By Jennifer A Frontera
From very important features of the actual exam to imaging experiences to treatment plans and dosage instructions, selection Making in Neurocritical Care presents a ...
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Fritschi JA, Reulen HJ, Spetzler RF, Zabramski JM. Cavernous malformations of the brain stem: a review of 139 cases. Acta Neurochir (Wien) 1994;130(1–4):35–46 15. Sidman R, Connolly E, Lemke T. Subarachnoid hemorrhage diagnosis: lumbar puncture is still needed when the computed tomography scan is normal. Acad Emerg Med 1996;3:827–831 16. Claassen J, Bernadini GL, Kreiter K, Bates J, Du YE, Copeland D, Connolly ES, Mayer SA. Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage: The Fisher Scale revisited.
FRONMC02_020_035-hr2 34 12-02-2009 13:06 Page 34 Decision Making in Neurocritical Care ■ Prognosis The IMPACT study of 8686 TBI patients assessed Glasgow Outcome Score at 6 months and found GCS motor score, pupillary response, Marshall CT class, and traumatic SAH to be the strongest independent predictors of outcome. 9 Mortality for EDH is ~10%, whereas the mortality rate for SDH ranges from 40 to 60%. 19 Recovery from TBI can be prolonged, with improvement seen over a year after injury. Pearls and Pitfalls • Head CT is critical to diagnosis, management, and prognosis following TBI.
Early hemorrhage growth in patients with intracerebral hemorrhage. Stroke 1997;28(1):1–5 12. Brott T, Broderick J, Kothari R, et al. Early hemorrhage growth in patients with intracerebral hemorrhage. Stroke 1997;28(1):1–5 13. Kidwell CS, et al. Comparison of MRI and CT for detection of acute intracerebral hemorrhage. JAMA 2004;292(15):1823–1830 14. Zhu XL, Chan MS, Poon WS.