Treatment of neurosurgical diseases is often time dependent, and early intervention can usually lead to favourable outcomes. The concept of secondary brain injury is now well established. It refers to cerebral damage occurring after the initial insult by effects dependent on and independent of the primary mechanism. There is compelling research that preventing hypoxia, hypotension and seizures and ensuring normal blood sugar and normal temperature reduce secondary brain injury and improve patient outcome. Although the initial research into secondary brain injury was in the setting of trauma, the principles of ensuring normal physiological parameters are applicable to all neurosurgical emergencies. This chapter discusses some of the common neurosurgical emergencies.
KeywordsLumbar Puncture Autosomal Dominant Polycystic Kidney Disease Idiopathic Intracranial Hypertension Aneurysmal Subarachnoid Haemorrhage Pituitary Apoplexy
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