The Experts below are selected from a list of 273 Experts worldwide ranked by ideXlab platform
Tom Hayton - One of the best experts on this subject based on the ideXlab platform.
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po027 spontaneous cervical epidural haematoma presenting as thunderclap headache case presentation
Journal of Neurology Neurosurgery and Psychiatry, 2017Co-Authors: Barbara Wysota, A. C. Williams, Tom HaytonAbstract:Thunderclap headache is most commonly associated with subarachnoid haemorrhage or other acute Intracranial Pathology. It’s typically investigated with head imaging and lumbar puncture. We are presenting here the case of spontaneous cervical epidural haematoma manifesting as thunderclap headache. This Pathology could be missed by following standard investigations of thunderclap headache and highlighting importance of through clinical history. 86 year old man presented to Emergency Department with thunderclap headache and loss of consciousness. Patient developed severe occipital headache while leaving the bath than lost consciousness. After waking up he was unable to stand up, his lower legs felt numb and weak. Headache gradually improved within 30 min. His CT head after arrival to A and E didn’t show any acute Intracranial Pathology. CSF was normal, xantochromia was negative. Within 48 hours patient recovered almost completely. Was able to mobilise independently and was considered fit for discharge by medical team. After neurology review MRI scan of cervical spine was organised revealing spontaneous cervical epidural haematoma.
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PO027 Spontaneous cervical epidural haematoma presenting as thunderclap headache – case presentation
Journal of Neurology Neurosurgery and Psychiatry, 2017Co-Authors: Barbara Wysota, A. C. Williams, Tom HaytonAbstract:Thunderclap headache is most commonly associated with subarachnoid haemorrhage or other acute Intracranial Pathology. It’s typically investigated with head imaging and lumbar puncture. We are presenting here the case of spontaneous cervical epidural haematoma manifesting as thunderclap headache. This Pathology could be missed by following standard investigations of thunderclap headache and highlighting importance of through clinical history. 86 year old man presented to Emergency Department with thunderclap headache and loss of consciousness. Patient developed severe occipital headache while leaving the bath than lost consciousness. After waking up he was unable to stand up, his lower legs felt numb and weak. Headache gradually improved within 30 min. His CT head after arrival to A and E didn’t show any acute Intracranial Pathology. CSF was normal, xantochromia was negative. Within 48 hours patient recovered almost completely. Was able to mobilise independently and was considered fit for discharge by medical team. After neurology review MRI scan of cervical spine was organised revealing spontaneous cervical epidural haematoma.
Barbara Wysota - One of the best experts on this subject based on the ideXlab platform.
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po027 spontaneous cervical epidural haematoma presenting as thunderclap headache case presentation
Journal of Neurology Neurosurgery and Psychiatry, 2017Co-Authors: Barbara Wysota, A. C. Williams, Tom HaytonAbstract:Thunderclap headache is most commonly associated with subarachnoid haemorrhage or other acute Intracranial Pathology. It’s typically investigated with head imaging and lumbar puncture. We are presenting here the case of spontaneous cervical epidural haematoma manifesting as thunderclap headache. This Pathology could be missed by following standard investigations of thunderclap headache and highlighting importance of through clinical history. 86 year old man presented to Emergency Department with thunderclap headache and loss of consciousness. Patient developed severe occipital headache while leaving the bath than lost consciousness. After waking up he was unable to stand up, his lower legs felt numb and weak. Headache gradually improved within 30 min. His CT head after arrival to A and E didn’t show any acute Intracranial Pathology. CSF was normal, xantochromia was negative. Within 48 hours patient recovered almost completely. Was able to mobilise independently and was considered fit for discharge by medical team. After neurology review MRI scan of cervical spine was organised revealing spontaneous cervical epidural haematoma.
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PO027 Spontaneous cervical epidural haematoma presenting as thunderclap headache – case presentation
Journal of Neurology Neurosurgery and Psychiatry, 2017Co-Authors: Barbara Wysota, A. C. Williams, Tom HaytonAbstract:Thunderclap headache is most commonly associated with subarachnoid haemorrhage or other acute Intracranial Pathology. It’s typically investigated with head imaging and lumbar puncture. We are presenting here the case of spontaneous cervical epidural haematoma manifesting as thunderclap headache. This Pathology could be missed by following standard investigations of thunderclap headache and highlighting importance of through clinical history. 86 year old man presented to Emergency Department with thunderclap headache and loss of consciousness. Patient developed severe occipital headache while leaving the bath than lost consciousness. After waking up he was unable to stand up, his lower legs felt numb and weak. Headache gradually improved within 30 min. His CT head after arrival to A and E didn’t show any acute Intracranial Pathology. CSF was normal, xantochromia was negative. Within 48 hours patient recovered almost completely. Was able to mobilise independently and was considered fit for discharge by medical team. After neurology review MRI scan of cervical spine was organised revealing spontaneous cervical epidural haematoma.
Raminder Nirula - One of the best experts on this subject based on the ideXlab platform.
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neuro trauma or med surg intensive care unit does it matter where multiple injuries patients with traumatic brain injury are admitted secondary analysis of the american association for the surgery of trauma multi institutional trials committee decomp
Journal of Trauma-injury Infection and Critical Care, 2017Co-Authors: Sarah Lombardo, Thomas M Scalea, Jason L Sperry, Raul Coimbra, Gary Vercruysse, Toby M Enniss, Gregory J Jurkovich, Raminder NirulaAbstract:INTRODUCTIONPatients with nontraumatic acute Intracranial Pathology benefit from neurointensivist care. Similarly, trauma patients with and without traumatic brain injury (TBI) fare better when treated by a dedicated trauma team. No study has yet evaluated the role of specialized neurocritical (NICU
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Neuro, trauma, or med/surg intensive care unit: Does it matter where multiple injuries patients with traumatic brain injury are admitted? Secondary analysis of the American Association for the Surgery of Trauma Multi-Institutional Trials Committee de
The journal of trauma and acute care surgery, 2017Co-Authors: Sarah Lombardo, Thomas M Scalea, Jason L Sperry, Raul Coimbra, Gary Vercruysse, Toby M Enniss, Gregory J Jurkovich, Raminder NirulaAbstract:INTRODUCTIONPatients with nontraumatic acute Intracranial Pathology benefit from neurointensivist care. Similarly, trauma patients with and without traumatic brain injury (TBI) fare better when treated by a dedicated trauma team. No study has yet evaluated the role of specialized neurocritical (NICU
A. C. Williams - One of the best experts on this subject based on the ideXlab platform.
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po027 spontaneous cervical epidural haematoma presenting as thunderclap headache case presentation
Journal of Neurology Neurosurgery and Psychiatry, 2017Co-Authors: Barbara Wysota, A. C. Williams, Tom HaytonAbstract:Thunderclap headache is most commonly associated with subarachnoid haemorrhage or other acute Intracranial Pathology. It’s typically investigated with head imaging and lumbar puncture. We are presenting here the case of spontaneous cervical epidural haematoma manifesting as thunderclap headache. This Pathology could be missed by following standard investigations of thunderclap headache and highlighting importance of through clinical history. 86 year old man presented to Emergency Department with thunderclap headache and loss of consciousness. Patient developed severe occipital headache while leaving the bath than lost consciousness. After waking up he was unable to stand up, his lower legs felt numb and weak. Headache gradually improved within 30 min. His CT head after arrival to A and E didn’t show any acute Intracranial Pathology. CSF was normal, xantochromia was negative. Within 48 hours patient recovered almost completely. Was able to mobilise independently and was considered fit for discharge by medical team. After neurology review MRI scan of cervical spine was organised revealing spontaneous cervical epidural haematoma.
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PO027 Spontaneous cervical epidural haematoma presenting as thunderclap headache – case presentation
Journal of Neurology Neurosurgery and Psychiatry, 2017Co-Authors: Barbara Wysota, A. C. Williams, Tom HaytonAbstract:Thunderclap headache is most commonly associated with subarachnoid haemorrhage or other acute Intracranial Pathology. It’s typically investigated with head imaging and lumbar puncture. We are presenting here the case of spontaneous cervical epidural haematoma manifesting as thunderclap headache. This Pathology could be missed by following standard investigations of thunderclap headache and highlighting importance of through clinical history. 86 year old man presented to Emergency Department with thunderclap headache and loss of consciousness. Patient developed severe occipital headache while leaving the bath than lost consciousness. After waking up he was unable to stand up, his lower legs felt numb and weak. Headache gradually improved within 30 min. His CT head after arrival to A and E didn’t show any acute Intracranial Pathology. CSF was normal, xantochromia was negative. Within 48 hours patient recovered almost completely. Was able to mobilise independently and was considered fit for discharge by medical team. After neurology review MRI scan of cervical spine was organised revealing spontaneous cervical epidural haematoma.
Peter Schmiedek - One of the best experts on this subject based on the ideXlab platform.
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Effects of 30% stable xenon on regional cerebral blood flow in patients with Intracranial Pathology.
The Keio Journal of Medicine, 2000Co-Authors: Peter Horn, Peter Vajkoczy, Claudius Thomé, Michael Quintel, Harry Roth, Lothar Schilling, Peter SchmiedekAbstract:Regional cerebral blood flow was assessed continuously in 22 patients with severe Intracranial Pathology undergoing xenon-enhanced computed tomography by means of an intraparenchymal thermodiffusion based microprobe. Thirty-four blood flow studies were analysed revealing an overall xenon-induced flow activation from about 12%. Regional CBF rose from 25 +/- 17 ml/100 g/min (mean +/- sd; range: 5.2-41.8 ml/100 g/min) before xenon administration to 28 +/- 21 ml/100 g/min (p = 0.012; range: 6.5-46.4 ml/100 g/min) when "steady-state" during xenon "wash-in" was reached. Flow activation curve demonstrated a logarithmic shape with an increase in rCBF between 3% and 7% within the first 90 seconds of xenon "wash-in", 12% after 160 seconds, and showed no further augmentation until the end of the blood flow study after 310 seconds. It is concluded that xenon inhalation leads to flow augmentation in patients with cerebral insult, which does not exceed flow activation obtained in normal subjects. The impact of the results on xenon-enhanced computed tomography cerebral blood flow calculations remains to be established.
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effects of 30 stable xenon on regional cerebral blood flow in patients with Intracranial Pathology
The Keio Journal of Medicine, 2000Co-Authors: Peter Horn, Peter Vajkoczy, Claudius Thomé, Michael Quintel, Harry Roth, Lothar Schilling, Peter SchmiedekAbstract:Regional cerebral blood flow was assessed continuously in 22 patients with severe Intracranial Pathology undergoing xenon-enhanced computed tomography by means of an intraparenchymal thermodiffusion based microprobe. Thirty-four blood flow studies were analysed revealing an overall xenon-induced flow activation from about 12%. Regional CBF rose from 25 +/- 17 ml/100 g/min (mean +/- sd; range: 5.2-41.8 ml/100 g/min) before xenon administration to 28 +/- 21 ml/100 g/min (p = 0.012; range: 6.5-46.4 ml/100 g/min) when "steady-state" during xenon "wash-in" was reached. Flow activation curve demonstrated a logarithmic shape with an increase in rCBF between 3% and 7% within the first 90 seconds of xenon "wash-in", 12% after 160 seconds, and showed no further augmentation until the end of the blood flow study after 310 seconds. It is concluded that xenon inhalation leads to flow augmentation in patients with cerebral insult, which does not exceed flow activation obtained in normal subjects. The impact of the results on xenon-enhanced computed tomography cerebral blood flow calculations remains to be established.