Neuro Surg Pearls Flashcards
1
Q
Kellie-Monroe Docterine?
A
incremental changes near higher end of pressures has huge implications
2
Q
Cerebral perfusion pressure:
A
MAP-ICP
3
Q
Raised ICP: 3 kinds of hernias
A
Subfalcine: midline shift
Transtentorial: uncus under the tentorius (3rd nerve palsies)
Tonsillar: of the cerebellum through foramen magnum
Coning
4
Q
3rd nerve pupil dilation controlled by?
A
parasympathetics
5
Q
pure third nerve palsy presents?
A
ptosis and down and out
6
Q
cushing’s triad
A
chain stokes breathing
brady cardia
hypertension
7
Q
causes of raised ICP?
A
Cerebral oedema
CSF
Intravascular blood volume
Mass lesion
8
Q
beningn intracranial hypertension likely patient type?
A
overweight women
9
Q
what to do at GCS
A
intubate
10
Q
ICP don’t want higher than?
A
20mmHG
11
Q
yellow CSF from LP is called?
A
xanthochromia
