Titlebook: Examining Neurocritical Patients; Eelco F. M. Wijdicks Book 2021 The Editor(s) (if applicable) and The Author(s), under exclusive license

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Scales and Scores,a larger ICU population. These scales mostly quantify abnormal levels of consciousness, acute confusional states, or delirium. Their use in practice is unknown, although some scales and scores are now mandated in stroke centers. Many scores and scales have not been validated repeatedly, and one (in-

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Patterns: Interpreting Focal Findings, (1) explain the affected anatomy and examination techniques; (2) discuss how to collate the findings; and (3) discover how to localize the lesion in acutely ill neurologic patients. The findings of the neurologic examination of the neurocritically ill patient often have major consequences that lead

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Excess or Paucity: Making Sense of Movements,ons. Dystonic involvement of the chest wall, neck, and respiratory muscles may cause acute respiratory compromise requiring mechanical ventilation. Excess (hyperkinetic) movements sustained over a period of time increase the risk of muscle breakdown. If patients experience paroxysmal sympathetic hyp

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Declaring Brain Death,est judgment. Sequential systematic steps in examination are useful to achieve comprehensiveness and to avoid having an important test slip one’s mind. Examination concentrates on testing of seven brainstem reflexes with circuitry going through the mesencephalon, pons, and medulla oblongata. Ancilla

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Sorting Through Acute Neuromuscular Diseases,e amalgamate all the clinical findings into a working diagnosis? Clinically, it is not difficult to diagnose acute neuromuscular disease if we (1) determine which part of the motor unit is involved, (2) assess the vital signs, and (3) anticipate problems with both the pulmonary and cardiac pump. Pat