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H
HEAD TRAUMA – See Traumatic Brain Injury.
HEMATOMA
- A localized collection of blood, usually
clotted, caused by bleeding from a ruptured
blood vessel.
HEMORRHAGE – A sudden and dramatic loss of blood,
either internally or externally, from damaged blood
vessels.
HEMORRHAGIC STROKE - A form of stroke that occurs
when a blood vessel in the brain ruptures or bleeds.
HERNIATED DISC (SLIPPED OR RUPTURED DISC) – The bones (vertebrae)
that form the spine are cushioned by small discs, which act as shock
absorbers for the spine. They are round donut shapes with a tough
outer layer (annulus) that surrounds a jellylike material (nucleus). Thick
ligaments attached to the vertebrae hold the pulpy disc material in place. A
herniated disc is a fragment of the disc nucleus which is pushed into
the spinal canal through a tear or rupture. Discs that herniated
are usually in an early stage or degeneration. The spinal canal
has limited space which is inadequate for the spinal nerve and the displaced
herniated disc fragment. Due to this displacement, the disc presses
on spinal nerves, often producing pain, which may be severe. Herniated
discs are more common in the lower back (lumbar spine), but also occur
in the neck (cervical spine).
HNP (Herniated Nucleus Pulpous) – See Herniated
Disc.
HYDROCEPHALUS - A condition in which excess cerebrospinal
fluid accumulates in the brain. It is often treated
with the surgical placement of a shunt to divert
the fluid from the brain.
HYPERTENSION - High blood pressure.
HYPOTHALAMUS - A collection of specialized nerve
cells at the base of the brain, which controls
the anterior and posterior pituitary secretions.
They are involved in other basic regulatory functions
such as temperature control and attention.
I
IMAGE-GUIDED STEREOTACTIC
SURGERY – Also called Frameless Stereotactic
Surgery. A minimally invasive surgical
technique that uses images to guide the
surgeon to a target within the cranium
- very helpful for the accurate approach
and removal of large brain tumors. Using
an external, three-dimensional frame of
reference (for instance, a combination
of digitizing cameras, motion tracking
software, fiber optic sensing technology
and infrared emitters), the system correlates
live radiographic images to determine tumor
position. Rather than an invasive metal
head or body frame, the patient is fitted
with a custom mesh garment. Fiducial markers
are taped to the scalp before the brain
is imaged, and then the orientation of
these markers is used to register the computer
containing the brain images. The apparatus
senses the position of the surgeon's instruments
in space and indicates the position on
the image displayed on the computer monitor
in real time, as the operation proceeds.
Thus, throughout the procedure, the surgeon
is continuously monitoring the target and
readjusting calibrations to assure that
they are locked on the tumor. The main
advantages with image-guided stereotactic
surgery include: more precision in approach
and navigation, limited surgical exposure,
greater safety, and more complete tumor
removal.
INFLAMMATION - A normal reaction to injury
or disease, which results in swelling,
pain, and stiffness.
INTERBODY FUSION - A bone graft in the
space between discs for the purpose of
fusing two vertebral segments.
INTRACRANIAL PRESSURE (ICP) - The overall
pressure inside the skull. ICP measures
CSF and the brain’s blood supply
in closed intracranial space. Most commonly
due to head injury, a sudden or large increase
in ICP can be life-threatening.
INVASIVE PROCEDURE - An operative procedure, major or minor, usually by cutting or puncturing the skin or by inserting instruments into the body.
IPD (INTRASPINOUS PROCESS DECOMPRESSION) – A minimally invasive surgical procedure for the treatment of spinal cord compression. Under local anesthesia, a titanium implant known as X-Stop® is fitted between the posterior parts of the vertebral body, giving the spinal cord and nerve roots more room. The procedure is not a fusion and preserves most structure and movement.
ISCHEMIA - The inadequate circulation of blood generally due to a blockage of an artery.
ISCHEMIC STROKE – The most common type of stroke (occurs in approximately 85 – 90% of stroke incidences) in which a blood vessel becomes occluded and the blood supply to part of the brain is totally or partially blocked.
J
JOINT - A point of articulation between
two or more bones that allows motion.
JUGULAR
VEIN - The major vein on each side of
the neck, which drains blood from the
head towards the heart.
K
KYPHOSIS - A curve in the spine that
points to the back of the body.
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