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SAH Management Algorithm

Notes: 

  • In our practice, we prefer to start seizure prophylaxis in the setting of an unsecured aneurysm to abate potential deleterious effects of seizures on an already dysregulated brain.
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Checklist: Predictors of DCI

  • SAH Blood clot:  Volume, location, persistence over time and density
  • Poor clinical condition on admission and loss of consciousness at ictus
  • smoking (strong)
  • diabetes (mod)
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How Cortical Spreading Ischemia leads to DCI

  • cortical neuronal swelling
  • dendrite spine distortion
  • slow changes in brain electrical potential (spreading depolarization)
  • decreased brain electric activity (spreading depression)

Normal Neurovascular Coupling:  Spreading depolarization –> arterioles vasodilate –> hyperemia –> … 154 more words

Contradicție

Tu? Ești ca un demon nebun ce-mi joacă feste

Eu? Un simplu înger ce plânge în mările celeste

Tu? Iubirea, pasiunea, nebunia umană

Eu? Un suflet timid, retras, ce nu vrea dramă. 79 more words

Ac

Sah, Golkar Putuskan Keluar dari KMP

Sah, Golkar Putuskan Keluar dari KMP BALI (TEROPONGSENAYAN) – Musyawarah Nasional Luar Biasa Partai Golkar memutuskan membawa partai beringin keluar dari Koalisi Merah Putih sehingga membatalkan/menganulir hasil putusan Munas 2014. 13 more words

Golkar Putuskan Keluar Dari KMP

PREDICTION OF SYMPTOMATIC VASOSPASM AFTER SUBARACHNOID HEMORRHAGE: THE MODIFIED FISHER SCALE

Neurosurgery 2006 Jul;59 (1): 21-7; discussion 21-7

Abstract

OBJECTIVE: We developed a modification of the Fisher computed tomographic (CT) rating scale and compared it to the original Fisher scale to determine which scale best predicts symptomatic vasospasm after subarachnoid hemorrhage (SAH). 191 more words

Journals

Am plecat la luptă

Știm cu toții că încă e Săptămâna Patimilor lui Hristos, în care ne curățăm de păcate și trebuie să fim buni și iertători unul cu celălalt. 242 more words

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