神经重症监护病例研究

Case Studies in Neurocritical Care.

作者信息

Sakusic Amra, Rabinstein Alejandro A

机构信息

Department of Critical Care, Mayo Clinic, Rochester, MN, USA; Department of Internal Medicine, Tuzla University Medical Center, Tuzla, Bosnia and Herzegovina; Department of Pulmonary Medicine, Tuzla University Medical Center, Tuzla, Bosnia and Herzegovina.

Department of Neurology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

出版信息

Neurol Clin. 2016 Aug;34(3):683-97. doi: 10.1016/j.ncl.2016.04.007. Epub 2016 Jun 3.

DOI:10.1016/j.ncl.2016.04.007

PMID:27445248

Abstract

The practice of neurocritical care encompasses multiple acute neurologic and neurosurgical diseases and requires detailed knowledge of neurology and critical care. This article presents 5 cases that illustrate just some of the conditions encountered in the daily practice of neurocritical care and exemplify some of the common diagnostic, therapeutic, and prognostic challenges facing the neurointensivist. Life-threatening medical complications after severe acute ischemic stroke, seizures and extreme agitation from autoimmune encephalitis, refractory seizures after subdural hemorrhage, neurologic and systemic complications related to aneurysmal subarachnoid hemorrhage, and status epilepticus after cardiac arrest are discussed in this article.

摘要

神经重症监护的实践涵盖多种急性神经系统和神经外科疾病，需要具备神经病学和重症监护的详细知识。本文介绍了5个病例，这些病例仅说明了神经重症监护日常实践中遇到的部分情况，并举例说明了神经重症监护医生面临的一些常见诊断、治疗和预后挑战。本文讨论了严重急性缺血性卒中后危及生命的医学并发症、自身免疫性脑炎引起的癫痫发作和极度躁动、硬膜下出血后的难治性癫痫发作、与动脉瘤性蛛网膜下腔出血相关的神经和全身并发症以及心脏骤停后的癫痫持续状态。