Question

After evaluation of patient and necessary test done patients was advised for endaractomy

Answer 1

Neurological diseases are prevalent in the general population, and the neurohospitalist has an important role to play in the preoperative planning for patients with and at risk for developing neurological disease. The neurohospitalist can provide patients and their families as well as anesthesiologists, surgeons, hospitalists, and other providers guidance in particular to the patient’s neurological disease and those he or she is at risk for. Here we present considerations and guidance for the neurohospitalist providing preoperative consultation for the neurological patient with or at risk of disturbances of consciousness, cerebrovascular and carotid disease, epilepsy, neuromuscular disease, and Parkinson disease.


Neurological diseases are common, having a life time prevalence of 6% in the general population though varying widely in individual disease prevalence and incidence.1,2 Neurohospitalists play an important role in the pr-operative assessment of both patients with and those at risk for the development of neurological disease to help ensure best patient outcomes. The following is a discussion of the preoperative evaluation and considerations for patients with or at risk for common neurological diseases, namely disturbances of consciousness, cerebrovascular and carotid disease, epilepsy, neuromuscular disease, and Parkinson disease (PD).