Citation

Wijdicks EF. Handb. Clin. Neurol. 2017; 141: 443-447.

Affiliation

Division of Critical Care Neurology, Mayo Clinic and Neurosciences Intensive Care Unit, Mayo Clinic Campus, Saint Marys Hospital, Rochester, MN, USA. Electronic address: wijde@mayo.edu.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/B978-0-444-63599-0.00024-7

PMID

28190429

Abstract

Critical illness increases the probability of a neurologic complication. There are many reasons to consult a neurologist in a critically ill patient and most often it is altered alertness with no intuitive plausible explanation. Other common clinical neurologic problems facing the intensive care specialist and consulting neurologist in everyday decisions are coma following prolonged cardiovascular surgery, newly perceived motor asymmetry, seizures or other abnormal movements, and generalized muscle weakness. Assessment of long-term neurologic prognosis is another frequent reason for consultation and often to seek additional information about the patient's critical condition by the attending intensivist. Generally speaking, consultations in medical or surgical ICU's may have a varying catalog of complexity and may involve close management of major acute brain injury. This chapter introduces the main principles and scope of this field. Being able to do these consults effectively-often urgent and at any hour of the day-requires a good knowledge of general intensive care and surgical procedures. An argument can be made to involve neurointensivists or neurohospitalists in these complicated consults.

© 2017 Elsevier B.V. All rights reserved.

Language: en

Keywords

coma; delirium; intensive care unit; seizure; weakness