Browsing: Neurology

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Critical Care Alert , Critical Care , Pulmonary , Cardiology , Neurology

Critical Care Alert: TAME Trial: Mild Hypercapnia versus Normocapnia after Out-of-Hospital Cardiac Arrest

9/29/2023 ThucAn Bui, DO , Evan McMurray, MD
This Critical Care Alert examines a study of targeted mild hypercapnia versus normocapnia for patients who achieved ROSC after out-of-hospital cardiac arrest.
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Critical Care Alert , Critical Care , Neurology

Critical Care Alert: Tranexamic Acid for Intracerebral Hemorrhage in Patients on Non-Vitamin K Antagonist Oral Anticoagulants (TICH-NOAC)

9/10/2023 Cassidy Cunningham, DO , Evan McMurray, MD
In this underpowered RCT, no evidence was found that TXA limits HE nor that it improves clinical outcomes by 90 days in NOAC-associated ICH. That being said, there were no major safety concerns noted
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Critical Care , Pulmonary , Neurology , Radiology

Management of Concomitant Stroke and Pulmonary Embolism

7/15/2023 L. Paige Smith, DO , Ronald Scheer, DO
Concurrent acute ischemic stroke and submassive pulmonary embolism is a rare occurrence, and there is no sufficient evidence to support a particular method of management. It is important to weigh the
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OB/GYN , Neurology

Intracranial Hemorrhage in a Postpartum Patient Secondary to Preeclampsia and HELLP

7/15/2023 Neelou Tabatabai , Kristyn Flynn, DO , Krista Pursglove, DO , Katherine Fredlund, MD
Our case report supports the importance of maintaining a high clinical suspicion for intracranial hemorrhage when a postpartum female presents to the emergency department with acute neurological sympt
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Neurology

From Weight Loss to Neurological Deficits: A Case of Wernicke’s Encephalopathy Stemming From Prescription Weight Loss Medication

7/15/2023 Steven Foster, DO , Adrianna Kyle, DO
Wernicke’s encephalopathy can have a subtle presentation and should be considered in any patient with altered mental status who is at risk for nutritional deficiency.
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Infectious Disease , Neurology

Cauda Equina or Just HSV? Don’t Forget About Elsberg Syndrome

2/1/2023 Anjali Kalra, BA , Peter Yun, MD, MPH , Andrew Stricklin, MD
Cauda equina syndrome (CES) is a “can’t miss” diagnosis in the emergency department characterized by lower back pain. It is associated with red flag symptoms such as urinary retention or incontinence,
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Infectious Disease , Neurology

Remember to Inspect the Skin: A Clue to Diagnosing VSV Encephalitis

1/30/2023 Jay Patel, MD , Jordan Miller, DO
Meningitis is a cause for concern when it comes to a patient in the ED. It is one of those cannot-miss diagnoses, as there are devastating neurological complications that can occur if bacterial, funga
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Neurology

Pneumocephalus: An Atypical Presentation of Syncope

8/10/2022 Avinash Ram, DO , Mollie Williams, MD, MPH , Omar Hashmi, DO
Pneumocephalus, defined as air present in the intracranial area, is a known complication of accessing the epidural space. Patients with pneumocephalus can have a wide-ranging presentation from benign
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Critical Care , Neurology , Trauma

Drowning in a Flash: A Review on Neurogenic Pulmonary Edema

8/10/2022 Bryce Taylor, DO, MS
Neurogenic pulmonary edema, associated with high mortality, can occur after any neurologic insult and is best addressed by controlling intracranial pressure.
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Infectious Disease , Neurology

West Nile Virus Poliomyelitis: An Unnerving Re-emerging Disease on the Rise

8/10/2022 Patrick H. Mullett, MD , Ryan Brzycki, DO
It is important to consider West Nile Virus as a major cause of neuroinvasive disease and acute flaccid paralysis. If a febrile, altered patient comes into the ED with focal neurological deficits, it