Mechanical Thrombectomy for Acute Ischemic Stroke
Fig. 7.1 Head CT with hyperdense left MCA sign He was not a candidate for IV tPA due to his recent use of the blood thinner apixaban. After determining that…
Neuromuscular Disease
Parameter Normal value Critical value Forced vital capacity (FVC) 40–70 mL/kg 20 mL/kg Maximal inspiratory pressure (MIP) Men: >−100 cmH2O −30 cmH2O Women: >−70 cmH2O Maximal expiratory pressure (MEP) Men:…
Cerebral Venous Thrombosis
Category Causes Hypercoagulable state Protein C, S, or antithrombin III deficiency; factor V Leiden mutation; prothrombin gene mutation; antiphospholipid syndrome (lupus anticoagulant/anticardiolipin antibody); nephrotic syndrome; hyperhomocysteinemia Infectious Encephalitis; cerebritis; meningitis;…
Brain Tumors
Fig. 14.1 Case 1 Imaging. (a, b) Pretreatment axial and coronal T1 post-contrast MRIs demonstrate a ring-enhancing intra-axial mass with central necrosis. (c) Pretreatment axial FLAIR MRI demonstrates surrounding vasogenic…
Multimodality Monitoring
Fig. 20.1 Case presentation head CT showing bilateral frontal contusions An MRI of the brain revealed evolution of the bifrontal contusions, but no strokes were seen. After many days the…
Acute Ischemic Stroke
Fig. 6.1 Non-contrast head CT demonstrating a hyperdense right middle cerebral artery 6.2.2 Case 2 Patient is an 87-year-old right-handed man with a history of hypertension, diabetes, and ischemic stroke…
Intracerebral Hemorrhage
Fig. 5.1 Example of cerebellar ICH with early hydrocephalus Fig. 5.2 Example of IVH Her ICH score was 3 (GCS 8, infratentorial, intraventricular hemorrhage). She had a six-hour stability CT…
Pharmacology
General spectrum of activity Antimicrobial Typical daily dosing range (admixture in preservative-free solutions) Common adverse effects Gram positive Vancomycin 10–20 mg /1 mL NS Headache, mental status changes, possible hyponatremia…
Aneurysmal Subarachnoid Hemorrhage
Fig. 4.1 This 61-year-old woman presented with a sudden-onset, severe headache. (a) A CT head (axial) demonstrates a starburst pattern of subarachnoid hemorrhage. (b) A 3D reconstruction of a CTA…
Spinal Cord Injury
Absolute indications Complete spinal cord injury above C5 level Respiratory distress Hypoxemia despite attempts at oxygenation Severe respiratory acidosis Relative indications Complaint of shortness of breath Development of quad breathinga…
