Neurological Emergencies - 1st Edition - ISBN: 9780407008731, 9781483182681

Neurological Emergencies

1st Edition

Authors: S.D. Shorvon
eBook ISBN: 9781483182681
Imprint: Butterworth-Heinemann
Published Date: 1st March 1989
Page Count: 120
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Description

Neurological Emergencies presents a comprehensive guide on the initial assessment and early treatment of patients with neurological emergencies. It discusses the diagnosis, emergency investigations, and handling of coma patients. It addresses the management of focal supratentorial lesion. Some of the topics covered in the book are the diffuse neurological or systemic disturbance; emergency resuscitation; diagnosis and treatment of transtentorial herniation; diagnosis and treatment of acute viral encephalitis; raised intracranial pressure; diagnosis and treatment of non-viral infective encephalitis; viral meningitis; meningovascular syphilis; diagnosis and treatment of cerebral abscess; diagnosis and treatment of intracranial subdural empyema; and diagnosis and treatment of cerebral venous thrombosis. The diagnosis and treatment ofstroke is fully covered. An in-depth account of the difference between haemorrhage and infarction is provided. The diagnosis of subarachnoid haemorrhage is completely presented. A chapter is devoted to the prevention of more cranial bleeding.

Table of Contents


Preface

1. Coma

Causes

Focal Supratentorial Lesion

Focal Subtentorial Lesion

Diffuse Neurological or Systemic Disturbance

Emergency Management

Emergency Resuscitation

Initial Diagnostic Assessment

Serial Monitoring

Emergency Treatment

Transtentorial Herniation (Tentorial Coning)

Further Reading

2. Acute Infective Encephalitis

Acute Viral Encephalitis

Emergency Treatment

Non-Viral Infective Encephalitis

Further Reading

3. Meningitis

Viral Meningitis

Clinical Features

Laboratory Findings

Treatment

Bacterial Meningitis

Clinical Features

Laboratory Findings

Emergency Treatment

Problems in Diagnosis And Management

Other Forms of Infective Meningitis

Fungal Meningitis

Meningovascular Syphilis

Other

Further Reading

4. Intracranial Abscess and Venous Thrombosis/Thrombophlebitis

Cerebral Abscess

Clinical Features

Investigations

Emergency Treatment

Intracranial Subdural Empyema

Clinical Features

Diagnosis

Emergency Treatment

Intracranial Extradural Abscess

Cerebral Venous Thrombosis/Thrombophlebitis

Cortical Vein Thrombosis/Thrombophlebitis

Cavernous Sinus Thrombosis/Thrombophlebitis

Diagnosis

Investigations

Emergency Treatment

5. Stroke and Subarachnoid Hemorrhage

Stroke

Diagnosis

Emergency Investigations

Emergency Management

Subarachnoid Hemorrhage

Diagnosis

Emergency Investigations

Emergency Management

Further Reading

6. Head Injury

Initial Assessment

Admission to Hospital

Early Hospital Management

The Unconscious Patient

The Conscious Patient

Transfer to or Consultation with Neurosurgical Department

Immediate Complications

Laceration and Open Head Injury

Linear Skull Fracture

Depressed Skull Fracture

Acute Extradural Hemorrhage

Acute Subdural Hemorrhage

Acute Intracerebral Hemorrhage

Post-Traumatic Seizures

Cranial Nerve Injury

Inappropriate ADH Secretion

Other Injury

Further Reading

7. Acute Spinal Cord Dysfunction

Clinical Features of Spinal Cord Dysfunction

Spinal Pain

Motor Signs

Sensory Signs

Sphincteric Signs

Respiratory Signs

Acute Spinal Cord Compression

Metastatic Tumor

Primary Tumor

Infection

Disc Disease

Degenerative Spinal Column Disease

Epidural Hematoma

Acute Non-Compressive Spinal Cord Lesions

Acute Transverse Myelitis

Vascular Infarction

Cervical Spondylosis

Other Causes

Emergency Management in Acute Spinal Cord Dysfunction

Acute Spinal Cord Injury

Emergency Assessment

Movement of the Patient

Radiological Diagnosis

Other Measures

Other Complications

Treatment

8. Status Epilepticus

Emergency Management

Resuscitation

Emergency Investigations

Aetiology and Precipitating Factors

Medical Complications

Anticonvulsant Therapy

Refractory Status Epilepticus

Drug Treatment of Status Epilepticus in Children

Further Reading

9. Acute Respiratory Failure Due to Neurological Disease

Diagnosis

Respiratory Failure

Underlying Neurological Disease

Emergency Management

Immediate Assessment of Ventilation

Other Measures

Investigations

10. Brain Death

Aetiology

Evaluation of Clinical Neurological Status

EEG

Other

Further Reading

Index

Details

No. of pages:
120
Language:
English
Copyright:
© Butterworth-Heinemann 1989
Published:
Imprint:
Butterworth-Heinemann
eBook ISBN:
9781483182681

About the Author

S.D. Shorvon