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Chapter 16 - Prognostication in the Complications of Neurosurgical Procedures

from Part I - Disease-Specific Prognostication

Published online by Cambridge University Press:  14 November 2024

By
Zachary L. Hickman  and
Salazar A. Jones
Edited by
David M. Greer  and
Neha S. Dangayach
David M. Greer
Affiliation:
Boston University School of Medicine and Boston Medical Center
Neha S. Dangayach
Affiliation:
Icahn School of Medicine at Mount Sinai and Mount Sinai Health System
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Summary

There are many central nervous system (CNS) pathologies that are managed in the neurointensive care unit. Neurocritical patients are a diverse group with vastly different presentations, management, expected duration of their clinical course, and disease-related long-term outcomes. Clinical entities include traumatic brain injury (TBI), ischemic stroke, aneurysmal subarachnoid hemorrhage (aSAH), intraparenchymal hemorrhages (ICH), spinal cord injury (SCI), brain tumors, postoperative craniotomy patients, and nonsurgical diseases, such as myasthenia gravis, Guillain–Barré syndrome, and CNS infections (meningitis and encephalitis).

There are a variety of bedside neurosurgical and neurocritical care procedures that may be required to provide care and mitigate the effects of primary neurologic pathology and to improve outcomes. Despite the many advances in neurosurgical and neurocritical care in that last several decades, complications from these procedures, while generally rare, still can occur (Table 16.1).

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Neuroprognostication in Critical Care , pp. 229 - 245
Publisher: Cambridge University Press
Print publication year: 2024

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