Tag Archives: Neurocritical Care

Nevada Supreme Court Questions AAN Brain Death Criteria

Confronted with just about any clinical question, my general practice is to first1After proceeding through the traditional neurological formulation, of course. consider whether there is high-quality evidence to guide decision-making. The best place to search for such evidence is in … Continue reading

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Jahi McMath and the Philosophical Debate over Brain Death

Many readers will be familiar with the case of Jahi McMath. She was 13 years old in December, 2013 when admitted to a children’s hospital in Oakland, CA for tonsillectomy and other surgical interventions for obstructive sleep apnea. She recovered … Continue reading

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Annals of “Things we thought were beneficial but might not be”

We can add therapeutic hypothermia after cardiac arrest to the list. A recent study randomized post-arrest subjects to target temperatures of 36 °C versus 33 °C and found no difference in neurologic outcome. As discussed in the article and in this pithy editorial, it … Continue reading

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Post-Anoxic Coma Prognosis after Hypothermia

The other main question that came up during Kevin’s morning report was how hypothermia affects prognostication after cardiac arrest. The recent Continuum issue on Critical Care Neurology has an article on this very topic, and I highly recommend that everyone read it. … Continue reading

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Myoclonus Status Epilepticus and Post-Anoxic Coma Prognosis

We went around and around the other day at morning report regarding the definition of myoclonus status epilepticus. Here’s what I found in the prognostication literature: In the 2006 AAN practice parameter, they defined it as “spontaneous, repetitive, unrelenting, generalized multifocal … Continue reading

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Generalized Periodic Discharges

It seems that stroke isn’t the only neurological subspecialty developing technologies that we don’t exactly know how to apply in practice. In this week’s Green Journal, Foreman, et al. published a very interesting study of critically ill patients undergoing continuous EEG. … Continue reading

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