Evaluate for Guillain-Barré Syndrome in Patients with Acute Paralysis or Respiratory Failure and Areflexia Jose I. Suarez MD Guillain-Barré syndrome (GBS) represents the most common cause of acute flaccid paralysis…
Do not Perform a Lumbar Puncture on Patients with Posterior Fossa Masses Jose I. Suarez MD Anatomy The posterior fossa represents the area of the cranial vault located below the…
Remember that Failure to Recognize Pituitary Apoplexy Can Result in a Neurologic Catastrophe Eric M. Bershad MD Jose I. Suarez MD Pituitary apoplexy refers to a clinical syndrome of abrupt…
Consider Absence of Withdrawal to Pain at 24 hours and Absence of Eye Reflexes at 72 hours Post–Cardiac Arrest to be Highly Correlated with Permanent Coma Amisha Barochia MD Neurologic…
Consider the Use Of Thrombolytic Agents for Treatment of Acute Ischemic Stroke Nirav G. Shah MD Acute ischemic stroke is the third leading cause of mortality in the United States…
Remember that New Electrocardiogram Changes in a Patient with a Subarachnoid Bleed may be a Sign of Progression of the Bleed Amisha Barochia MD Loss of consciousness is a common…
Be Alert for Rebleeding in Patients with Subarachnoid Hemorrhage Nirav G. Shah MD Subarachnoid hemorrhage (SAH) is a commonly misdiagnosed problem. Although SAH may produce minor symptoms (see Table 202.1),…
Have a Low Threshold for Obtaining an Initial and Repeat Head Computed Tomography Scan after Subarachnoid Hemorrhage Eric M. Bershad MD Jose I. Suarez MD Subarachnoid hemorrhage (SAH) is a…
Obtain a Head Computed Tomography Scan and Lumbar Puncture in Patients with Human Immunodeficiency Virus or Acquired Immunodeficiency Syndrome and New-Onset Mental Status Changes Eric M. Bershad MD Jose I….
Be Alert for Conversion of Nonhemorrhagic (Ischemic) Stroke to Hemorrhagic Stroke Jose I. Suarez MD Ischemic stroke accounts for about 80% of all strokes. Many patients with an initial ischemic…
