Neurosciences
-
Delirium is among the most common potentially preventable neurological disorders encountered in diverse patient populations, especially in critical care units and the elderly. It may present with highly variable clinical features, prolong hospital stay, and herald a poor prognosis. ⋯ A high degree of clinical suspicion is required for detecting delirium and a detailed history, physical examination, and targeted investigations are necessary to determine the underlying etiology and ensure proper management. The following article is a comprehensive review outlining the various aspects of delirium.
-
To assess the feasibility and result of endovascular treatments for ruptured peripheral intracranial aneurysms. ⋯ Endovascular treatment is a feasible and effective therapeutic alternative for peripheral intracranial aneurysms.
-
To study the features and approaches of endovascular treatment for intracranial aneurysms with a ruptured bleb. ⋯ The outcome of the endovascular treatment of an intracranial aneurysm with a ruptured bleb was related to the aneurysm type. Treatment in a type-dependent manner is therefore recommended.
-
To determine the frequency of phrenic nerve abnormalities in Guillain-Barre syndrome (GBS), and evaluate the value of phrenic nerve conduction studies in predicting ventilation failure. ⋯ Not only phrenic nerve CMAP latency and amplitude, but also diaphragmatic CMAP duration could have predictive value for respiratory failure in GBS patients.
-
We report a case of left upper trunk neuropraxia following an uneventful case of lumbar spine fixation and fusion performed in the prone position. The cause of the injury was believed to be a very tight endotracheal tube tie in addition to the patient`s head turned to one side; both caused a compression in the left supraclavicular region compressing the upper trunk of the brachial plexus. On literature review, there are limited reports of endotracheal tube tie causing upper trunk brachial plexus reported in the English literature. Attention and care needs to be exercised to avoid this largely preventable complication.