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Series:   Elements in Emergency Neurosurgery

Emergency Scenarios in Functional Neurosurgery

Published online by Cambridge University Press:  23 January 2025

James Manfield  and
Nicholas Park
James Manfield
Affiliation:
John Radcliffe Hospital
Nicholas Park
Affiliation:
Royal Preston Hospital

Summary

Functional Neurosurgery modifies CNS circuits to effect change within or outside the nervous system. Most commonly, Functional procedures are performed to treat movement disorders, chronic pain, spasticity and epilepsy. Whilst regarded as a predominantly elective subspecialty, emergent scenarios are encountered. The combination of their relative rarity couple with the niche nature of the subspecialty may engender anxiety amongst neurosurgery trainees. This Element overviews some more common emergency scenarios which may be encountered comprising suspected malfunction of intra-thecal drug delivery devices, deep brain and spinal cord stimulators. Status Trigeminus and an approach to investigations with a neuromodulation device in situ are also covered.
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Keywords

Functional Neurosurgery emergenciesintrathecal pump malfunctiondeep brain stimulation emergenciesacute trigeminal neuralgianeuromodulation device imaging
Type
Element
Information
Series: Elements in Emergency Neurosurgery
Online ISBN: 9781009439411
Publisher: Cambridge University Press
Print publication: 28 February 2025

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