RT Book, Section
A1 Keegan, Joshua
A1 Hwang, David
A2 Salardini, Arash
A2 Biller, José
SR Print(0)
ID 1127045536
T1 Principles of Neurocritical Care
T2 The Hospital Neurology Book
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071845830
LK neurology.mhmedical.com/content.aspx?aid=1127045536
RD 2024/04/19
AB A  55-year-old  male  smoker  with  no  known  past  medical  history  complained  to  family  members  of  acute  onset  of  severe  headache,  nausea,  and  stiff  neck  before  becoming  confused  and  lethargic  at  home.  The  patient  was  transported  to  the  emergency  department,  where  he  was  found  to  be  confused  but  able  to  follow  simple  commands.  A  head  CT  was  performed,  demonstrating  subarachnoid  hemorrhage  with  mild  hydrocephalus.  CT  angiogram  reveals  a  3  mm  anterior  communicating  artery  aneurysm.  Upon  return  from  the  CT  scanner,  the  patient  was  noted  to  be  slower  with  commands,  with  sluggishly  reactive  pupils.  What  neurocritical  care  interventions  are  appropriate  at  this  time?