RT Book, Section
A1 Gilmore, Emily J.
A1 Claassen, Jan
A2 Lee, Kiwon
SR Print(0)
ID 1143954968
T1 Continuous Electroencephalogram Monitoring in the ICU
T2 The NeuroICU Book, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071841443
LK neurology.mhmedical.com/content.aspx?aid=1143954968
RD 2024/04/19
AB A  60-year-old  man  presents  to  the  emergency  department  with  progressive  dysarthria  and  confusion  over  the  prior  24  hours.  His  wife  states  that  in  the  past  month  her  husband  complained  of  episodic  headaches  that  occasionally  were  associated  with  nausea.  On  examination,  he  is  obtunded  and  moaning  to  painful  stimulation.  He  has  a  left  gaze  preference,  but  localizes  equally  with  his  arms  and  legs.  The  tone  in  his  legs  is  increased  with  bilateral  upgoing  toes.  His  noncontrast  head  computed  tomography  (CT)  reveals  a  left  frontal  lesion  with  mass  effect  and  midline  shift  (Figure  15-1).  He  is  admitted  to  the  neurologic  intensive  care  unit  (NeuroICU)  for  further  evaluation  and  management.