Intoxication With Central Nervous System Depressant Agents

Jan 2, 2017 by in NEUROLOGY Comments Off on Intoxication With Central Nervous System Depressant Agents

89 Intoxication With Central Nervous System Depressant Agents Claudia Analía González 1, Roxana Andrea Bertrand 1 1 Unit of Toxicology and Pharmacovigilance. Hospital Municipal de Agudos “Dr. Leónidas Lucero”, Bahía…

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Gastrointestinal Disorders in the Neurocritical Patient

Jan 2, 2017 by in NEUROLOGY Comments Off on Gastrointestinal Disorders in the Neurocritical Patient

Figure 19.1. Causes of gastrointestinal bleeding. A). Esophageal varices. B). Crohn’s Disease. 19.2.2 Gastroparesis Introduction Literally, gastroparesis means “stomach paralysis”. Gastroparesis is a syndrome defined by delayed gastric emptying essentially…

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Neurological Complications of Heart Surgery

Jan 2, 2017 by in NEUROLOGY Comments Off on Neurological Complications of Heart Surgery

Figure 85.1. Cerebral magnetic resonance, diffusion sequences, axial plane. Ischemic lesions in borderline areas in both brain hemispheres following heart surgery. 85.4.3 Epiaortic Ultrasound and Neurosonological Study Epiaortic ultrasound is…

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Perioperative Management of Patients With Brain Tumours

Jan 2, 2017 by in NEUROLOGY Comments Off on Perioperative Management of Patients With Brain Tumours

Figure 80.1. Before surgery (A) and after surgery (B). In intra-axial infiltrating tumours, mostly originating from the glia, surgery allows histological diagnosis and provides a means of temporal control; surgery…

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Metabolic Encephalopathies

Jan 2, 2017 by in NEUROLOGY Comments Off on Metabolic Encephalopathies

Figure 78.1. Algorithm for the unresponsive patient. * Tests for metabolic disorder: EEG, laboratory, cultures. The general examination should be performed systematically. Vital signs can be helpful, e.g., fever (usually…

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Paroxysmal Sympathetic Hyperactivity in the Neurocritical Care Unit: Definition, Clinical Picture, Etiology, Diagnosis and Management

Jan 2, 2017 by in NEUROLOGY Comments Off on Paroxysmal Sympathetic Hyperactivity in the Neurocritical Care Unit: Definition, Clinical Picture, Etiology, Diagnosis and Management

Figure 74.1. Minutely Heart Rate in an untreated dysautonomic subject (heart rates are minutely values derived from a 24 hour Holter monitor recording). With increasing time post injury, paroxysms decrease…

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Monitoring Cerebral Blood Flow and Cerebral Autoregulation: Basic Principles, Techniques, Common Patterns and Interpretation of Results

Jan 2, 2017 by in NEUROLOGY Comments Off on Monitoring Cerebral Blood Flow and Cerebral Autoregulation: Basic Principles, Techniques, Common Patterns and Interpretation of Results

Figure 9.1. Under physiological conditions, the brain maintains CBF within normal limits through autoregulation when the CPP is between 40 and 140 mmHg. Other factors that independently affect CBF are…

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Intensive Care Management of Poor-grade SAH Patients. An Overview

Jan 2, 2017 by in NEUROLOGY Comments Off on Intensive Care Management of Poor-grade SAH Patients. An Overview

Figure 73.1. An algorithm for decision-making in suspected vasospasm after SAH is provided. EVD = external ventricular drain; HC = hydrocephalus; ICH = intracerebral hemorrhage; IVH = intraventricular hemorrhage; MAP = mean arterial pressure. First choice of monitoring always includes…

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