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Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes stymied. In daily practice, neurocritical care pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently. New to this edition are cases on monitoring and prognostication. All cases have been carefully revised, and new information, references, and practical tables have been added. Neurocritical Care is both an engaging collection of thought-provoking cases and a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"
	Section I: Acute Interventions
	1. Rapid Progression in Lobar Cerebral Hemorrhage
	2. Cerebral Hemorrhage and High INR
	3. Traumatic Brain Injury Arriving in the Emergency Department
	4. Meningitis Not Improving After IV Antibiotics
	5. Acute Encephalitis and Abnormal MRI
	6. A Psychotic Break and Seizures
	7. Acutely Progressive Dyspnea and Limb Weakness
	8. Swollen Lips After IV Thrombolysis
	9. When to Retrieve a Clot in Acute Stroke
	10. Swollen Ischemic Brain and When to Call the Neurosurgeon
	11. Cerebral Venous Thrombosis Not Responding to Anticoagulation
	12. The First Week After Aneurysmal Subarachnoid Hemorrhage
	13. The Neurointerventionalist and Aneurysmal Subarachnoid Hemorrhage
	14. A Worrisome MRI Of The Spine and Prior Cancer
	15. Acute Paraplegia After Aortic Surgery
	16. When Status Epilepticus Becomes Treatment Refractory
	17. Medical Options in Brain Metastasis
	18. Hemorrhage Into a Pituitary Tumor
	19. Brain Edema and Hypertensive Urgency
	20. Rare Toxicity After Chemotherapy
	21. Failure To Awaken After Surgery
	22. Awake and Then Not Awake After Uncomplicated Brain Surgery
	Section II: Monitoring 101
	23. When a Spot EEG is Not Enough
	24. When an Intracranial Pressure Monitor is Helpful
	Section III: Calls, Pages, and Other Alarms
	25. Wild and Agitated After Acute Abdomen
	26. Rigidity After Experimenting with Drugs
	27. Sweating, Fever and Hypertension after Traumatic Brain Injury
	28. Acute Fever and Profound Shock After Ruptured Cerebral Aneurysm
	29. Coma and Chest X-Ray White-Out After a Fracture
	30. When Blood Pressure Needs Control After Stroke
	31. A Common Cardiac Arrhythmia After Stroke
	32. Hypertension And Bradycardia in Severe Guillain Barré Syndrome
	33. Myasthenia Gravis Improved but Not Off the Ventilator
	34. Decreasing Serum Sodium in Aneurysmal Subarachnoid Hemorrhage
	35. Increasing Serum Sodium After Surgery for Tumor in The Pituitary Region
	Section IV: Longterm Support, End Of Life Care, and Palliation
	36. Care of a Persistently Comatose Teenager
	37. Withdrawal of Care in an Elderly Person with Catastrophic Brain Injury
	38. Not Yet Brain Dead
	39. When to Mention Organ Donation
	Section V: Principles of Prognostication
	40. What Neurologists Know About Outcome in Traumatic Brain Injury
	41. What Neurologists Know About Outcome in Post Resuscitation Coma
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