Category Archives: neuro

Pseudoseizures AKA PNES

By Christie Lech, MD Please refer to EMRAP PNES – psychogenic nonepileptic seizures Pseudoseizure – non-epileptic seizure PNES is characterized by neurological disturbances i.e. motor, sensory, autonomic, cognitive, emotional that may mimic epilepsy, but there is no CNS dysfunction Incidence … Continue reading

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Increased ICP and Herniation

By Tatiana Havryliuk, MD Please refer to EMCrit Ocular nerve sheath ultrasound – tegaderm, linear probe, 3mm down, then measure across – width  of optic nerve sheath is directly proportional to ICP – if <5mm then no ICP, if >6mm … Continue reading

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SMART SAH: A Picture is Worth a Thousand LPs

By Will Fleischman, MD Please refer to SMARTEM Overview: Headaches and SAH: Headache is chief complaint for 3% of ED visits 3-4% with grossly normal neuro exam will have serious pathology roughly 1% SAH according to Perry et al, CJEM … Continue reading

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Increased ICP aka Brain Code

By Amy Sanghvi, MD Please refer to EMCrit Podcast # 78 In this podcast, Dr. Weingart discusses the care of patients with increased intracranial pressure and herniation in a Tier system. Use Bedside ocular nerve US to screen for inc … Continue reading

Posted in 1Advanced, 1Intermediate, Critical Care, EMCRIT, Head Trauma, neuro | Leave a comment

SMARTEM Thrombolytics for Stroke

By Will Fleischman, MD Thrombolytics for Stroke http://smartem.org/podcasts/smart-thrombolytics-acute-stroke General facts: Stroke morbidity/mortality varies widely depending on age/gender/race. Mortality rate is about 8% for ischemic stroke, and 40% for hemorrhagic stroke. 50% have some hemiparesis 6 months out; 1/3 can’t walk … Continue reading

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