ABNS Neurological Surgery case studies
ABNS Neurological Surgery · Put your knowledge to work in context.
The American Board of Neurological Surgery (ABNS) certification is the specialty board credential for neurosurgeons who have completed accredited residency training and want to demonstrate that they meet the profession's standard for independent practice. Candidates typically pursue it after residency, often alongside or after the oral examination sequence, and maintain it through continuing certification. The ABNS Neurological Surgery case studies are 5 cases and about 2,361 words.
1Anticoagulation Reversal and Surgical Timing in a Patient with Recent GI Bleed and Acute Subdural Hematoma
A 72-year-old man on apixaban 5 mg twice daily for atrial fibrillation presents with a 6-hour history of progressive confusion and left hemiparesis. CT shows a right acute subdural hematoma (SDH) 12 mm thick with 8 mm midline shift.
500 words, about 3 min2Management of a Ruptured Middle Cerebral Artery Aneurysm with Concomitant Acute Subdural Hematoma and Poor-Grade Presentation
A 55-year-old woman presents with sudden-onset severe headache and loss of consciousness. On arrival, she is intubated, opens eyes to pain, and localizes with the right arm (GCS 7).
472 words, about 2 min3Extent of Resection and Intraoperative Decision-Making in a Low-Grade Glioma Involving Eloquent Cortex
A 38-year-old right-handed man presents with a first-time seizure. MRI shows a non-enhancing, T2-hyperintense lesion in the left frontal lobe, 4 cm in diameter, with mild mass effect and no midline shift.
458 words, about 2 min4Timing of Surgery for a Thoracolumbar Burst Fracture with Incomplete Spinal Cord Injury and Comorbidities
A 45-year-old man falls from a ladder and sustains a T12 burst fracture with retropulsion and 50% canal compromise. Neurologic exam shows incomplete spinal cord injury (ASIA B) with spared sacral sensation but no motor function below L1.
486 words, about 2 min5Management of a Chiari II Malformation with Stridor and Apnea in an Infant with Myelomeningocele
A 3-month-old infant with a history of myelomeningocele repaired at birth and a ventriculoperitoneal (VP) shunt placed for hydrocephalus presents with new-onset stridor, apnea, and feeding difficulties. MRI shows a Chiari II malformation with a small posterior fossa, herniation of the cerebellar tonsils to C3, and a syrinx from C2 to T4.
445 words, about 2 min