Neurology

Tension Pneumocephalus: Rare Brain Air Complication Requires Emergent Care

3/19/2024 Jibril Ashiru-Balogun, MD , Danielle Biggs, MD

Tension pneumocephalus — which can result from air accumulation under pressure within the skull cavity — is a potentially fatal condition and may require emergency surgery. It is difficult to diagnose

Pediatric EM , Neurology , Vascular

CNS Manifestations in IgAV: A Pediatric Case Report

3/18/2024 Erin Bell, MD , Abby Halm, MD , Jakob Ottenhoff, DO

Immunoglobulin A vasculitis (IgAV) is the most common form of present vasculitis in children. Diagnosis is clinical and includes the presence of palpable purpura with at least 1 of the following: a bi

Psychiatry , Neurology , OB/GYN

Anti-N-Methyl-D-Aspartate Receptor Encephalitis During Pregnancy

1/15/2024 Haad Arif , Sunny Bang, MD

Emergency physicians should maintain a high degree of suspicion for anti-NMDA receptor encephalitis (ANMDARE) and ovarian teratomas in young female patients presenting acutely with psychiatric symptom

Neurology , Nephrology , Toxicology

Valacyclovir-Associated Neurotoxicity in End-Stage Renal Disease

1/15/2024 Chad Barnhart, MD, EMT-P , Matthew Ball, MD , Michael B. Holbrook, MD

Valacyclovir-associated neurotoxicity (VAN) is a relatively rare phenomenon. This case report details a unique presentation of VAN in a hemodialysis-dependent patient. It underscores the importance of

Infectious Disease , Neurology

Neurosyphilis: Keep it in Mind When Symptoms Align

1/15/2024 Cassie Ward, DO , Shannon Lovett, MD, FACEP

New cases of syphilis are on the rise, so have a high index of suspicion in patients with any risk factor or symptoms. Consider neurosyphilis in patients with prior history of syphilis and any headach

Critical Care Alert , Critical Care , Pulmonary , Cardiology , Neurology

Critical Care Alert: TAME Trial: Mild Hypercapnia versus Normocapnia after Out-of-Hospital Cardiac Arrest

9/29/2023 ThucAn Bui, DO , Evan McMurray, MD

This Critical Care Alert examines a study of targeted mild hypercapnia versus normocapnia for patients who achieved ROSC after out-of-hospital cardiac arrest.

Critical Care Alert , Critical Care , Neurology

Critical Care Alert: Tranexamic Acid for Intracerebral Hemorrhage in Patients on Non-Vitamin K Antagonist Oral Anticoagulants (TICH-NOAC)

9/10/2023 Cassidy Cunningham, DO , Evan McMurray, MD

In this underpowered RCT, no evidence was found that TXA limits HE nor that it improves clinical outcomes by 90 days in NOAC-associated ICH. That being said, there were no major safety concerns noted

Critical Care , Pulmonary , Neurology , Radiology

Management of Concomitant Stroke and Pulmonary Embolism

7/15/2023 L. Paige Smith, DO , Ronald Scheer, DO

Concurrent acute ischemic stroke and submassive pulmonary embolism is a rare occurrence, and there is no sufficient evidence to support a particular method of management. It is important to weigh the

OB/GYN , Neurology

Intracranial Hemorrhage in a Postpartum Patient Secondary to Preeclampsia and HELLP

7/15/2023 Neelou Tabatabai , Kristyn Flynn, DO , Krista Pursglove, DO , Katherine Fredlund, MD

Our case report supports the importance of maintaining a high clinical suspicion for intracranial hemorrhage when a postpartum female presents to the emergency department with acute neurological sympt

Neurology

From Weight Loss to Neurological Deficits: A Case of Wernicke’s Encephalopathy Stemming From Prescription Weight Loss Medication

7/15/2023 Steven Foster, DO , Adrianna Kyle, DO

Wernicke’s encephalopathy can have a subtle presentation and should be considered in any patient with altered mental status who is at risk for nutritional deficiency.

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