Deteriorioration from Brain Metastasis
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…
Neurological Worsening After Subarachnoid Hemorrhage
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…
Sorting Out and Treating Encephalitis
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…
Reversal of Anticoagulation After Cerebral Hemorrhage
FIGURE 2.1 Serial CT scans show expansion of the thalamic hematoma and development of acute hydrocephalus. Ongoing anticoagulation in a patient with a cerebral hematoma is a serious concern. As…
Options in Acute Spinal Cord Compression
FIGURE 10.1 Large T7 lesion compressing the cord. Cancer can take a significant and profound turn for the worse with spinal cord compression. Spinal cord compression may be a presenting…
Medical Care of Traumatic Brain Injury
FIGURE 3.1 Early CT scan after traumatic brain injury showing major contusional lesions and subdural hematomas with mass effect. Third issue: There are often major confounders—as it is alcohol intoxication…
Fulminant Bacterial Meningitis
FIGURE 4.1 CT scans shows early hydrocephalus (A) MRI shows dramatic meningeal enhancement. (B) Also, evidence of restricted diffusion in bilateral frontal temporal cortex indicative of additional laminar cortical necrosis…
Decompressive Craniectomy in Acute Stroke
FIGURE 8.1 CT scan (A, B) showing extensive decompressive craniectomy (with duraplasty using bovine pericardial graft) for swollen hemispheric infarct. Replacement of bone flap seen on repeat CT scan 6…
Surgery for Cerebral Hemorrhage
FIGURE 1.1 A) CT scan of the head before surgical evacuation showing a large left lobar hematoma with extensive regional mass effect. B) Complete evacuation of the hematoma with resolution…
Respiratory Support in Acute Neuromuscular Respiratory Failure
6 Respiratory Support in Acute Neuromuscular Respiratory Failure A 21-year-old woman presented to our emergency department complaining of low back pain for the last two days, tingling in her legs…
