8 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... epilepticus was ... cause aspiration, hyperkalemia ... #Management #Neurology ... #Seizures #Algorithm
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... may precede the neurologic ... Blood transfusion, Hypercalcemia ... epilepticus
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Changes in mental status ... dysfunction (e.g. gait ... • A prompt treatment ... development of Korsakoff syndrome ... Diagnosis #Management #neurology
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... Meningitis, Myelopathy, Encephalopathy ... Cerebrovascular Disease, PRES ... Secondary prevention (statin ... Erythematosus #SLE #CNS #neurology
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
shows how pre-test ... patient with a low ... short course of treatment ... acyclovir to all encephalopathic ... and immunologic status
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
CNS in the early stages ... Classic HIV Encephalopathy ... The clinical syndrome ... dysfunction like gait ... dementia #AIDS #Neurology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... polydipsia • Hypervolemia ... Cirrhosis, Nephrotic Syndrome ... MH/CCF/CWRU EM Res ... #sodium #low
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... min (need EKG pre ... #Epilepticus #Treatment ... #Protocol #algorithm ... #neurology #management