FIGURE 29.1 CT scan showing a massive right intraparenchymal hematoma with intraventricular extension, hydrocephalus (A), and brain tissue displacement causing complete effacement of the basilar cisterns (B). End-of-life care in…
28 Decisions in Persistent Vegetative State A 17-year-old teenager remained comatose 2 weeks after a severe traumatic brain injury. During the first days following the accident, he was treated for…
Decreases effectPhenytoinTheophyllineCorticosteroids(dexamethasone)WarfarinCarbamazepinePhenytoinWarfarinBarbituratesPhenytoinCorticosteroidsTricyclicantidepressantsWarfarinIncreases effectValproic acidWarfarin
FIGURE 26.1 A) Preoperative MRI scan showing a large suprasellar enhancing mass with associated obstructive hydrocephalus. B) Postoperative MRI scan showing complete resection of the previously observed suprasellar mass. (Both…
FIGURE 11.1 Algorithm for the management of status epilepticus. ABC, airway, breathing, circulation; CSF, cerebrospinal fluid; ED, emergency department; EEG, electroencephalography; ICU, intensive care unit; MV, mechanical ventilation. * The…
FIGURE 24.1 Hypersecretion and neuromuscular respiratory failure in myasthenia gravis. Serial X-chest showing marked left atelectasis from a mucus plug (A) and gradual improvement after intubation and bronchoscopy (B, C)….
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 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 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…
