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The CSF Diversion via Lumbar Drainage to Treat Dialysis Disequilibrium Syndrome in the Critically Ill Neurological Patient

By Christopher S. Hong, Kevin Wang, & Guido J. Falcone First Online: 06 May 2020 Dialysis disequilibrium syndrome (DDS) is a clinical syndrome of neurologic deterioration resulting from cerebral edema seen in patients undergoing dialysis [ 1 , 2 , 3 , 4 , 5 ]. DDS is most prevalent...


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Sugammadex Administration to Facilitate Timely Neurologic Examination in the Traumatic Brain Injury Patient

By Jonathan M. Curley, David P. Ciceri, William C. CulpJr. First Online: 02 January 2020 Introduction Neuromuscular blocking agents are frequently administered to traumatic brain injury patients during initial airway management; however, paralytics can delay diagnosis and treatment by...


Blog Entry
Sonographic Demonstration of a Perfusion-Dependent Stroke with Negative MRI and a Flow-Limiting Stenosis

By Jonathan Gomez, Stacey Wolfe, Aarti Sarwal First Online: 29 October 2019 Perfusion dependence of stroke is a phenomenon often investigated in an acute ischemic stroke caused by large vessel occlusion while patients are being evaluated for endovascular interventions. Perfusion-dependent...


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Reversible Cerebral Vasoconstriction Syndrome Responsive to Intravenous Milrinone

By Maximiliano A. Hawkes, Alejandro A. Hlavnicka, Nestor A. Wainsztein First Online: 30 September 2019 Reversible cerebral vasoconstriction syndrome (RCVS) causes reversible multifocal constriction of cerebral arteries. It is triggered by several conditions, including vasoactive medications...


Blog Entry
Microdialysis Findings in a Patient with New Onset Refractory Non-convulsive Status Epilepticus

By Helene Hurth, Dennis Schlak, Florian Heinrich Ebner First Online: 25 September 2019 Introduction Microdialysis is a well-established tool routinely used in neurocritical units. Metabolic changes in patients with a subarachnoid hemorrhage or traumatic brain injury appear earlier than...


Blog Entry
The Physiology of the Apnea Test for Brain Death Determination in ECMO: Arguments for Blending Carbon Dioxide

By William B. Beam, Phillip D. Scott, Eelco F. M. Wijdicks First Online: 08 August 2019 Extracorporeal membrane oxygenation (ECMO) is a form of extracorporeal life support which can be utilized as a rescue modality in patients with treatment refractory cardiac or respiratory failure. ECMO...


Blog Entry
Leaking the Diagnosis: A Case of Convulsive Status Epilepticus Due to Intracranial Hypotension

By Gabriela S. Gilmour, James Scott, Philippe Couillard First Online: 01 August 2019 Background We describe a case of convulsive status epilepticus caused by intracranial hypotension, a complication of spinal surgery. Intracranial hypotension (IH) is typically characterized by an...


Blog Entry
Cerebellitis with Mass Effect: A-Not-So-Everyday Problem for the Neurointensivist

By Lauren Jackson, Edison Cano Cevallos, Eelco Wijdicks First Online: 01 August 2019 A 25-year-old woman had otherwise been in normal health until approximately 1 week earlier, when she presented to her primary care provider with a 2-day history of painful mouth ulcers, sore throat, and...


Blog Entry
Treating Therapy-Resistant Headache After Aneurysmal Subarachnoid Hemorrhage with Acupuncture

By Joanna Dietzel, Torsten Eck, Taras Usichenko First Online: 29 April 2019 Introduction Subarachnoid haemorrhage (SAH) is usually associated with severe headache, whereas the options of pharmacological analgesia are restricted. Acupuncture is a promising method in treatment of headaches...


Blog Entry
An Uncommon Case of Hyperammonemic Encephalopathy

By Valerio Frazzini, Margherita Capasso, Marco Onofrj First Online: 25 April 2019 Keywords Hyperammonemic encephalopathy (HE) associated with urinary tract infections represents a rare but severe neurologic condition [1, 2]. Increased production of ammonia and uptake in the bloodstream...