Management of Critical Care Seizures

Aug 25, 2017 by in NEUROLOGY Comments Off on Management of Critical Care Seizures

History of epilepsy  Breakthrough seizures  Low AED level Acute or chronic cerebrovascular disease  Ischemic stroke  ICH, SAH, SDH, EDH  Venous sinus thrombosis Malignancy  Solid neoplasm (primary or metastatic)  Leptomeningeal carcinomatosis…

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Hemorrhagic Stroke and Critical Care Seizures

Aug 25, 2017 by in NEUROLOGY Comments Off on Hemorrhagic Stroke and Critical Care Seizures

Hemorrhagic stroke subtype Estimated risk of seizure (%) Cerebral venous thrombosis 47–50 Cavernous malformation 23–79 Arteriovenous malformation 16–53 Subarachnoid hemorrhage 1.1–25 Hemorrhagic conversion of ischemic stroke 12 Intracerebral hemorrhage 8…

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Multimodality Monitoring Correlates of Seizures

Aug 25, 2017 by in NEUROLOGY Comments Off on Multimodality Monitoring Correlates of Seizures

Fig. 6.1 Invasive multimodality monitoring “bundle” in a patient in the neurointensive care unit. (a) External view of the patient’s head with microdialysis and rCBF probes in the foreground and…

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Management of Status Epilepticus in the Intensive Care Unit

Aug 25, 2017 by in NEUROLOGY Comments Off on Management of Status Epilepticus in the Intensive Care Unit

CNS Tissue hypoxia (decreased O2 delivery and increased demand) Cerebral edema (angiogenic and cytotoxic) Increased CBF-CMRO2 Increased intracranial pressure CSF pleocytosis Hemorrhage Cerebral venous thrombosis Cardiovascular Hypertension followed by hypotension…

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Impact of Seizures on Outcome

Aug 25, 2017 by in NEUROLOGY Comments Off on Impact of Seizures on Outcome

Fig. 2.1 PRISMA flowchart of the literature search methods and results Electrographic Seizures in the Intensive Care Unit Electrographic seizures and electrographic SE are frequent and are often associated with…

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Neurorehabilitation: Strategies of Lower Extremities Restoration

Aug 25, 2017 by in NEUROLOGY Comments Off on Neurorehabilitation: Strategies of Lower Extremities Restoration

(1) Spinal Cord Injury Center, Heidelberg University Hospital, Schlierbacher Landstraße 200a, 69118 Heidelberg, Germany (2) Department for Orthopedic Surgery and Traumatology, Heidelberg University Hospital, Schlierbacher Landstraße 200a, 69118 Heidelberg, Germany    …

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Spinal Cord Compression

Aug 25, 2017 by in NEUROLOGY Comments Off on Spinal Cord Compression

Fig. 7.1 Cervical spondylotic myelopathy: Sagittal T2-weighted MR image showing a multisegmental degenerative narrowing of the spinal canal at cervical level with depleted subarachnoid space and a hyperintense intramedullary signal…

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Syringomyelia

Aug 25, 2017 by in NEUROLOGY Comments Off on Syringomyelia

Diagnosis Total Syringomyelia Craniocervical junction 756 556 Chiari I 651 485 (74.5 %) Chiari II 45 29 (64.4 %) Foramen magnum arachnoiditis 33 33 (100 %) Posterior fossa tumors 12…

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Functional Neuroanatomy of the Spinal Cord

Aug 25, 2017 by in NEUROLOGY Comments Off on Functional Neuroanatomy of the Spinal Cord

Fig. 2.1 The human vertebral column from (a) median-sagittal, (b) ventral, and (c) in a cross-sectional view of a cervical segment. Note the increasing shift between spinal segments and in…

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Neuroprosthetics

Aug 25, 2017 by in NEUROLOGY Comments Off on Neuroprosthetics

Fig. 24.1 Typical FES stimulation waveforms. (a) Rectangular pulse with exponential charge balance pulse. (b) Biphasic rectangular pulse. (c) Biphasic, rectangular pulse with reduced amplitude, but increased width of charge…

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