Hypothermia After Cardiopulmonary Resuscitation

Jan 31, 2018 by in NEUROSURGERY Comments Off on Hypothermia After Cardiopulmonary Resuscitation

13 Hypothermia After Cardiopulmonary Resuscitation A 61-year-old woman slumped down with rattling breathing and rapidly developing cyanosis. A bystander performed cardiopulmonary resuscitation, but the EMS arrived quickly and documented ventricular…

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Sorting Out and Treating Encephalitis

Jan 31, 2018 by in NEUROSURGERY Comments Off on 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…

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Medical Care of Traumatic Brain Injury

Jan 31, 2018 by in NEUROSURGERY Comments Off on 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…

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Options in Acute Spinal Cord Compression

Jan 31, 2018 by in NEUROSURGERY Comments Off on 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…

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Fulminant Bacterial Meningitis

Jan 31, 2018 by in NEUROSURGERY Comments Off on 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…

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Decompressive Craniectomy in Acute Stroke

Jan 31, 2018 by in NEUROSURGERY Comments Off on 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…

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