Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Neurology

Diagnosis and medical treatment of diseases and abnormalities affecting the nervous system.



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Consult - Seizures - 1
Cerebral palsy, worsening seizures. A pleasant 43-year-old female with past medical history of CP since birth, seizure disorder, complex partial seizure with secondary generalization and on top of generalized epilepsy, hypertension, dyslipidemia, and obesity.

Craniopharyngioma - Postop
Postoperative visit for craniopharyngioma with residual disease. According to him, he is doing well, back at school without any difficulties. He has some occasional headaches and tinnitus, but his vision is much improved.

Craniotomy - Biparietal
Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.

Craniotomy - Burr Hole
Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain.

Craniotomy - Frontotemporal
Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.

Craniotomy - Frontotemporal - 1
Acute left subdural hematoma. Left frontal temporal craniotomy for evacuation of acute subdural hematoma. CT imaging reveals an acute left subdural hematoma, which is hemispheric.

Craniotomy - Occipital
Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.

Craniotomy - Retrosigmoid
Left retrosigmoid craniotomy and excision of acoustic neuroma.

Craniotomy - Temporal
Left temporal craniotomy and removal of brain tumor.

Craniotomy & Neuronavigation
Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples