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Total 25 results found since Jan 2013.
Debilitating Headache after an Excited Reaction
BY GREGORY TAYLOR, DO, & MATTHEW WARPINSKI, DOA 35-year-old man with a history of uncontrolled hypertension and medical noncompliance was brought to the emergency department by EMS complaining of a headache. The family said the patient was watching football and developed an acute headache after he stood up screaming in excitement.His family said he had not taken his blood pressure medication for years. He was afebrile, his blood pressure was 245/129 mm Hg, his respiratory rate was 18 bpm, his heart rate was 68 bpm, and he weighed 340 pounds. The patient was obtunded with a Glasgow Coma Scale score of 4 and was subse...
Source: The Case Files - November 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research
Board #301 - Technology Innovation New Anatomical Simulator for Pediatric Neuroendoscopic Training (Submission #9599).
Conclusion: The ASPEN is a new physical pediatric simulator specially developed for neuroendoscopic training, useful for both rigid and flexible endoscopy, with good correspondence to reality and no risks. Skills are acquired by the resident surgeon, including the cognitive skills of anatomical recognition and decision-making, and the resident's basic competence can be assessed before proceeding to a live operation. This model may be particularly important for introducing neurosurgeons to the use of flexible endoscopy, which requires a different skill set from that for the rigid endoscope, and is important for the safe and...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2014 Category: Medical Equipment Tags: Abstracts: PDF Only Source Type: research
Hot Topics in Neuroscience: Is Electroconvulsive Therapy a Treatment for Depression Following Traumatic Brain Injury?
Conclusion
TBI is a distinct and complex pathophysiological entity. Neurocognitive deficits and mood disorders are common sequelae of TBI. While nonmodifiable factors influence risk of developing post-TBI depression, there is also evidence that biological factors are involved. People who have suffered TBI are at increased risk for ictal events and cognitive impairment. ECT has been documented to successfully treat patients with post-TBI mood symptoms in only three published cases. While these vignettes suggest that ECT might be a safe and effective therapeutic option in treating individuals with post-TBI depression, more r...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Hot Topics in Neuroscience depression ECT Electroconvulsive therapy mood disorders TBI traumatic brain injury treatments Source Type: research
Doctors in Anti-Abortion States Now Have No Idea When They ’re Allowed to Save a Pregnant Person’s Life
One of the first patients emergency medicine physician Dr. Taylor Nichols ever treated on his own was a woman who had an ectopic pregnancy—a dangerous condition in which a fertilized egg grows outside the uterus, potentially causing life-threatening bleeding if it ruptures the organ in which it’s growing. She came into the hospital stable. By the time Nichols examined her, she was hemorrhaging.
Nichols got her into emergency surgery, where an ob-gyn operated to save the patient’s life. By that point, it was clear there was no other option. But had he been practicing in a state where ending a pregnancy is ...
Source: TIME: Health - July 7, 2022 Category: Consumer Health News Authors: Jamie Ducharme and Tara Law Tags: Uncategorized abortion healthscienceclimate Source Type: news
Intracranial migration of a ventriculoperitoneal shunt: A case report and literature review
CONCLUSION: Different possible mechanisms have been proposed, such as negative intraventricular pressure, positive intra-abdominal pressure, use of valveless catheters, excessive burr hole size, as well as such as occipital ventricular access, thin cortical mantle, incorrect distal and proximal fixation, short distance between the peritoneum and ventricles, and a possible inflammatory reaction to the catheter material (silicone). A combination of these different mechanisms contributes to proximal shunt migration. Although the placement of a VPS is a procedure well taught since the 1st years of neurosurgical residency, it i...
Source: Surgical Neurology International - April 7, 2023 Category: Neurosurgery Authors: Alejandro Ceja Espinosa Juan Pablo Navarro-Garcia de Llano Juan Carlos Balc ázar-Padrón Abrahan Alfonso Tafur-Grandett Source Type: research
