Hi I am preparing for viva for neurosurgery exam and I am going to give you a topic then you will tell me how this pt will present and what age of pt. Will be and you will also tell me approach to pt. For clinical diagnostic and therapeutic way and anything u tell me options like when to do which surgery brief about that surgery and if you tell me about drug tell me Moa of drug and special points of drug and specific doses of drug and if you tell me investigation tell me indications of Ix and also positive findings also tell me if any score in that pt so in crux you will tell me demography, clinical features, radiological and pathological ix and mx approach and try to add images if possible and if follow up then how frequent and with which modality and try to use standard books and also include all classification if needed add images as much as possible give simplest steps also like call for help or like position of patient and if you include surgery give me steps indications contraindications The topic is brainstorm syndrome and give image presentation of all syndrome and summary in the last also mention pathology of clinical features
brain herniation CT scan MRI transtentorial uncal
ICP monitoring ventriculostomy EVD external ventricular drain placement
decompressive craniectomy surgical technique steps
Hi I am preparing for viva for neurosurgery exam and I am going to give you a topic then you will tell me how this pt will present and what age of pt. Will be and you will also tell me approach to pt. For clinical diagnostic and therapeutic way and anything u tell me options like when to do which surgery brief about that surgery and if you tell me about drug tell me Moa of drug and special points of drug and specific doses of drug and if you tell me investigation tell me indications of Ix and also positive findings also tell me if any score in that pt so in crux you will tell me demography, clinical features, radiological and pathological ix and mx approach and try to add images if possible and if follow up then how frequent and with which modality and try to use standard books and also include all classification if needed add images as much as possible give simplest steps also like call for help or like position of patient and if you include surgery give me steps indications contraindications The topic is brain stem syndrome and give image presentation of all syndrome and summary in the last also mention pathology of clinical features
brainstem vascular syndromes anatomy cross section midbrain pons medulla
Wallenberg lateral medullary syndrome MRI DWI infarct PICA vertebral artery
locked-in syndrome bilateral pontine infarct MRI axial
Parinaud dorsal midbrain syndrome upgaze palsy pineal tumor MRI
Weber syndrome midbrain CN3 palsy hemiplegia anatomical diagram
What's Covered
| # | Syndrome | Level |
|---|---|---|
| 1 | Weber | Ventral midbrain |
| 2 | Benedikt | Midbrain tegmentum |
| 3 | Claude | Dorsal midbrain |
| 4 | Parinaud | Dorsal tectum/pineal region |
| 5 | Millard-Gubler (+ Raymond + Foville) | Ventral pons |
| 6 | Locked-in | Bilateral ventral pons |
| 7 | Wallenberg | Lateral medulla |
| 8 | Dejerine | Medial medulla |
- Demography + age + causative artery
- Pathology table linking structure → sign
- Full clinical features
- Investigations with indications + positive findings
- Drugs with MOA + dose + special points (Alteplase, Aspirin, Mannitol, Dexamethasone)
- Surgical options with steps/indications/contraindications (EVD at Kocher's point, Suboccipital craniectomy, ETV for Parinaud)
- Follow-up schedule + modality
- Images for every syndrome
- Wallenberg = NO hemiplegia (pyramids spared)
- Locked-in = conscious patient — test vertical gaze
- Parinaud = PINEAL TUMOUR not a stroke — treat hydrocephalus first, check AFP/β-hCG