Archive for May 2010

The Future of Neurosurgery: A Resident’s Perspective

Change is a reality in all aspects of life and all fields of medicine. Neurosurgery residents are being trained in responsibility and patient care, however, the system itself is changing almost continuously. Understanding these dynamics is crucial to endure a career in medicine. Challenges include the intersection of technology and health care, understanding and modulating the “business” of medicine, and getting control of the medical-legal system.

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Case of a 49-year-old male with a right temporal cystic mass

History

49 y/o right-handed male presents with history of medically controlled seizures for 10 years and progressive visual loss that led to complete blindness for six weeks. History is significant for a right temporal cystoperitoneal shunt seven years prior to presentation, completed at an outside facility. At the time of initial shunting, there was no pathological diagnosis and the lesion was believed to be a benign cyst. Physical exam demonstrated bilaterally dilated and non-reactive pupils and fundoscopic exam showed bilateral papilledema.

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