Pre Glasgow

Question 1

What tumour volume can you treat with SRS?

Answer 1

Up to 20cc

Question 2

Distinguish Vernet, collet-sicard, villaret

Answer 2

Vernet - jugular foramen (IX, X, XI)
Collet-sicard - condyle Vernet + XII
Villaret - retropharngeal (above lesions + sympathetic lesion)

Question 3

Signs of Cushings

Answer 3

Thin skin
Easy bruising
Hyperpigmentation

Hypertension
Proximal myopathy

Moon facies

Buffalo hump
Centripetal adiposity
Abdomianl striae

Question 4

History things cushings

Answer 4

DM
Depression
Infections
Osteoporosis
Amenorrhoea or impotence

Question 5

What’s Nelson’s syndrome?

Answer 5

Follows bilateral adrenalectomy

• hyperpigmentation
• abnormal ACTH
• progression of pituitary tumour

Question 6

What’s Vivian’s checklist

Answer 6

Chronological order of symptoms (Socrates)
Risk facotrs
System-specific treatment
Ix and treatment to date

Question 7

History Taking?

Answer 7

How old? Handedness? What work?
What brought you to attention of neurosurgeons?
Check
Risk factors
Treatments - procedures, RTX, drugs
Anything not covered - Neurosystems -
Supratentorial - headaches, seizure, visual disturbance
Bulbar - Speech or swallow
Any pain, pins and needles or weakness in face, arms or legs?
Any bladder or bowel disturbance?

PMH
DH
FH
SH - how do you manage at home? Sticks? Carers?