Category: Neurosurgery

GCS

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Q. Best predictor in the GCS

A. Eye opening
B. Motor response
C. Verbal response
D. All

23) B, Motor response

Motor score is the best predictor of neurological outcome.

The m component of the GCS,  is not only linearly related to survival, but preserves almost all the predictive power of the GCS 

BAiley

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Examination of cranial nerves in head injury

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Q) Gaze paresis is seen after head injury? What is responsible for this

a) Facial nerve injury

b) Vestibulo cochlear nerve injury

c) Brain stem dysfunction

d) Optic nerve injury

Answer

Gaze paresis is inability to produce horizontal eye movements in one or both directions. Examination of cranial nerves in head injury is very important to fully assess the extent of injury. Read on for answer

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LE fort’s fracture

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Q) True about Le fort's fracture

a) Type I is pyramidal in shape

b) Type II involves the orbit and fractures the cribriform plate

c) Type III separates the facial alveolus from facial skeleton above it

d) CSF and dural leaks are more common in type II fractures

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