RT Book, Section
A1 Ortega-Gutierrez, Santiago
A1 Gilmore, Emily
A1 Claassen, Jan
A2 Lee, Kiwon
SR Print(0)
ID 1101643154
T1 Continuous Electroencephalogram Monitoring in the Intensive Care Unit
T2 The NeuroICU Book
YR 2012
FD 2012
PB McGraw-Hill Education
PP New York, NY
SN 9780071636353
LK neurology.mhmedical.com/content.aspx?aid=1101643154
RD 2024/09/20
AB A  60-year-old  man  presented  to  the  emergency  department  (ED)  with  progressive  dysarthria  and  confusion  over  the  prior  24  hours.  In  the  last  month,  his  wife  states  that  her  husband  complained  of  episodic  headaches  that  occasionally  were  associated  with  nausea.  On  examination,  he  was  obtunded  and  moaning  to  painful  stimulation.  He  had  a  left  gaze  preference,  but  localized  equally  with  his  arms  and  legs.  The  tone  in  his  legs  was  increased  with  bilateral  upgoing  toes.  His  noncontrast  head  computed  tomographic  (CT)  scan  (Figure  13-1)  performed  in  the  ED  revealed  a  left  frontal  lesion  with  mass  effect  and  midline  shift.  He  was  admitted  to  the  neurologic  intensive  care  unit  (NeuroICU,  NICU)  for  further  evaluation  and  management.