publications

References 34 publications

Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Cranial and Spinal Tuberculosis Infections including Acute Presentations

Spinal Discitis and Epidural Abscess

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