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Neurology/Neurosurgery

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Status Epilepticus

Convulsive Status Epilepticus accounts for up to 75% of all status epilepticus(1). We recognise it in patients where they...

Carotid Artery Dissection

Patients can present to us with a sudden severe headache, also known as a thunderclap headache. Although there...

Cerebral Venous Thrombosis

You've just seen a patient with sudden onset of headache. They have presented within 6 hours and your...

There is no Consensus in the way we investigate potential subarachnoid haemorrhage!

Introduction A 38 year old woman presents to the emergency department, with sudden onset severe headache, which she...

Should We Lower BP in Inra-Cerebral Haemorrhage- ATACH-2

Introduction Two days after speaking at the EMCORE Conference on blood pressure control in intra-cerebral bleeds the ATACH-2...

The Penumbra Conundrum: Intracranial Haemorrhage

How to Control Blood Pressure in Intracranial Haemorrhage The scenario is this: A 62 year old male is brought...

Sudden Headache in 2016: Let’s start to question

Here I am, in front of a 43 year old female patient who tells me that she had...

Case: Leg Weakness and a Sensory Level

THE CASE A 35yo patient presents with multiple complaints which include: lower abdominal pain retrosternal chest pain lumber...

The Oculocephalic Reflex

What is the Oculocephalic Reflex and how do you use it? This reflex is brainstem mediated and keeps...