Question: Read The Case Studies (below) From The Textbook Chapter Indicated. Chapter 24 Initial Case Study A 10-year-old Female Patient Arrives In The Emergency Department After Falling From A Playground Slide And Injuring Her Head. She Lost Consciousness At The Scene But Is Awake On Arrival To The ED. She Complains Of Nausea And Left-sided Headache But Responds …

Chapter 24 Initial Case Study

A 10-year-old female patient arrives in the emergency departmentafter falling from a playground slide and injuring her head. Shelost consciousness at the scene but is awake on arrival to the ED.She complains of nausea and left-sided headache but responds toverbal commands appropriately. The neurosurgeon is called in toexamine the patient. During the examination she loses consciousnessagain, becomes hypertensive and bradycardic. Her left pupil is nowfixed and dilated. The surgeon calls the OR to set up for anemergency procedure.

1. What is the suspected diagnosis?
2. Why was an emergency procedure ordered?
3. What is the procedure that will be performed?
4. What is the long-term prognosis for the patient?

Chapter 24 End Case Study

A 33-year-old male patient visits his primary care physiciancomplaining of right buttock and right leg pain with no knowninjury. He is employed as a long-haul truck driver and is healthy.Upon examination by a neurosurgeon, the patient exhibits a normalrange of motion except when raising his right leg that causes sharppain. The surgeon orders an MRI that shows an L4-L5 herniated disc.The patient is scheduled for a lumbar discectomy.

1. Discuss the differences between a laminectomy and adiscectomy.
2. What instruments and/or special equipment will be used during adiscectomy?
3. What are the possible complications associated with surgery onthe lumbar spine?