abstract background: high resolution ct scan has made early diagnosis of intraventricular hemorrhage (ivh) easier. posttraumatic intraventricular hemorrhage has been reported to a greater extent because of the ct scan. methods: 904 patients were admitted in the nsicu from march 2001 to march 2002 with severe closed head injury, of those only 31 patients with intraventricular hemorrhage (gcs les...

BACKGROUND Early detection of vasospasm is crucial to prevent significant delayed ischemic neurological deficit post subarachnoid hemorrhage. The standard methods of detection, including cerebral angiogram and computed tomography are invasive and not safe to be repeated, as is very often indicated clinically. Transient hyperemic response test has been previously used to predict autoregulation f...

A non-traumatic approach to the subarachnoid space near the circle of Willis is demonstrated in this study. The approach is made between the olfactory bulb and frontal lobe. Following perfusion with Evans blue dye no leakage was observed into the parenchyma indicating no tissue damage had occurred. No gross bleeding or cerebral vasospasm was visible in the middle meningeal artery (dural), the s...

Contributions from the neurosciences to Critical Care in 2011 covered an array of topics. We learned about potential biomarkers for, and the effect of cerebral oxygen metabolism on, delirium, in addition to treatment of the latter. A group of investigators studied surface cooling in healthy awake volunteers, and incidence of infection associated with therapeutic hypothermia. The effects of stat...

A 53-year-old patient presented with acute headache. CT and intra/extracranial CT angiography were normal. A traumatic lumbar puncture showed 8,500 erythrocytes/mm and 24 leukocytes/mm. MRI showed extensive sulcal fluid-attenuated inversion recovery (FLAIR) hyperintensities suggesting subarachnoid hemorrhage (figure). However, since T2*-weighted sequences were normal and the patient was wearing...

INTRODUCTION Non-aneurysmal spontaneous subarachnoid hemorrhage is characterized by an accumulation of a limited amount of subarachnoid hemorrhage, predominantly around the midbrain, and a lack of blood in the brain parenchyma or ventricular system. It represents 5% of all spontaneous subarachnoid hemorrhage cases. In spite of extensive investigation, understanding of the mechanisms leading to ...

BACKGROUND To investigate the frequency, predictors, and clinical impact of electrographic seizures in patients with high clinical or radiologic grade non-traumatic subarachnoid hemorrhage (SAH), independent of referral bias. METHODS We compared rates of electrographic seizures and associated clinical variables and outcomes in patients with high clinical or radiologic grade non-traumatic SAH....

Herein, we report our experience in treating extensive traumatic submacular hemorrhage with a single dose of intravitreal ranibizumab. A 23-year-old healthy Malay man presented with a progressive reduction of central vision in the left eye of 2 days' duration following a history of blunt trauma. Visual acuity was reduced to counting fingers. Examination revealed infero-temporal subconjunctival ...

The use of the street drug methylenedioxymethamphetamine (MDMA), commonly referred to as ecstasy, has become increasingly prevalent amongst teenagers and young adults in the United States and many other parts of the world. While most anesthesiologists are facile with the intricacies of managing patients intoxicated by alcohol, cocaine and narcotics the new "club" drugs present a challenge, espe...