Siccoli M, Bassetti C
Neurologische Klinik und Poliklinik, Universitätsspital Zürich.
Praxis (Bern 1994). 2003 Mar 12;92(11):478-88. doi: 10.1024/0369-8394.92.11.478.
Neurology experienced a continuous development in the last decades, in parts because of the advancement of neuroradiological procedures. Earlier and traditionally known as diagnostic branch, neurology developed more and more also as a therapeutic discipline. In this context, the management of neurological emergencies became more and more important. The rapid and correct recognition of symptoms and signs of potentially serious neurological illnesses, the decision about the application of invasive and not always risk-free treatment procedures, as well as the therapeutic management of neurological emergencies became for the neurologist a difficult, but unavoidable challenge. With the presentation of the annual statistic of the neurological emergencies at the university hospital of Zurich (USZ), as well as with the discussion of a few illustrative clinical cases the authors give an overview about this important aspect of clinical neurology.
在过去几十年里,神经病学持续发展,部分原因是神经放射学检查方法的进步。神经病学早期传统上被认为是诊断学科,但它也越来越发展成为一门治疗学科。在这种背景下,神经急症的管理变得越来越重要。对潜在严重神经疾病的症状和体征进行快速准确的识别、决定是否应用有创且并非总是无风险的治疗方法,以及对神经急症进行治疗管理,对神经科医生来说是一项困难但又不可避免的挑战。通过展示苏黎世大学医院(USZ)神经急症的年度统计数据,并讨论一些具有代表性的临床病例,作者对临床神经病学的这一重要方面进行了概述。