Acute Ischemic Stroke: General Approach

Jan 2, 2017 by in NEUROLOGY Comments Off on Acute Ischemic Stroke: General Approach

Figure 42.1. Differences in cerebral blood flow and glucose utilization rate according to anatomic region. 42.2.2 Determinants of Cerebral Blood Flow and Cerebral Autoregulation The major determinants of CBF are:…

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Hemodynamic Monitoring

Jan 2, 2017 by in NEUROLOGY Comments Off on Hemodynamic Monitoring

von Helmholtz 15.1 Introduction The first step in evaluating a patient’s hemodynamics is, without doubt, the clinical assessment. Bedside observation of the patient’s general appearance, skin temperature, capillary refill, sensory…

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Glycemic Control During Acute Cerebral Injury

Jan 2, 2017 by in NEUROLOGY Comments Off on Glycemic Control During Acute Cerebral Injury

Figure 66.1. Direct relationship between brain and blood glucose levels. Because glucose cannot freely enter the brain, it requires a transport system to cross the endothelial cells of the blood-brain…

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Surgical Management of Severe Traumatic Brain Injury

Jan 2, 2017 by in NEUROLOGY Comments Off on Surgical Management of Severe Traumatic Brain Injury

Figure 35.1. Temporal epidural hematoma displaying the typical biconvex lens appearance. Figure 35.2. Frontal epidural hematoma in the hyperacute phase; note the hypodense areas inside the collection of blood typical…

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Cardiac Arrhythmias in Nervous System Disorders

Jan 2, 2017 by in NEUROLOGY Comments Off on Cardiac Arrhythmias in Nervous System Disorders

Figure 16.1. An episode of sustained monomorphic ventricular tachycardia. Figure 16.2. 36-year-old patient with traumatic brain injury and inferolateral ST-T depression without angiographically significant coronary lesions. 16.3 Paroxysmal Essential Hyper-…

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Mechanical Ventilation in the Neurologic Critically Ill Patient

Jan 2, 2017 by in NEUROLOGY Comments Off on Mechanical Ventilation in the Neurologic Critically Ill Patient

Figure 17.1. Respiratory problems in brain-injured patients. Respiratory complications may produce secondary brain injury because of hypoxemia and hypoventilation, promoting vicious circles which jeopardize patient outcome. ALI = acute lung injury; ARDS = acute…

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Non-traumatic Subarachnoid Hemorrhage

Jan 2, 2017 by in NEUROLOGY Comments Off on Non-traumatic Subarachnoid Hemorrhage

Figure 51.1. Non-contrast enhanced head CT obtained in a patient with SAH.   Technique. The scan plane should be parallel to the hard palate. It should be noted that the…

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