Table 2.
Neuro-oncology | Neurovascular | Spine | Pediatric | Functional | Hydrocephalus | Trauma | Peripheral Nerves | ||
---|---|---|---|---|---|---|---|---|---|
Low acuity surgery | Asymptomatic benign intracranial tumors (e.g., meningioma, schwannoma, pituitary adenoma) | Microvascular decompression of cranial nerves | Degenerative spinal disease (lumbar stenosis, spinal deformity) without neurologic deficits | Deep brain stimulation | Carpal tunnel release Ulnar nerve decompression |
Postpone surgery | |||
Intermediate acuity surgery | Symptomatic benign intracranial tumors Low-grade glioma |
Unruptured aneurysm Arteriovenous malformation | Craniosynostosis Tethered cord Spina bifida occulta Chiari decompression Baclofen pump placement |
Deep brain stimulation for progressive parkinsonism Refractory epilepsy |
Normal-pressure hydrocephalus | Postpone surgery if possible | |||
High acuity surgery | Malignant primary tumors Metastases Benign or low-grade tumors with progressive neurologic deficits Pituitary tumors with cranial nerve deficits, visual impairment or endocrine deficiency Posterior fossa tumors |
Subarachnoid hemorrhage Malignant cerebral artery infarction Space-occupying intracerebral hematoma Arteriovenous malformation hemorrhage Higher-grade dural arteriovenous fistulas Procedures including revascularization in patients with evidence of relevant vascular occlusive disease Unstable aneurysms |
Progressive cervical and thoracic myelopathy Infectious conditions with abscess formation, instability, and compression Unstable or compressive spinal metastases Degenerative spine conditions with acute onset of motor deficits Unstable spinal fractures |
Myelomeningocele | Battery depletion in deep brain stimulation patients Infection of implanted devices |
Progressive increase of intracranial pressure with hydrocephalus Shunt material Infection Shunt dysfunction |
Acute subdural hematoma Acute epidural hematoma Uncontrolled intracranial pressure increase during traumatic brain injury Chronic subdural hematoma with neurologic symptoms |
Malignant peripheral nerve tumors Benign nerve tumors with motor deficits Acute injuries Brachial plexus injury |
Urgency Emergency Do not postpone surgery |