Famous First Papers for the Neurointensivist by Eelco F.M. Wijdicks PDF

By Eelco F.M. Wijdicks

ISBN-10: 1461431816

ISBN-13: 9781461431817

ISBN-10: 1461431824

ISBN-13: 9781461431824

A significant contribution to the literature in neurology from well known neurointensivist Eelco F.M. Wijdicks, MD, PhD, Famous First Papers for the Neurointensivist provides and seriously assesses quite a few papers that experience made a profound impression at the analysis and therapy of neurologically acute stipulations. quite often, there was little ancient paintings in acute neurologic stipulations, accurately simply because neurology isn't really perceived via this attitude. Famous First Papers for the Neurointensivist addresses this challenge through a scholarly therapy of early descriptions of medical indicators, syndromes and proposing the advance of remedy of those acute issues. utilizing a uniform and easy-to-read layout, the identify deals a transparent replica of every paper’s identify web page, a quick old word, and a quick dialogue and its implications, and a last remark to supply point of view. Landmark medical trials that observe to acute neurology are integrated, and the ebook additionally in short discusses the start of extensive care devices. Ground-breaking and essential for all physicians and researchers attracted to neurocritical care, Famous First Papers for the Neurointensivist is a special, unique reference, supplying not just a unmarried resource for locating crucial papers within the box but in addition a severe research of the effect of every paper at the improvement of neurocritical care.

"Dr Wijdicks has been necessary to the expansion and improvement of neurocritical care as a area of expertise. He has cultivated it firsthand, serving as a modern of Raymond Adams, C. Miller Fisher,
and Allan Ropper, all pioneers in acute neurological care. He proven the neurocritical care application on the Mayo hospital within the early Nineteen Nineties and has served because the editor in leader of the magazine Neurocritical Care, which was once first released in 2004 after the basis of the Neurocritical Care Society. His specified vantage element permits him to carry us a publication that few others may produce, well-known First Papers for the Neurointensivist. This publication is an unique within the box and will be at the analyzing record of an individual who cares for seriously sick neurologic and neurosurgical patients... analyzing this e-book from conceal to hide is very urged. The writing is obvious and concise, and the transitions are tender. every one essay is self-contained and permits the reader to set his or her personal speed. as soon as completed,the ebook serves as an exceptional reference ebook simply because every one essay stands by itself. the pictures of the manuscripts' identify pages and key tables and figures are of top of the range, and a translation is equipped if the unique paintings used to be now not in English... Dr Wijdicks has sifted during the library stacks and has emerged with a booklet that places the forte of neurocritical care into old point of view. that allows you to comprehend the place you're going, you want to first recognize the place you've been. This holds very true for neurocritical care as the uniqueness maintains to develop and flourish." -- JAMA NEUROL/VOL 70 (NO. 4), APR 2013 WWW. JAMANEURO.COM

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In their original description, the patients all had clinical signs pointing to a pontine lesion. Many patients had constricted pupils with skew deviation of the eyes or disconjugate motion, including internuclear ophthalmoplegia in four patients. Decerebrate rigidity was also noted. As expected, the patients with central hyperventilation had a marked alkalosis (Fig. 12). The authors also reported frequent other respiratory abnormalities with six patients having Cheyne–Stoke type breathing and periodic breathing, usually preceding the central hyperventilation.

The term asterixis denoted inability to maintain posture (a-privative, sterixis-support). ” However, Adams and Foley pointed out in their original paper that the sign had been seen in uremia, polycythemia, and heart failure and hypokalemic stupors. Other causes for asterixis would be reported over the ensuing years, and the sign is now part of the neurologist’s catalogue of clinical signs. Terms such as negative myoclonus seem confusing and have been discouraged [39]. A very good video clip of asterixis recently has been published [162].

These were all unsuccessful attempts to grasp the difficulty of neurologic examination of coma. Perhaps as one of the first, DeJong’s 1950 textbook The Neurological Examination, included details on cranial nerve examination and emphasized the value of eye signs in localization. In the early 1960s, more emphasis was placed on clinical findings that could help physicians recognize these acute deteriorations from displacement of tissue through the tentorium or through the foramen of magnum. A variety of acute clinical symptoms emerged—a fixed pupil, abnormal motor-responses, irregular or periodic breathing, and acute hypertension—and all of them were identified as indications for neurosurgical intervention [115, 116, 189, 238, 242].

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Famous First Papers for the Neurointensivist by Eelco F.M. Wijdicks


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