Andrew Jea, MD, FAANS— The Case: A 17-year-old girl with no significant past medical history presents to the emergency room with acute onset headache and lethargy. There is no antecedent history of trauma. Her review of systems, and family and social history are non-contributory. On examination, the patient is hypertensive and mildly bradycardic. She is drowsy, but arousable. She is confused to person, place and time. She prefers to keep her eyes closed. Pupils are equal and reactive. Ocular movements are intact. She follows commands and has normal strength in all extremities. Imaging with a CT scan shows a moderate amount of intraventricular hemorrhage, predominantly on the right side, with associated ventriculomegaly. Based on the CT scan, the patient was taken to the operating room for placement of an external ventricular drain. How would you treat this patient?
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Archived Survey Results
Frameless radiosurgery is:
- Minimally invasive neurosurgery, and I practice it. (74%, 28 Votes)
- A form of radiation oncology, and I don’t practice it. (26%, 10 Votes)
Total Voters: 38
When it comes to the performance of spine surgery in the United States, is it your personal view that:
- Too much is performed. (74%, 35 Votes)
- More could be performed to help patients. (19%, 9 Votes)
- The appropriate amount is conducted. (7%, 3 Votes)
Total Voters: 47
Before performing surgery for pain relief, it is important to ask the patient to describe the minimum level of pain improvement after surgery that he or she would consider acceptable.
- Strongly Agree (61%, 20 Votes)
- Agree (33%, 11 Votes)
- Disagree (6%, 2 Votes)
- Strongly Disagree (0%, 0 Votes)
Total Voters: 33
I would recommend that medical students choose neurosurgery as their profession because over the course of a career it offers (please select all that apply):
- Continual intellectual challenge. (73%, 69 Votes)
- Opportunities to improve the lives of patients. (61%, 57 Votes)
- High degree of personal satisfaction. (52%, 49 Votes)
- High degree of decision-making control. (35%, 33 Votes)
- Opportunities for professional growth. (34%, 32 Votes)
- Financial security. (32%, 30 Votes)
- I wouldn't recommend neurosurgery. (16%, 15 Votes)
- Favorable life-work balance. (7%, 7 Votes)
Total Voters: 94
My own or my practice's use of social networking software in the next 12 months will include the following areas (please select all that apply):
- None (48%, 46 Votes)
- Facebook (35%, 33 Votes)
- YouTube (23%, 22 Votes)
- Blogs (text or video) (20%, 19 Votes)
- Twitter (17%, 16 Votes)
- Sermo (9%, 9 Votes)
- Other (3%, 3 Votes)
Total Voters: 95