Current Concepts in Adult Critical Care-Case Prologue

Video Transcription

Video Summary

CRRT is the most effective treatment for hyperencephalopathy in a patient with a subacute stroke affecting the right middle cerebral artery, leading to hemorrhagic transformation, edema, and midline shift. A large stroke in the right frontotemporal region is confirmed by MRI. The team considers neurointerventional procedures and decompressive hemicraniectomy. The discussion includes the association between infarct volume on MRI DWI and patient outcomes, as well as identifying signs of malignant MCA syndrome in unstable patients through imaging modalities like CT, MRI, carotid ultrasound, and transcranial Doppler. Consulting with endovascular neurosurgeons and neurosurgery is key for patient management.

Keywords

CRRT

hyperencephalopathy

subacute stroke

neurointerventional procedures

malignant MCA syndrome

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