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Increased ICP
Edema
– Interstitial
– Vascular
– Cytotoxic
Increased ICP
VentriclesBrain structureVascular
Increased ICP
Diagnosis
ASAP –
1 day
Proper treatment
Medical care
Drugs
Surgical
Monitor
Improvement
Complications
Prognosis
Brain infection
Bacterial meningitis
• LP
• Not doneproperly
• Vaccination
• Good vaccine
• Wrongpopulation
Tuberculous meningitis
• High TB incidence
• Death or severe neurologic complications
Encephalitis
• Viral: No treatment except HSV
• Autoimmune: Anti NMDA Encephalitis
• Super refractory status epilepticus
• Severe neurologic complications
Status epilepticus
Shorvon S, Ferlisi M. The treatment of super-refractory status epilepticus: A critical review of available therapies and a clinical treatment protocol. Brain. 2011;134:2802-18.
Stage 1: 30 min
Early SEStage 2: 30-120 min
Established SEStage 3: > 120 min
Refractory SE
10-15% of SE
After 24 hours
Super-refractory SE
Neuromuscular emergencies
• Most of doctors are unfamiliar with neuromuscular disease
• Some can cause life-threatening condition
• Myasthenia gravis
– Myasthenic crisis
– Cholinergic crisis