Lecture Note PART-A COURSE 12. Brain Disorder & Organ Transplantation MRCS (UK)
MRCS (UK) PART-A COURSE 12. Brain Disorder & Organ Transplantation New Edition: February, 2023 About The DrAcademy The Best Medical Academy for Postgraduate Medical Exams of The Royal Colleges of UK. The DrAcademy [Experienced 12+years] is led by a group of talented doctors from all over the world & managed by a very skillful administrative staff. Our mission is to provide the best quality medical education with a very convenient fees structure to all the doctors who are preparing for MRCP (UK) | MRCS (UK) | MRCOG (UK) | MRCPCH (UK) | FCPS | MD | MS | PLAB & OET. Published by The DrAcademy ! 25/2, Level-3, Green Road, Dhanmondi, Dhaka- 1205, Bangladesh " Web: www.thedracademy.com # Facebook: www.facebook.com/thedracademy ✉ Email:
[email protected] ☎ Hotline: +88 0173355 2110 ☎ Office: +88 0179905 0606 Topics Overview Topic 1 | Head Injuries 1 Topic 2 | Intra Cranial Haemorrhage 5 Topic 3 | Glasgow Coma Scale 11 Topic 4 | Sub Arachnoid Haemorrhage 13 Topic 5 | Cavernous Sinus 14 2 1
Topic 6 | Sub Arachnoid Haemorrhage 16 Topic 7 | Third Nerve Palsy 17 Topic 8 | Visual Field Defects 18 Topic 9 | Head Injury Management- Nice Guidelines 21 Topic 10 | Von Hippel-Lindau Syndrome 23 Topic 11 | Depressed Skull Fracture 24 Topic 12 | Organ Transplantation 25 Topic 13 | Spinal Disorders 26 Topic 14 | Renal Transplant: Hla Typing And Graft Failure 32 Topic 15 | Organ Transplant 33 Topic 16 | Complications following renal transplant 41 Topic 17 | Complications of renal transplantation 44 Topic 18 | Organ Transplantation: Immunosupressants 47 MRCS (UK) PART-A COURSE Brain Disorder & Organ Transplantation Lecture Note Topic 1 | Head Injuries Extradural haematoma Bleeding into the space between the dura mater and the skull. Often results from acceleration-deceleration trauma or a blow to the side of the head. The majority of extradural haematomas occur in the temporal region where skull fractures cause a rupture of the middle meningeal artery. Features • Raised intracranial pressure • Some patients may exhibit a lucid interval Subdural haematoma Bleeding into the outermost meningeal layer. Most commonly occur around the frontal and parietal lobes. May be either acute or chronic. Risk factors include old age and alcoholism. Slower onset of symptoms than a extradural haematoma. Subarachnoid haemorrhage Usually occurs spontaneously in the context of a ruptured cerebral aneurysm but may be seen in association with other injuries when a patient has sustained a traumatic brain injury Question 1.1 A 21 year old man is involved in a road traffic accident. After a transient period of concussion he is found to Rupture of bridging vein Very dangerous Crescent shape Lenticular/biconvex shape hyper dense lesion on => 10-12Questi - 11 100 % Pterion craniotomy it not in option - >ur-hole = associated with PKD , polycys · Ovarian syndrome RX: clipping and sudden , thunderclap headache coiling Marathon runner-> sudden headache--> Unconsciousness- No to Head injury --en
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