Neurological Intensive Care

Complications following endovascular clot retrieval for stroke

 Decompressive craniectomy for malignant MCA infarction

Posterior reversible leukoencephalopathy syndrome (PRES)

Clinical signs: basal ganglia bleed, C5 injury, critical illness myopathy

Polyuria following brain injury, except it's SAH

"Does this CSF look infected to you?"

Acute behavioural disturbance - a spicy variation on delirium

Prognostication after cardiac arrest

Non-convulsive status epilepticus - diagnosis, risk factors, management

Fever in the neurosurgical patient: ventriculitis

Neuromonitoring in severe brain injury

Management of raised intracranial pressure

Myasthenic crisis - management and extubation

Haemodialysis in patients with traumatic brain injury

CSF analysis: does this look infected to you?

Pharmacology of anticonvulsant drugs

Encephalitis: specifically autoimmune encephalitis

Management of raised ICP: sudden re-bleed following an MCA aneurysm clipping

Guillain-Barre syndrome: when to admit them to ICU

"Does this CSF look infected to you?" ... an non-infected EVD

Brain herniation and decompressive craniectomy in TBI

Delirium in critical illness

Investigations for status epilepticus

Pseudobulbar palsy; Important spinal cord injury syndromes

Guillain-Barre syndrome: prevention of infectious complications

"How is this not PRES?" A comparison of PRES and HSV encephalitis

Endovascular clot retrieval for early ischaemic stroke

Encephalitis of unknown aetiology: diagnostic workup and management

Stroke syndromes: lateral medullary syndrome

Causes of unconsciousness: with extensor plantar responses

Transverse myelitis: clinical features, diagnosis and treament

Cranial nerve signs: medullary infarct, CN III, bulbar palsy, mydriasis, 

Cerebral oedema

Pupillary signs: coma with bilateral miosis

Decompressive Craniectomy for traumatic brain injury

Posterior reversible leukoencephalopathy syndrome (PRES)

Guillian-Barré syndrome vs. acute transverse myelitis

Management of delirium, or more accurately aggressive psychosis

Anterior spinal artery syndrome 

Polyuria in the neurosurgical patient

Grading of subarachnoid haemorrhage severity - WFNS vs Fisher score

Evidence for nimodipine and other vasospasm-preventing therapies in SAH

Hypothermia in the management of traumatic brain injury.

Tension pneumoencephalus

Acute management of stroke in the ICU - supportive and definitive.

Causes of, and specific management of status epilepticus

Brain herniation: radiological and clinical features

Delirium in the ICU: definition, causes, risk factors, management

"Neuroprotective measures" - prevention of secondary brain injury

Guillain Barre syndrome vs. something (this time, myasthenia gravis)

Posterior reversible leukoencephalopathy syndrome (PRES), thanks to infliximab

Cerebral venous sinus thrombosis

Management of raised ICP: sudden re-bleed following an MCA aneurysm clipping

Examination of the pupils: three causes of coma where there is miosis

Management of Status Epilepticus in ICU in the context of a subarachnoid haemorrhage.

Decompressive craniectomy for malignant MCA infarction; also generic management of stroke.

Intracranial pressure as a therapeutic target: advantages and disadvantages of ICP monitoring

Causes of haemorrhagic stroke and factors which influence its prognosis

Examination of the cranial nerves: CN VI

Cranial nerve lesions: CN IX, CN XII, CN VII, CN VI.

The dermatomes - "Name This Dermatome"

Horner's Syndrome, and other features of a lateral medullary syndrome

Delirium in the ICU define it and "describe your management approach".

"Does this CSF look infected to you?" ... an non-infected EVD

Monitoring for vasospasm following SAH: advantages and disadvantages of diagnostic options

Definitive management options for early ischaemic stroke: indications and contra-indications.

Prevention of secondary brain injury: "Neuroprotective Measures"

Clinical features which distinguish brachial plexus lesions from ulnar nerve lesions.

Features that distinguish myopathy from neuropathy

Guillain Barre syndrome vs. something (this time, critical illness polyneuromyopathy)

Monitoring for vasospasm following SAH, as well as its prevention and management

Non-convulsive status epilepticus: definition, diagnosis, risk factors, management.

Fundoscopy: characteristic findings and their correlations with pathology.

Approach to the ICU patient with generalised weakness

The Glasgow Coma Scale in the assessment of consciousness: its utility and its limitations.

Management of raised intracranial pressure. Also, risk factors for post-traumatic seizures.

Examination of the cranial nerves: localisation of a midbrain lesion by CN III palsy.

Physical signs of cerebellar disease: only head signs, please.

Polyuria following traumatic brain injury. What has caused it?

Acute supportive management for stroke in the ICU

Oculocephalic reflex (CN III, IV, VI and VIII) - what does a normal one tell you?

Horner's Syndrome; specifically, the anatomical sites where the lesion may have occurred.

The utility of the EEG in the ICU

Methods of intracranial pressure monitoring: 4 clinical signs of raised ICP.

Prognosis in severe brain injury. What determines it?

Polyuria following traumatic brain injury. What has caused it?

Approach to the unconscious patient in the ICU

Methods of intracranial pressure monitoring: compare the EVD and the Codman catheter.

Features that distinguish myopathy from neuropathy

Delirium in the ICU

Methods of intracranial pressure monitoring: indications for CT head before lumbar puncture.

Physical signs of cerebellar disease: ones which do not involve the limbs

Approach to the ICU patient with generalised weakness

A critique of cerebral perfusion pressure as a therapeutic target.

Causes of neck stiffness

Examination of eye movements: Causes of a persistent right-sided conjugate gaze deviation.

Indications for intracranial pressure monitoring

Decompressive craniectomy: indications, complications, influence on outcome.

Assessment of swallowing function in a critically ill patient

"Does this CSF look infected to you?" .. an epidural abscess

"Does this CSF look infected to you?" .. an infected EVD

Visual fields and lesions of the visual pathways (CN II)

Methods of intracranial pressure monitoring and indications for intracranial pressure monitoring

Monitoring for vasospasm following SAH: advantages and disadvantages of various techniques.

A comparison of states of persistent unconsciousness

Prognosis in moderate brain injury: ICU vs HDU admission

Polyuria following brain injury. A variation on the theme of hypernatremia

Approach to the unconscious patient in the ICU: causes of delayed awakening.

Factors which influence prognosis in severe brain injury

Prevention and management of vasospasm following SAH

Examination of the cranial nerves: pupil reactivity and diameter (in coma)

Osmotherapy for management of raised intracranial pressure: hypertonic saline.

Acute supportive management for stroke in the ICU (specifically, a brainstem stroke).

Cerebral perfusion pressure as a therapeutic target

Polyuria following brain injury. A variation on the theme of hypernatremia

Approach to the ICU patient with generalised weakness

Management of Status Epilepticus in ICU

Approach to the ICU patient with generalised weakness:  GBS, myasthenia gravis and MND.

Management of the unsecured aneurysm in subarachnoid haemorrhage: coiling vs. clipping.

Intracranial pressure as a therapeutic target

The utility of the EEG and of Somatosensory Evoked Potentials (SSEPs) in the ICU.

Approach to the unconscious patient in the ICU: SAH after clipping.

Assessment of swallowing function in a critically ill patient

Management of raised intracranial pressure

Approach to the ICU patient with generalised weakness

Causes of Horner's Syndrome

Approach to the unconscious patient in the ICU

Management of raised intracranial pressure

Osmotherapy for management of raised ICP: hypertonic saline versus mannitol.

The significance of persistent "hiccoughs" in a ventilated ICU patient.

Assessment of swallowing function in a critically ill patient: the effects of a tracheostomy.