A

Abbreviated Injury Scale 371, 372 Acoustic neuromas 15, 249 bilateral 259 natural history 252 results of surgery 255-8

CSF leakage and meningitis 258 facial nerve 256-7 hearing preservation 257 nervus intermedius function 257-8 quality of life 258 stereotactic radiosurgery 147-9, 258-9 surgery 252-5

intraoperative monitoring 252-3 middle fossa approach 255 retrosigmoid approach 254-5 translabyrinthine approach 253-4 treatment strategies 252 Acromegaly 191, 197 ACTH-producing tumors 193-4 biochemical investigations 193-4 clinical features 193 histology 193 incidence 193 medical treatment 194 radiological investigations 194 Actinomyces israelii 643 Actinomycosis 643 Acupuncture 579 Adenoma clinically non-functioning 195 gonadotrophic 194 growth-hormone-producing 191-2 null cell 195 pituitary 188-91

thyroid-stimulating hormone 194 Aerococcus viridans 439 AIS see Abbreviated Injury Scale Akathisia 608 Albendazole 629 Alcuronium 74 Alfentanil 74 Allodynia 574

Alzheimer's disease 48 Amitriptyline 578, 588 Amyotrophic lateral sclerosis 539 Analgesia 574 Anaplastic astrocytoma 167 Anaplastic oligoastrocytoma 167 Anaplastic oligodendroglioma 167 Anectine apnea 74 Anesthesia dolorosa 574 Aneurysm surgery 81 Aneurysmal bone cysts 523-4 Aneurysmal subarachnoid hemorrhage 25, 93, 315-32 clinical features 318 complications hydrocephalus 327, 430 intracerebral, intraventricular and subdural hemorrhage 328 pulmonary 329 re-hemorrhage 327 seizures 328

vasospasm and delayed ischemic deficit 325-7 volume and electrolyte balance 328-9 distribution 321 endovascular treatment balloon occlusion 324 coiling 324

rate of obliteration 324-5 etiology and pathogenesis 316 eye symptoms and signs 318 grading 319

hemorrhage risk 317-18 ruptured aneurysms 318 unruptured aneurysms 317-18 incidence 315 initial management 322 investigations angiography 320-1 CT 320

CT angiography 321 lumbar puncture 320 MRI 321 morbidity 330-1

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