Nepean Hospital

  • 43-year-old male, day 5 in ICU for an aneurysmal SAH and subsequent clipping of two aneurysms. Clinical findings included left hemiplegia, oliguria and the presence of bilateral EVDs and a nimodipine infusion. Candidates were asked to identify why he was slow to wake. Discussion points included interpretation of CT brain and CSF microscopy, causes of decreased level of consciousness and management of vasospasm.