ABNS Neurological Surgery study plan
ABNS Neurological Surgery · Give each week a clear focus.
8 weeks · About 7 hours per week
Spine and Peripheral Nerve Surgery & Neurotrauma and Critical Care
Build a one-page decision algorithm for cervical and thoracolumbar trauma (SLIC, TLICS, AOSpine) and recite it from memory
List the indications, contraindications, and complication profiles for anterior cervical, posterior cervical, and lateral/posterolateral approaches
Differentiate upper versus lower cervical spine injury patterns and state the ligamentous structures disrupted in each
Draft a TBI management checklist covering ICP thresholds, hyperosmolar therapy, and sedation weaning
Your checkpoint
A two-page handwritten trauma/spine algorithm sheet with no external references used during self-testing
Spine and Peripheral Nerve Surgery & Cerebrovascular Surgery
Compare decompression alone versus fusion for degenerative spondylolisthesis and lumbar stenosis using the key trial evidence
Map the vascular supply of the spinal cord and predict deficit levels for each radicular artery territory
Outline the workup and treatment ladder for subarachnoid hemorrhage from presentation to securing the aneurysm
State Hunt-Hess, WFNS, and modified Fisher grading criteria from memory
Your checkpoint
A 20-item self-quiz on spine and cerebrovascular topics scored to at least 80% with missed items logged
Cerebrovascular Surgery & Neurocritical Care and Neuroanesthesia
Classify intracranial aneurysms by location and describe clipping versus coiling selection factors for each
Explain AVM grading (Spetzler-Martin) and the rationale for each treatment modality
Build a vasospasm and delayed cerebral ischemia protocol including monitoring triggers and triple-H caveats
List the physiologic targets for neuroanesthesia in elevated ICP and in cerebral ischemia
Your checkpoint
A written cerebrovascular case discussion of three hypothetical aneurysm scenarios with management rationale for each
Neuro-oncology & Neuroradiology and Neurodiagnostics
Differentiate the imaging features and management of the major adult intra-axial and extra-axial tumors
State WHO grading principles and molecular markers relevant to glioma prognosis
Interpret CT and MRI patterns of hemorrhage, edema, and herniation syndromes
Describe the role and limitations of perfusion imaging, MR spectroscopy, and PET in tumor workup
Your checkpoint
A tumor imaging correlation table (tumor type to imaging signature to management) built from memory and then verified
Neuro-oncology & Skull Base and Cranial Nerve Disorders
Outline surgical corridors to the anterior, middle, and posterior skull base and name the at-risk cranial nerves for each
Map cranial nerve syndromes to anatomic localization and to likely pathology
Describe the management of pituitary adenoma, vestibular schwannoma, and meningioma including observation criteria
Explain the principles of radiation therapy, radiosurgery, and chemotherapy in neuro-oncology
Your checkpoint
A cranial nerve localization flowchart plus a 15-question self-quiz on skull base and oncology scored and reviewed
Pediatric Neurosurgery & Epilepsy Surgery
Compare treatment options for pediatric hydrocephalus including shunt versus endoscopic third ventriculostomy selection
Outline the workup and surgical timing for craniosynostosis, myelomeningocele, and Chiari malformation
Describe the presurgical evaluation for epilepsy including semiology, video-EEG, and imaging concordance
Compare resective, ablative, disconnection, and neuromodulation strategies for drug-resistant epilepsy
Your checkpoint
A pediatric and epilepsy case set of 10 vignettes with written answers and self-scoring
Functional and Stereotactic Neurosurgery & Hydrocephalus and CSF Disorders
Explain targeting principles and complication avoidance for deep brain stimulation in Parkinson disease, essential tremor, and dystonia
Describe indications and outcomes for trigeminal neuralgia procedures including percutaneous options, radiosurgery, and microvascular decompression
Differentiate communicating versus noncommunicating hydrocephalus and normal pressure hydrocephalus workup criteria
Outline shunt valve types, programmable valve management, and shunt malfunction evaluation
Your checkpoint
A functional and hydrocephalus decision summary plus a 15-item quiz with rationale for each answer
Basic and Clinical Neuroscience & Neurotrauma and Critical Care & Neurocritical Care and Neuroanesthesia
Review neurophysiology of cerebral blood flow, autoregulation, and the Monro-Kellie doctrine and apply them to ICU scenarios
Rehearse high-yield neurotrauma and neurocritical care management pathways under timed conditions
Consolidate peripheral nerve and spine topics not yet covered including entrapment syndromes and nerve injury classification
Complete a full-length mixed-topic self-assessment and categorize every missed item by domain
Your checkpoint
A domain-by-domain error log from a full mixed self-assessment with a remediation list for weak areas
Milestones
Week 2: Complete the spine and cerebrovascular self-quiz with at least 80% and a written log of every missed concept
Week 4: Recite the tumor imaging correlation table from memory with no more than two errors
Week 6: Score at least 75% on the pediatric and epilepsy vignette set and identify the two weakest subtopics
Week 8: Finish the full mixed self-assessment and produce an error log covering all 12 domains