If you suspect a basilar artery occlusion or a dural venous sinus thrombosis, call the neuroradiologist directly to review the films together.
Obtain a rapid baseline neurological status using the NIH Stroke Scale (NIHSS). Step 2: Neuroimaging Branching Logic
CT without contrast came back clean, the radiology report a neutral sentence. In the emergency bay hum, she made a call: “Let’s keep him admitted for MRI and vascular imaging. Low threshold for thrombolysis if diffusion shows acute changes.” The resident nodded, the decision forming like a hinge swinging to caution. neurology on call pdf
If you are looking for specific, reputable, and comprehensive "Neurology On Call" PDF resources, I can help you find: Specific, in-depth chapters on acute stroke management.
Temporarily hyperventilate the intubated patient to a target PaCO2 of 30–35 mmHg. This causes cerebral vasoconstriction and rapidly lowers ICP. If you suspect a basilar artery occlusion or
The fourth edition is written by two highly respected figures in American neurology:
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Intracranial hypertension is a neurosurgical emergency. Early signs include progressive drowsiness, headache, and vomiting. Late signs include Cushing’s triad (bradycardia, hypertension, and irregular respirations). Immediate Bedside Management