70 y.o. female w/ forehead swelling that grew over 2 years and caused progressive proptosis and loss of vision (Will provide Reference, patient consented). Etiology may surprise you. #neurosurgery#ent
Mass effect on brain but contents similar attenuation on CT to brain parenchyma
Hint: Slow growth, bony structures w/ thinning and no destruction, no enhancement, homogenous nature, and no vascularity.
Giant frontal mucocele occur due to obstruction of the ostium sinus from inflammation, trauma, mass lesion. They can grow into cranial space & cause meningitis. Dislocated posterior frontal sinus wall fractures can cause. ncbi.nlm.nih.gov/pmc/articles/P…
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Unfortunate young male who was assulted presents to the ED alert and oriented, with a headache & nausea, and fixed & dilated right pupil. What are your next steps? #trauma#foreignbody#Neurosurgery
Any penetrating cranial injury, I suggest CTA. One can suffer a direct or indirect vascular injury.
Young man had a fall from construction scaffold and presented with a twisted steel bar in his head. Thoughts and Plans? #neurosurgery#trauma#neurotwitter
Neuro exam was normal except for a fixed and dilated left pupil. Credit: Luo and Fei.
CTA - good news… no vascular injuries. Doctor, do you want any other specialties in the OR with you?
This… is why I became a #neurosurgeon and what rehabilitative specialties love to do.
Source: ESPN. The key of spine surgery and rehabilitative efforts is collaborating with our patients to achieve functional independence in the presence and in the absence of any neurological recovery.
I look forward to further advances and applications of brain computer interface, spinal cord stimulation, neural prosthesis, exoskeletons, nerve transfers, and things we don’t know of yet… for assisting patients with spinal cord injuries.