{"title":"Medicine: Emergency","description":"","products":[{"product_id":"models-for-delivering-high-quality-emergency-neurosurgery-in-high-income-countries","title":"Models for Delivering High Quality Emergency Neurosurgery in High Income Countries","description":"\u003cp\u003eEmergency 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.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668795797890,"sku":"9781009366106","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009366106i.jpg?v=1779632172"},{"product_id":"mild-traumatic-brain-injury-including-concussion","title":"Mild Traumatic Brain Injury including Concussion","description":"\u003cp\u003eMost traumatic brain injury (TBI) cases are considered mild. Precise definitions vary, but typically, loss of consciousness and post-traumatic amnesia duration is brief (e.g. \u0026lt;30 minutes and \u0026lt;24 hours respectively), and standard imaging is normal. Prognosis in mild TBI is generally good, but disabling persistent symptoms such as headaches, dizziness, affective and cognitive issues are common. A focussed assessment tailored to each individual symptom is crucial for management. Advanced MRI and blood-based biomarkers of mild TBI are emerging and are likely to play an increasingly important role in the assessment of patients following a head injury.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668797829506,"sku":"9781009380096","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009380096i.jpg?v=1779632421"},{"product_id":"management-of-a-patient-with-a-venous-sinus-thrombosis-with-or-without-an-intracerebral-haematoma","title":"Management of a Patient with a Venous Sinus Thrombosis with or without an Intracerebral Haematoma","description":"\u003cp\u003eCerebral venous sinus thrombosis (CVST) is a serious and potentially life-threatening condition, whose diagnosis is often missed or delayed due to often non-specific presentations. However, if diagnosed and managed appropriately prognosis is generally favourable. This Element covers the common presentations and epidemiology of CVST, progressing through the approach to investigation and management of this condition in the acute, sub-acute and more chronic timeframes.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668797862274,"sku":"9781009380126","price":17.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009380126i.jpg?v=1779632427"},{"product_id":"patient-with-suspected-cauda-equina-syndrome","title":"Patient with Suspected Cauda Equina Syndrome","description":"\u003cp\u003eCauda equina syndrome is the clinical syndrome seen when there is acute compression of the cauda equina nerve roots and is a rare neurosurgical emergency. The approximate incidence in patients presenting with low back pain is 0.27% but delays in investigation and treatment can result in life-changing permanent disability. The best practice for patients presenting with potential cauda equina syndrome is urgent MRI imaging at the presenting hospital to avoid delays in diagnosis. Patients with a positive finding of cauda equina compression should proceed to decompressive surgery to restore the diameter of the spinal canal urgently to reduce the risk of developing a permanent deficit.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668799041922,"sku":"9781009388702","price":17.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009388702i.jpg?v=1779632569"},{"product_id":"cranial-and-spinal-tuberculosis-infections-including-acute-presentations","title":"Cranial and Spinal Tuberculosis Infections including Acute Presentations","description":"\u003cp\u003eCentral 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.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668799107458,"sku":"9781009388733","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009388733i.jpg?v=1779632575"},{"product_id":"spinal-discitis-and-epidural-abscess","title":"Spinal Discitis and Epidural Abscess","description":"\u003cp\u003eSpinal 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.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668805235074,"sku":"9781009409407","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009409407i.jpg?v=1779632910"},{"product_id":"patient-with-acute-thoracic-myelopathy-due-to-degenerative-disease","title":"Patient with Acute Thoracic Myelopathy due to Degenerative Disease","description":"\u003cp\u003eWhilst thoracic myelopathy secondary to degenerative disease is relatively uncommon, left untreated it carries significant morbidity. It is thus of critical importance that patients are correctly diagnosed and managed expediently and effectively. Unfortunately, the management of thoracic myelopathy can be challenging, not least due to the technical difficulty accessing the site of compression and indeed optimum management is also debated. In this Element the authors present background, clinical features, diagnosis, and pitfalls and then a handy management algorithm for this critical neurosurgical condition.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668807659906,"sku":"9781009421546","price":17.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009421546i.jpg?v=1779633226"},{"product_id":"ruptured-supratentorial-cerebral-artery-aneurysm-with-large-intracerebral-haematoma","title":"Ruptured Supratentorial Cerebral Artery Aneurysm with Large Intracerebral Haematoma","description":"\u003cp\u003eThe ruptured aneurysm with an intracerebral haematoma is a commonly encountered neurosurgical emergency. The options for management of this situation have evolved with the changes in neurovascular surgery training and widespread use of endovascular techniques for aneurysm occlusion. This Element will discuss the differences between subarachnoid haemorrhage with or without an intracerebral haematoma including presentation, imaging and outcomes. The authors present their preferred surgical strategy including practical guidance on how to handle difficult situations such as the intra-operative rupture.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668807856514,"sku":"9781009424806","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009424806i.jpg?v=1779633251"},{"product_id":"management-of-moderate-or-severe-traumatic-brain-injury","title":"Management of Moderate or Severe Traumatic Brain Injury","description":"\u003cp\u003eThe management of patients with moderate and severe traumatic brain injury (TBI) is centred on the intensive care management to limit the extent of secondary injury to the brain, following the primary trauma. This management aims to optimise the homeostatic environment of the brain after injury and can be guided by multi-modality monitoring, including intracranial pressure (ICP) monitoring. This management often follows a tiered approach to introducing more aggressive interventions to correct physiology, based on evidence for ongoing secondary injury, such as raised ICP. The balance between risk and benefit for these interventions for individual patients is difficult, particularly in the absence of high quality randomised trials for many interventions in this area. In this Element, the authors outline both the approach to intensive care management of moderate and severe TBI, as well as the evidence base available for the interventions discussed.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668809560450,"sku":"9781009437707","price":17.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009437707i.jpg?v=1779633445"},{"product_id":"spontaneous-intracranial-haemorrhage-caused-by-a-non-aneurysmal-brain-vascular-malformation","title":"Spontaneous Intracranial Haemorrhage Caused by a Non-aneurysmal Brain Vascular Malformation","description":"\u003cp\u003eEmergency management of intracranial haemorrhage due to AVMs, DAVFs, and cavernomas involves addressing both the haemorrhage consequences and the underlying vascular lesion. Clinical evaluation and diagnostic workup identify factors necessitating urgent intervention and define the vascular lesion. Urgent intervention may involve ICH management with increased ICP or CSF drainage for acute hydrocephalus. Definitive intervention for the vascular lesion may coincide with or follow evacuation of the intracranial haematoma. Careful considerations and precautions are taken independently or concurrently with the vascular lesion. Indications and timing for AVM intervention involve determining the bleeding source, evaluating mass effect, and assessing the utility of existing ICH for microsurgical AVM resection. Modified microsurgical techniques ensure safety. DAVF intervention with ICH or ASDH requires urgent endovascular treatment and surgical nuances. Cavernoma intervention follows straightforward indications and timing, while brainstem cavernomas require careful consideration of early intervention. Aftercare and a team approach are vital.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668809789826,"sku":"9781009439374","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009439374i.jpg?v=1779633497"},{"product_id":"acute-spontaneous-posterior-fossa-haemorrhage","title":"Acute Spontaneous Posterior Fossa Haemorrhage","description":"\u003cp\u003eNon-traumatic posterior fossa haemorrhage accounts for approximately 10% of all intracranial haematomas, and 1.5% of all strokes. In the posterior fossa, a small amount of mass effect can have dramatic effects, due to its small volume. This can be due to immediate transmission of pressure to the brainstem, or via occlusion of the aqueduct of Sylvius or compression of the fourth ventricle, leading to acute obstructive hydrocephalus, with the risk of tonsillar herniation. Timely investigations and management are essential to maximise good outcomes. This Element offers a brief overview of posterior fossa haemorrhage. It looks at the anatomy, aetiology, management, and surgical options, with a review of the available evidence to guide practice.\u003c\/p\u003e","brand":"Cambridge University Press Bookshop","offers":[{"title":"Default Title","offer_id":56668812640642,"sku":"9781009456500","price":18.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0475\/2031\/7597\/files\/9781009456500i.jpg?v=1779633850"},{"product_id":"management-of-seizures-in-neurosurgical-practice","title":"Management of Seizures in Neurosurgical Practice","description":"\u003cp\u003eSeizures are a presenting feature of many neurosurgical disorders, and can arise as a result of neurosurgical treatment or its complications. 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