Semin intervent Radiol 2013; 30(03): 240-244
DOI: 10.1055/s-0033-1353476
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Fundamentals of the Neurologic Examination for Patients Undergoing Central Nervous System Interventional Procedures

Heather S. Spader
1   Department of Neurosurgery, Warren Alpert School of Medicine, Brown University
,
Jonathon A. Grossberg
1   Department of Neurosurgery, Warren Alpert School of Medicine, Brown University
,
Richard A. Haas
2   Division of Interventional Radiology, Department of Diagnostic Imaging, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
,
Gregory M. Soares
2   Division of Interventional Radiology, Department of Diagnostic Imaging, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
› Author Affiliations
Further Information

Publication History

Publication Date:
13 September 2013 (online)

Abstract

The basic neurologic history and exam for the interventional radiologist performing intracranial procedures need not be exhaustive and will not supplant that by neurologic specialist. It should include a pertinent history, focused neurologic exam, and a brief physical exam. The interventional radiologist should be familiar with the grading scales commonly used for patients with intracranial pathology to understand the severity and prognosis of various pathologies. The goal of the examination is to mitigate risk, direct the evaluation, aid in medical decision making, and allow the establishment of an appropriate physician–patient relationship.

 
  • References

  • 1 Wiebers DO, Whisnant JP, Huston III J , et al; International Study of Unruptured Intracranial Aneurysms Investigators. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 2003; 362 (9378) 103-110
  • 2 International Study of Unruptured Intracranial Aneurysms Investigators. Unruptured intracranial aneurysms—risk of rupture and risks of surgical intervention. N Engl J Med 1998; 339 (24) 1725-1733
  • 3 Hunt WE, Hess RM. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 1968; 28 (1) 14-20
  • 4 Black PM, Rossitch E. Neurosurgery: An Introductory Text. New York: Oxford University Press; 1995
  • 5 Greenberg MS. Handbook of Neurosurgery. New York, NY: Thieme; 2010
  • 6 Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974; 2 (7872) 81-84