Abstract
BACKGROUND: Neurosurgeons often face life-and-death decisions that may present serious ethical questions. Some of the most challenging situations arise when members of the care team disagree regarding the most appropriate management plan. CASE DESCRIPTION: We present the case of an older woman with a subdural hematoma and postoperative seizures resulting in prolonged neurological decline. This case highlights an ethical dilemma as part of a series of cases that will be described in coming issues of SNI. CONCLUSION: Readers are invited to submit comments and observations, which may be published as part of an ongoing conversation regarding such ethical concerns.