FIGURE 22.1 EKG: Atrial fibrillation and rapid ventricular response (A) with resolution (B). Cardiac arrhythmias and EKG changes are quite common in patients with critical neurologic illness, often need more…
FIGURE 23.1 Marked dilated colonic loops on abdominal X-ray (A) and confirmed on abdominal CT scan (B). The treatment of patients with adynamic ileus is mostly parenteral nutrition for several…
FIGURE 21.1 Recommended algorithm for control of hypertension in patients with acute stroke. *Target should be 130/80 mmHg in patients with diabetes mellitus. Ideal blood pressure < 120/80 mm Hg….
1–2 liters of 0.9% NaCl (may add intermittent infusions of 250 cc of albumin 5%)Define resuscitation goalA MAP goal higher than the usual 65 mmHg may be necessary in neurocritical…
FIGURE 16.1 A) MRI shows large ependymona in the 4th ventricle. B) CT scan about 10 days after surgery shows multiple hypodensities. C) The cerebral angiogram (sample of multiple series)…
FIGURE 15.1 CT scan shows bilateral cerebellar hypodensities with acute obstructive hydrocephalus. What do you do now? Without doubt, abnormal wakefulness after a surgical procedure is the most common reason…
13 Hypothermia After Cardiopulmonary Resuscitation A 61-year-old woman slumped down with rattling breathing and rapidly developing cyanosis. A bystander performed cardiopulmonary resuscitation, but the EMS arrived quickly and documented ventricular…
FIGURE 12.1 A) Head CT scan showing a left cerebellar mass with associated edema producing effacement of the 4th ventricle. B) At a higher level, a second mass is seen…
FIGURE 9.1 A) Initial head CT scan showing SAH with aneurysmal pattern and some blood layering in the lateral ventricles consistent with a modified Fisher scale grade 4. B) Follow-up…
FIGURE 5.1 Brain imaging in our patient with acute HSV-1 encephalitis. CT scan (A and B) showing low attenuation changes in the right temporal lobe and right insular region. Notice…
