Neurosurgery Board Review: Questions and Answers for Self-Assessment

434 Pages·2015·14.06 MB·English

by  Cargill H. Alleyne

Neurosurgery Board Review
Questions and Answers for Self-Assessment
Third Edition
Cargill H. Alleyne Jr., MD
Professor and Marshall Allen Distinguished Chairman
Residency Program Director
Department of Neurosurgery
Medical College of Georgia at Georgia Regents University
Augusta, Georgia
M. Neil Woodall, MD
Chief Resident
Department of Neurosurgery
Medical College of Georgia at Georgia Regents University
Augusta, Georgia
Jonathan Stuart Citow, MD, FACS
Chief of Neurosurgery
Advocate Condell Medical Center
Libertyville, Illinois
Assistant Clinical Professor of Neurosurgery
Rosalind Franklin University Medical School
North Chicago, Illinois
and
President of the American Center for Spine and Neurosurgery
Libertyville, Illinois
268 illustrations
Thieme
New York · Stuttgart · Delhi · Rio de Janeiro
Executive Editor: Timothy Y. Hiscock Important note: Medicine is an ever-changing science
Associate Managing Editor: Kenneth Schubach undergoing continual development. Research and
Managing Editor: Elizabeth Palumbo clinical experience are continually expanding our
Director, Editorial Services: Mary Jo Casey knowledge, in particular our knowledge of proper treat-
Production Editor: Heidi Grauel ment and drug therapy. Insofar as this book mentions
International Production Director: Andreas Schabert any dosage or application, readers may rest assured that
Vice President, Editorial and E-Product Development: the authors, editors, and publishers have made every
Vera Spillner e ort to ensure that such references are in accordance
International Marketing Director: Fiona Henderson with the state of knowledge at the time of produc-
International Sales Director: Louisa Turrell tion of the book.
Director of Sales, North America: Mike Roseman
Senior Vice President and Chief Operating O cer: Nevertheless, this does not involve, imply, or express
Sarah Vanderbilt any guarantee or responsibility on the part of the
President: Brian D. Scanlan publishers in respect to any dosage instructions and
forms of applications stated in the book. Every user is
Library of Congress Cataloging-in-Publication Data requested to examine carefully the manufacturers’
lea ets accompanying each drug and to check, if
Alleyne, Cargill H., author. necessary in consultation with a physician or specialist,
Neurosurgery board review : questions and answers whether the dosage schedules mentioned therein or
for self-assessment / Cargill Alleyne, M. Neil Woodall, the contraindications stated by the manufacturers
Jonathan Citow. — Third edition. di er from the statements made in the present book.
p. ; cm. Such examination is particularly important with drugs
Includes bibliographical references and index. that are either rarely used or have been newly released
ISBN 978-1-62623-104-7 — ISBN 978-1-62623-105-4 on the market. Every dosage schedule or every form
I. Woodall, M. Neil, author. II. Citow, Jonathan Stuart, of application used is entirely at the user’s own risk
author. III. Title. and responsibility. The authors and publishers request
[DNLM: 1. Neurosurgery—Examination Questions. WL 18.2] every user to report to the publishers any discrepancies
RD593 or inaccuracies noticed. If errors in this work are found
617.4'80076—dc23 2015028124 after publication, errata will be posted at www.thieme.
com on the product description page.
Some of the product names, patents, and registered
designs referred to in this book are in fact registered
trademarks or proprietary names even though speci c
reference to this fact is not always made in the text.
Therefore, the appearance of a name without designation
as proprietary is not to be construed as a representation
by the publisher that it is in the public domain.
Copyright © 2016 Thieme Medical Publishers, Inc.
Thieme Publishers New York
333 Seventh Avenue, New York, NY 10001 USA
1 800 782 3488, [email protected]
Thieme Publishers Stuttgart
Rüdigerstrasse 14, 70469 Stuttgart, Germany
1 49 [0]711 8931 421, [email protected]
Thieme Publishers Delhi
A-12, Second Floor, Sector-2, Noida-201301
Uttar Pradesh, India
1 91 120 45 566 00, [email protected]
Thieme Publishers Rio de Janeiro, Thieme Publicações Ltda.
Edifício Rodolpho de Paoli, 25º andar
Av. Nilo Peçanha, 50 – Sala 2508
Rio de Janeiro 20020-906 Brasil
[phone]
Cover design: Thieme Publishing Group
Typesetting by: Grauel Group This book, including all parts thereof, is legally protected
Printed in the United States by Sheridan Books, Inc. 5 4 3 2 1 by copyright. Any use, exploitation, or commercialization
outside the narrow limits set by copyright legislation,
ISBN 978-1-62623-104-7 without the publisher’s consent, is illegal and liable
to prosecution. This applies in particular to photostat
Also available as an e-book: reproduction, copying, mimeographing, preparation of
eISBN 978-1-62623-105-4 micro lms, and electronic data processing and storage.
This book is dedicated to my wife, Audrey, and children, Nathan and Nicole, whose love
and support keep me grounded; my parents, Cargill Sr. and Linnette, and sister, Carlin,
who taught me the meaning of family; and to the many residents with whom I have
worked over the years.
Cargill H. Alleyne Jr., MD
To my wife, Anneliese, my son, Art, and my parents, James and Linda, for their uncon-
ditional love and support.
M. Neil Woodall, MD
This book is dedicated to my three most interesting children, Benjamin Joseph, Emma
Caroline, and Harrison Atticus Chamberlain. Hopefully when you each join the clan of
neurosurgeons (no pressure there...), you will correct any inaccuracies we have made
here in this text, just as you are so wont to do with anything I touch at home.
Jonathan S. Citow, MD
v

Co nte nts
Foreword to the Third Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Foreword to the Second Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x
Preface to the Third Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Preface to the Second Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii
Preface to the First Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii
1A. Neurosurgery – 4C. Neurobiology –
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Answers and
Explanations . . . . . . . . . . . . . . . . . . . . . . .189
1B. Neurosurgery –
Answer Key . . . . . . . . . . . . . . . . . . . . . . . . .25 5A. Neuropathology –
Questions . . . . . . . . . . . . . . . . . . . . . . . . . .207
1C. Neurosurgery –
Answers and 5B. Neuropathology –
Explanations . . . . . . . . . . . . . . . . . . . . . . . .28 Answer Key . . . . . . . . . . . . . . . . . . . . . . . .248
2A. Clinical Neurology – 5C. Neuropathology –
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Answers and
Explanations . . . . . . . . . . . . . . . . . . . . . . .251
2B. Clinical Neurology –
Answer Key . . . . . . . . . . . . . . . . . . . . . . . . .80 6A. Neuroradiology –
Questions . . . . . . . . . . . . . . . . . . . . . . . . . .294
2C. Clinical Neurology –
Answers and 6B. Neuroradiology –
Explanations . . . . . . . . . . . . . . . . . . . . . . . .84 Answer Key . . . . . . . . . . . . . . . . . . . . . . . .330
3A. Neuroanatomy – 6C. Neuroradiology –
Questions . . . . . . . . . . . . . . . . . . . . . . . . . .110 Answers and
Explanations . . . . . . . . . . . . . . . . . . . . . . .332
3B. Neuroanatomy –
Answer Key . . . . . . . . . . . . . . . . . . . . . . . .136 7A. Clinical Skills/Critical
Care – Questions . . . . . . . . . . . . . . . . . . .368
3C. Neuroanatomy –
Answers and 7B. Clinical Skills/Critical
Explanations . . . . . . . . . . . . . . . . . . . . . . .140 Care – Answer Key . . . . . . . . . . . . . . . . . .382
4A. Neurobiology – 7C. Clinical Skills/Critical
Questions . . . . . . . . . . . . . . . . . . . . . . . . . .169 Care – Answers and
Explanations . . . . . . . . . . . . . . . . . . . . . . .385
4B. Neurobiology –
Answer Key . . . . . . . . . . . . . . . . . . . . . . . .186 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403