Table Of Contenti
G O O D M A N ’S N EU RO S U RG E RY
O R A L B OA R D R EV I EW
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G OODMAN’S NEUROSURGERY
ORAL B OARD REVIEW
A PRIMER
EDITED BY
Allan D. Levi, MD, PhD, FAANS
PROFESSOR AND CHAIRMAN OF NEUROLOGICAL SURGERY
UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE
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Library of Congress Cataloging-in-Publication Data
Names: Levi, Allan D., 1961–, editor.
Title: Goodman’s neurosurgery oral board review : a primer / edited by Allan D. Levi.
Other titles: Neurosurgery oral board review: a primer
Description: Oxford; New York: Oxford University Press, [2016]
Identifiers: LCCN 2016011859 | ISBN 9780190636937 (pbk.)
Subjects: | MESH: Neurosurgical Procedures | Certification | Problems and Exercises
Classification: LCC RD593 | NLM WL 18.2 | DDC 617.4/80076—dc23
LC record available at http://lccn.loc.gov/2016011859
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CONTENTS
Preface vii 7. Cranial Trauma and ICU Management 61
Acknowledgments ix 8. Pain 75
Contributors xi 9. Epilepsy and Functional Neurosurgery 91
10. Spine 103
1. The ABNS Oral Board Examination 1
11. Peripheral Nerve 119
2. The Goodman Oral Board Course 5
12. Pediatric Neurosurgery 135
3. Thoughts on Techniques in Answering
Oral Board Questions 7 13. Neurology 153
4. Brain Tumors 11 14. Complications 167
5. Vascular Neurosurgery 25
Index 175
6. Endovascular 47
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PREFACE*
ACKNOWLEDGMENT his own surgical discipline and included neurology, inter-
AND DEDICATION TO nal medicine, and general surgery. It was not uncommon
DR. JULIUS GOODMAN to see him with the latest issue of the Annals of Internal
Medicine or the New England Journal of Medicine under
Dr. Julius Goodman was an eminent neurosurgeon who his arm. There were frequent consults between himself and
was completely dedicated to the education and teaching his long- time friend and colleague, Dr. Robert Alonso. His
of medical students, residents, fellows, and faculty, and as areas of interest in neurosurgery included pituitary surgery,
such, he influenced the careers of numerous neurosurgeons. neuro- ophthalmology, trigeminal neuralgia, neurotrauma
Julius completed his BA (‘57) and MD (‘60) degrees at and critical care, and brain tumors. Julius published more
George Washington University, his internship at UCLA, than 50 peer- reviewed papers on topics including pituitary
and his neurosurgical training at Indiana University (‘68). tumors, the natural history of skull base meningiomas, and
He spent his entire neurosurgical career in Indianapolis, tic douloureux. One of his most influential papers was pub-
working primarily at Methodist Hospital, which is cur- lished in the Journal of the American Medical Association*
rently run by Clarian Health, part of the Indiana University and discussed determination of brain death using noninva-
School of Medicine. He served as Clinical Professor of sive isotope angiography.
Neurosurgery from 1986 onward. Julius’s true passion was medical and neuroscience edu-
Dr. Goodman served as a co-f ounder of the Indiana cation, and he received numerous teaching awards dur-
Neurosurgery Group (ING), one of the largest private prac- ing his career, including Teacher of the Year, Methodist
tice groups in North American Neurosurgery. His colleague Hospital, 1971, 1972, and 1979; Teacher of the Year,
and contemporary, Dr. Robert Campbell, former Chairman St. Vincent Hospital, 1976; and a Life Time Teaching
of Neurosurgery at Indiana University, practiced neurosur-
gery for more than 32 years. These two men mentored and
inspired generations of neurosurgeons and paved the way
in creating the Goodman Campbell Brain and Spine group.
The group has one of the largest faculty and case numbers
in the United States. Dr. Goodman was completely dedi-
cated to his profession and never married. He was very close
to his immediate family, including his siblings, nieces, and
nephews. He was generous to his family and partners, and
in the 15 years running the ING, he never lost a partner. He
was truly a great administrator. When he was not practicing
neurosurgery or teaching, he loved to travel and to recount
his adventures across the world. His home was filled with
beautiful artwork and cars that he purchased locally along
his travels.
While performing as a brilliant neurosurgeon (Preface
Figure 1), Julius’s knowledge base extended far beyond
Preface Figure 1 Dr. Goodman reviewing magnetic resonance images.
*Goodman J, Mishkin F, Dyken M. Determination of brain death by isotope angiography. JAMA. 1969;209:1869– 1872.
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Award, Department of Emergency Medicine, Indiana
University School of Medicine, 2001.
Helping neurosurgeons attain the milestone of board
certification was near and dear to the heart of Dr. Goodman.
Recognizing the stress associated with the Oral Board
Examination, which forms part of the American Board
of Neurological Surgery (ABNS) board certification
process, Julius developed the course curriculum that still
exists and forms part of this American Association of
Neurological Surgery (AANS) Oral Board course offer-
ing. The course is highly interactive and covers the entire
practice of neurosurgery by reviewing cases and their man-
agement in all of the neurosurgical subspecialties, includ-
ing neurological disorders that may mimic neurosurgical
conditions. In 2006, in honor of Julius M. Goodman, Preface Figure 2 Dr. Allan D. Levi and Dr. Julius Goodman at the American
MD, the AANS officially renamed the oral boards course Association of Neurological Surgery Oral Board course.
Goodman Oral Board Preparation: Neurosurgery Review
by Case Management (see chapter 2 for full description).
was diagnosed with a large butterfly glioblastoma. After
In expected fashion, Dr. Goodman was “speechless” and
the diagnosis, he preferred not to have adjuvant therapy,
“astonished” following the announcement of the AANS
and he passed peacefully in January 2008. Julius suggested
board course title change to recognize his contribution.
that he wanted his own case shown at the board course.
After 10 years of directing the course, Dr. Goodman
He felt that the management of a 72- year- old man with a
was presented with a plaque commemorating the occa-
malignant glioma was fair game. The case was never pre-
sion (Preface Figure 2). Julius was incredibly humble
sented, but what we really can learn from this is that Julius
and almost painfully shy, not your typical neurosurgeon,
Goodman was a man who had education at the forefront
despite all of his major accomplishments. Unfortunately,
of his mind to the very last minute.
after arriving home from a 3- week trip in India, Julius
vIII • PREfACE
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ACKNOWLEDGMENTS
I dedicate this book to my loving wife Teresa and to Finally, I am indebted to my longtime neurosurgical
our nuclear family— David, Jessica, Julian, and Victor. and neurology colleagues and contributors to Goodman’s
Dr. Julius Goodman is the creator and inspiration for the Neurosurgery Oral Board Review: A Primer. Sharing their
AANS Oral Board course. His confidence and mentorship expertise in the course, and now in the first edition of the
will never be forgotten. text, is an incredible repayment to the neurosurgical profes-
I sincerely thank Linda Alberga for her editorial assis- sion as a whole.
tance with the book chapters and Roberto Suazo for his
assistance with the book figures.
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