By Amgad S. Hanna
This publication addresses the critical wisdom deficit in peripheral nerve among neurosurgeons, in spite of the fact that this subject represents a vital part of the oral board exam. The ebook employs a case established technique with the highest-yield situations for oral forums, essentially concentrating on nerve entrapments, trauma and tumors. because of its query and resolution layout, the reader is inspired to contemplate the situations and questions as though taking the true examination sooner than they payment the solutions. The paintings additionally comprises universal pitfalls, a bit on nerve examinations together with video recordings, and a bit on very important medical findings that are meant to be clinically determined from the image. The e-book not just serves neurosurgeons, but additionally plastic surgeons, orthopedists, and neurologists.
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Extra info for Nerve Cases: High Yield Scenarios for Oral and Written Testing
A Fig. 2 Questions 49 Reverse Phalen’s test (Fig. 3): sustained wrist extension reproduces the symptoms.
A B C D E F Fig. 3. (A) The patient is positioned lateral on a beanbag with the right arm abducted and supported. There is no need for monitoring since the plan is to resect the nerve (if the tumor were in the brachial plexus, with a plan to preserve part of the plexus, then monitoring could be useful). The incision is planned to remove the tumor en-bloc with negative margins including an ellipse of skin overlying the tumor. (B) Dissection reveals the long thoracic n entering (1) and exiting (2) the tumor.
This patient has two red flags. The mass probably involves the long thoracic n due to the location, inability to elevate the arm and right scapular winging. 2. MRI of the right brachial plexus. EMG/NCS (optional) looking for neuropathy of the long thoracic n. PET scan (optional) looking for a hot spot. A Fig. 2. (A) T1-weighted axial MRI, showing isointense mass (asterisk) with irregular shape. (B) There is heterogeneous enhancement with contrast. These features also suggest malignancy. 3. Needle biopsy  revealed: malignant peripheral nerve sheath tumor (MPNST).
Nerve Cases: High Yield Scenarios for Oral and Written Testing by Amgad S. Hanna