Neurocritical Care

EELCO F. M. WIJDICKS, MD, PhD, FNCS is a Professor of Neurology, the Chair of Critical Care Neurology, and a consultant in the Neurosciences Intensive Care Unit at the Mayo Clinic Campus, Saint Marys Hospital in Rochester, Minnesota.ALEJANDRO A. RABINSTEIN, MD, FNCS is a Professor of Neurology, in the division of Critical Care Neurology, the Medical Director of the Neurosciences Intensive Care Unit, and a Consultant in the Neurosciences Intensive Care Unit at the Mayo Clinic Campus, Saint Marys Hospital in Rochester, Minnesota.SARA E. HOCKER, MD is an Assistant Professor of Neurology in the Division of Critical Care Neurology, the Director of the Neurocritical Care Fellowship Program, and a Consultant in the Neurosciences Intensive Care Unit at the Mayo Clinic Campus, Saint Marys Hospital in Rochester, Minnesota.JENNIFER E. FUGATE, DO is an Assistant Professor of Neurology in the Division of Critical Care Neurology and a Consultant in the Neurosciences Intensive Care Unit at the Mayo Clinic

• Section I: Acute Interventions 1. Rapid Progression in Lobar Cerebral Hemorrhage2. Cerebral Hemorrhage and High INR3. Traumatic Brain Injury Arriving in the Emergency Department4. Meningitis Not Improving After IV Antibiotics 5. Acute Encephalitis and Abnormal MRI6. A Psychotic Break and Seizures 7. Acutely Progressive Dyspnea and Limb Weakness8. Swollen Lips After IV Thrombolysis9. When to Retrieve a Clot in Acute Stroke10. Swollen Ischemic Brain and When to Call the Neurosurgeon11. Cerebral Venous Thrombosis Not Responding to Anticoagulation12. The First Week After Aneurysmal Subarachnoid Hemorrhage13. The Neurointerventionalist and Aneurysmal Subarachnoid Hemorrhage14. A Worrisome MRI Of The Spine and Prior Cancer15. Acute Paraplegia After Aortic Surgery16. When Status Epilepticus Becomes Treatment Refractory 17. Medical Options in Brain Metastasis 18. Hemorrhage Into a Pituitary Tumor19. Brain Edema and Hypertensive Urgency 20. Rare Toxicity After Chemotherapy21. Failure To Awaken After Surgery22. Awake and Then Not Awake After Uncomplicated Brain Surgery Section II: Monitoring 10123. When a Spot EEG is Not Enough24. When an Intracranial Pressure Monitor is Helpful Section III: Calls, Pages, and Other Alarms25. Wild and Agitated After Acute Abdomen26. Rigidity After Experimenting with Drugs27. Sweating, Fever and Hypertension after Traumatic Brain Injury28. Acute Fever and Profound Shock After Ruptured Cerebral Aneurysm29. Coma and Chest X-Ray White-Out After a Fracture30. When Blood Pressure Needs Control After Stroke31. A Common Cardiac Arrhythmia After Stroke32. Hypertension And Bradycardia in Severe Guillain Barré Syndrome33. Myasthenia Gravis Improved but Not Off the Ventilator34. Decreasing Serum Sodium in Aneurysmal Subarachnoid Hemorrhage35. Increasing Serum Sodium After Surgery for Tumor in The Pituitary Region Section IV: Longterm Support, End Of Life Care, and Palliation36. Care of a Persistently Comatose Teenager37. Withdrawal of Care in an Elderly Person with Catastrophic Brain Injury38. Not Yet Brain Dead39. When to Mention Organ Donation Section V: Principles of Prognostication 40. What Neurologists Know About Outcome in Traumatic Brain Injury41. What Neurologists Know About Outcome in Post Resuscitation Coma

In less than 350 pages, the authors cover central, peripheral, and autonomic nervous system dysfunction occurring in the intensive care unit setting. More than 40 cases are presented, each beginning with a brief clinical presentation...