Drug Interactions

Jan 31, 2018 by in NEUROSURGERY Comments Off on Drug Interactions

Decreases effectPhenytoinTheophyllineCorticosteroids(dexamethasone)WarfarinCarbamazepinePhenytoinWarfarinBarbituratesPhenytoinCorticosteroidsTricyclicantidepressantsWarfarinIncreases effectValproic acidWarfarin Related posts: Surgery for Cerebral Hemorrhage Failure to Awaken After Surgery Choices in Refractory Status Epilepticus Do-Not-Resuscitate Orders and Withdrawal of Life Support Acute Delirium Hyponatremia…

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Diabetes Insipidus After Brain Tumor Surgery

Jan 31, 2018 by in NEUROSURGERY Comments Off on Diabetes Insipidus After Brain Tumor Surgery

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…

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Weaning of the Ventilator in Myasthenia Gravis

Jan 31, 2018 by in NEUROSURGERY Comments Off on Weaning of the Ventilator in Myasthenia Gravis

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)….

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Choices in Refractory Status Epilepticus

Jan 31, 2018 by in NEUROSURGERY Comments Off on Choices in Refractory Status Epilepticus

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…

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Acute Cardiac Arrhythmia After Acute Brain Injury

Jan 31, 2018 by in NEUROSURGERY Comments Off on Acute Cardiac Arrhythmia After Acute Brain Injury

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…

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Acute Hypertension After Stroke

Jan 31, 2018 by in NEUROSURGERY Comments Off on Acute Hypertension After Stroke

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….

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Early Hypotension and Fever

Jan 31, 2018 by in NEUROSURGERY Comments Off on Early Hypotension and Fever

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…

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Stupor After Brain Surgery

Jan 31, 2018 by in NEUROSURGERY Comments Off on Stupor After Brain Surgery

FIGURE 16.1 A) MRI shows large ependymona in the 4th ventricle. B) CT scan about 10 days after surgery shows multiple hypodensities. C) The cerebral angiogram (sample of multiple series)…

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Failure to Awaken After Surgery

Jan 31, 2018 by in NEUROSURGERY Comments Off on Failure to Awaken After Surgery

FIGURE 15.1 CT scan shows bilateral cerebellar hypodensities with acute obstructive hydrocephalus. What do you do now? Without doubt, abnormal wakefulness after a surgical procedure is the most common reason…

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