The document discusses various types of neurosurgical emergencies and conditions requiring prompt treatment to save lives or prevent irreversible damage. It emphasizes that for conditions like extradural hematoma, subdural hematoma, open depressed fractures, and cerebellar hemorrhage with hydrocephalus, prompt surgery can cure the patient while delay in surgery can lead to death or irreversible brain damage due to the concept of the "golden hour." It also notes that evacuation and decompression of intracerebral hemorrhage can save lives before irreversible brain damage occurs when conservative treatment fails. Angiography, clipping or coiling of cerebral aneurysms before another bleed can also save lives. Early surgery for spinal tumors and

1. LIFE SAVING
NEUROSURGERY
DR AMIT KUMAR GHOSH
CONSULTANT NEUROSURGEON

2. Acute Extradural Hematoma--- Neurosurgical
emergency
Treatment
delayed=treatment
Denied ( Concept of
golden hour)
Prompt surgery= cure
Delay in surgery=death
(Irreversible brain
damage)

3. Acute or Acute-on-Chronic Subdural
hematoma
Treatment
delayed=treatment
Denied ( Concept of
golden hour)
Prompt surgery= cure
Delay in surgery=death
(Irreversible brain
damage)

4. OPEN DEPRESSED FRACTURE
RISK OF
MENINGITIS
WOUND
DEBRIDEMENT
AND REPAIR AS
EARLY AS
POSSIBLE

5. CEREBELLAR HEMORRGAGE WITH
HYDROCECHALUS
URGENT
CSF
DRAINAGE
AND
POSTERIO
R FOSSAE
DECOMPR
ESSION
CAN SAVE
LIFE

6. OPEN
DISPLACED
FRACTURE
DEBRIDEMENT AND SKULL
RECONSTRUCTION

7. INTRACEREBRAL HEMORRHAGE
EVACUATION AND DECOMPRESSION CAN
SAVE LIFE BERORE IRREVERSIBLE BRAIN
DAMAGE OCCURS WHEN CONSERVATIVE
TREATMENT FAILS AND PETIENT
DETERIORATES PROGRESSIVELY

8. BASAL GANGLIA HEMATOMA
COMMON THOUGHT –LOST CASE
PRE-OP POST-OP

9. INTRACEREBRAL HEMORRHAGE
EVACUATION AND DECOMPRESSION CAN SAVE
LIFE BERORE IRREVERSIBLE BRAIN DAMAGE
OCCURS WHEN CONSERVATIVE TREATMENT
FAILS AND PETIENT DETERIORATES
PROGRESSIVELY

10. CEREBRAL ANEURYSMS WITH ICH
AND SUBARACHNOID HEMORRHAGE
MUST DO AN ANGIOGRAPHY(DSA)
CLIPPING OR COILLING BEFORE
ANOTHER BLEED CAN SAVE LIFE

11. CEREBRAL
ANEURYSMS WITH
ICH
AND
SUBARACHNOID
HEMORRHAGE
MUST DO AN
ANGIOGRAPHY(DSA)
CLIPPING OR COILLING
BEFORE ANOTHER BLEED
CAN SAVE LIFE

12. CEREBRAL ANEURYSMS
WITH ICH
AND SUBARACHNOID
HEMORRHAGE
COMMON THOUGHT----NOT
POSSIBLE IN SILIGURI.
PATIENT HAS TO GO
CHENNEI,DELHI,VELLORE etc.
THEY SOMETIMES DIE ON THEIR WAY TO DELHI/ELSEWHERE

13. BRAIN TUMOURS

14. BRAIN TUMOURS
TRIGONAL TUMOUR

15. OLFACTORY GROOVE
MENINGIOMA

16. CRANIOPHARYNGIOMA

17. PREPONTINE EPIDERMOID

18. CAVERNOMA

19. CEREBELLAR TUMOUR
PARIETAL TUMOUR

20. MENINGIOMA

21. SPINAL TUMOUR—L1

22. SPINAL TUMOUR--
CERVICAL

23. CERVICAL INTRAMEDULLARY TUMOUR WITH
SYRINX

24. LUMBAR DISC PROLAPSE CAUSING
SCIATICA OR CAUDA EQUINA
SYNDROME

25. SPINAL TUMOUR
EARLY
SURGERY
CAN
PREVENT
PARALYSIS
OR
SURGERY
CAN
REVERSE
PARALYSIS

26. SPINAL TRAUMA/FIXATIONS

27. MENINGO-MYELOCELE( CONGENITAL)

28. CERVICAL CORPECTOMY AND FIXATIONS
IN SPONDYLOTIC MYELOPATHY

29. SPONDYLOLISTHESIS
FIXATION

30. HYDROCECHALUS
VENTRICULO-PERITONEAL SHUNT

31. SPINAL TB WITH
CORD
COMPRESSION
AND
PARAPLEGIA

32. VETEBRAL LESION WITH COLLAPSE
AND CORD COMPRESSION
( TB/METASTASIS/etc)

33. THANK YOU