Neurology

Guillain-Barrè

Jennifer Yee, DO^*, Andrew M King MD^* and Geremiha Emerson, MD^*

DOI: https://doi.org/10.21980/J8TH06 Issue 3:2 No ratings yet.

At the conclusion of the simulation session, learners will be able to: 1) Recognize the clinical signs and symptoms associated with Guillain-Barré syndrome, including muscle weakness and hyporeflexia. 2) Identify abnormal vital signs secondary to dysautonomia. 3) Discuss evaluation for impending respiratory failure, including bedside pulmonary function testing. 4) Discuss the management of Guillain-Barré, including management of dysautonomia and respiratory failure, as well as definitive management with plasmapheresis versus intravenous immunoglobulin. 5) Appropriately disposition the patient to the intensive care unit. 6) Effectively communicate with team members and nursing staff during resuscitation of a critically ill patient

Neurology Simulation

Radial Nerve Palsy

Richard Barnett, DO^* and Amy Church, MD^*

DOI: https://doi.org/10.21980/J8KS7F Issue 3:2 No ratings yet.

On physical exam, the patient was unable to extend his right wrist, thumb, and fingers, and had no sensation of his 1stdorsal interosseous muscles up to the proximal dorsal radial aspect of his forearm. The patient also had slight weakness in thumb abduction. Triceps strength was preserved.

Neurology Visual EM

Viridans streptococci Intracranial Abscess Masquerading as Metastatic Disease

Brandon Ruderman, MD^*, Traci Thoureen, MD^*and Joshua Broder, MD^*

DOI: https://doi.org/10.21980/J8CH05 Issue 3:1 No ratings yet.

A non-contrast CT (Figure 1) revealed a large hypoattenuating left parietal lesion. When the CT was enhanced with intravenous contrast (Figure 2), the same lesion showed peripheral rim enhancement, suggestive of a brain abscess.

Infectious Disease Neurology Visual EM

Dense MCA Sign

Richard J Chen, MD^* and Grant Wei, MD^*

DOI: https://doi.org/10.21980/J8CS66Issue 2:3 No ratings yet.

A non-contrast computed tomography (CT) scan showed a hyperdensity along the right middle cerebral artery (MCA) consistent with acute thrombus. The red arrow highlights the hyperdensity in the annotated image.

Neurology Visual EM

Status Epilepticus in the Emergency Department

Jonathan Lee, BS^* and Alisa Wray, MD^*

DOI: https://doi.org/10.21980/J8RC7VIssue 2:2 No ratings yet.

At the end of this simulation session, the learner will: 1) Demonstrate the management of status epilepticus 2) Justify when airway intervention is needed for status epilepticus 3) Describe risk factors for status epilepticus 4) Prepare a differential diagnosis for the causes in status epilepticus.

Neurology Simulation

Presentation of Significant Subarachnoid Hemorrhage without Loss of Consciousness

Nicholas Taylor, BA^* and Shannon Toohey, MD, MAEd^*

DOI: https://doi.org/10.21980/J80W29 Issue 2:2 No ratings yet.

A non-contrast head CT demonstrated extensive subarachnoid hemorrhage occupying both cerebral convexities, the anterior interhemispheric fissure, the sylvian fissures, and the basal cisterns. Later CTA would show an 8 mm by 7 mm by 8mm MCA aneurysm near the M1/M2 junction and two pericallosal artery aneurysms, 7 by 6 mm and 8 by 5 mm respectively.

Neurology Visual EM

Acute Subdural Hematoma

Ellen Lester, BS^*, Jonathan Peña, MD^* and Warren Wiechmann, MD, MBA^*

DOI: https://doi.org/10.21980/J87C76 Issue 2:2 No ratings yet.

Non-contrast Computed Tomography (CT) of the Head showed a dense extra-axial collection along the left frontal and parietal regions, extending superior to the vertex with mild mass effect, but no midline shift.

Neurology Visual EM

Intracranial Hemorrhage Following a 3-week Headache

John Jiao, MHS^* and Alisa Wray, MD^*

DOI: https://doi.org/10.21980/J89885 Issue 2:1 No ratings yet.

The patient’s head CT showed a significant area of hyperdensity consistent with an intracranial hemorrhage located within the left frontal parietal lobe (red arrow). Additionally, there is rightward midline shift up to 1.1cm (green arrow) and entrapment of the right lateral ventricle (blue arrow).

Neurology Visual EM

Approach to Acute Headache: A Flipped Classroom Module for Emergency Medicine Trainees

Jeff Riddell, MD^*, Stacy Sawtelle, MD^{^}, Paul Jhun, MD^‡, James Comes, MD^{^}, Ramin Tabatabai, MD^~, Daniel Joseph, MD^~, Jan Shoenberger, MD^~, Esther Chen, MD^‡, Christopher Fee, MD^‡, and Stuart Swadron, MD^~

DOI: https://doi.org/10.21980/J8WC73Issue 1:1 No ratings yet.

At the end of this module, the learner will be able to: 1) list the diagnoses critical to the emergency physician that may present with headache; 2) identify key historical and examination findings that help differentiate primary (benign) from secondary (serious) causes of headache; 3) discuss the indications for diagnostic imaging, lumbar puncture and laboratory testing in patients with headache; 4) recognize life-threatening diagnoses on CT imaging and CSF examination; 5) describe treatment strategies to relieve headache symptoms.

Neurology Small Group Learning