Abstract
A 62-year-old woman was admitted to our hospital in coma following the nontraumatic rupture of a left posterior inferior cerebellar artery aneurysm with subsequent intraventricular hemorrhage and acute hydrocephalus, affecting mainly the fourth ventricle with substantial adjacent edema (figure 1). Her Glasgow Coma Scale score was 3/15 and physical examination showed left hemiparesis, absent corneal and oculovestibular reflexes. Dexamethasone (4 mg q6h) and mannitol (1 g/kg initially, then 0.5 mg/kg q6h) were started, and a frontal bilateral trephination with external ventricular drainage was performed. Initial sedation was waned and discontinued 7 days later. The right and left ventricular drains were removed 9 and 15 days after placement, respectively, when a head CT scan showed reduction of the intraventricular hemorrhage and hydrocephalus (figure 2). Transcranial Doppler on days 2 and 8 showed no vasospasm. Serial EEGs on days 14, 21, and 28 showed no ictal activity. The aneurysm was successfully embolized 34 days after admission.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 541-542 |
| Number of pages | 2 |
| Journal | Neurology: Clinical Practice |
| Volume | 8 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2018 |
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ASJC Scopus subject areas
- Clinical Neurology
Cite this
Accelerated emergence from a nontraumatic minimally conscious state with levodopa/carbidopa. / Bancalari, Ernesto; Rabinstein, Alejandro; Machiavello, Francisco; Desmaison, Alejandro.
In: Neurology: Clinical Practice, Vol. 8, No. 6, 01.12.2018, p. 541-542.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Accelerated emergence from a nontraumatic minimally conscious state with levodopa/carbidopa
AU - Bancalari, Ernesto
AU - Rabinstein, Alejandro
AU - Machiavello, Francisco
AU - Desmaison, Alejandro
PY - 2018/12/1
Y1 - 2018/12/1
N2 - A 62-year-old woman was admitted to our hospital in coma following the nontraumatic rupture of a left posterior inferior cerebellar artery aneurysm with subsequent intraventricular hemorrhage and acute hydrocephalus, affecting mainly the fourth ventricle with substantial adjacent edema (figure 1). Her Glasgow Coma Scale score was 3/15 and physical examination showed left hemiparesis, absent corneal and oculovestibular reflexes. Dexamethasone (4 mg q6h) and mannitol (1 g/kg initially, then 0.5 mg/kg q6h) were started, and a frontal bilateral trephination with external ventricular drainage was performed. Initial sedation was waned and discontinued 7 days later. The right and left ventricular drains were removed 9 and 15 days after placement, respectively, when a head CT scan showed reduction of the intraventricular hemorrhage and hydrocephalus (figure 2). Transcranial Doppler on days 2 and 8 showed no vasospasm. Serial EEGs on days 14, 21, and 28 showed no ictal activity. The aneurysm was successfully embolized 34 days after admission.
AB - A 62-year-old woman was admitted to our hospital in coma following the nontraumatic rupture of a left posterior inferior cerebellar artery aneurysm with subsequent intraventricular hemorrhage and acute hydrocephalus, affecting mainly the fourth ventricle with substantial adjacent edema (figure 1). Her Glasgow Coma Scale score was 3/15 and physical examination showed left hemiparesis, absent corneal and oculovestibular reflexes. Dexamethasone (4 mg q6h) and mannitol (1 g/kg initially, then 0.5 mg/kg q6h) were started, and a frontal bilateral trephination with external ventricular drainage was performed. Initial sedation was waned and discontinued 7 days later. The right and left ventricular drains were removed 9 and 15 days after placement, respectively, when a head CT scan showed reduction of the intraventricular hemorrhage and hydrocephalus (figure 2). Transcranial Doppler on days 2 and 8 showed no vasospasm. Serial EEGs on days 14, 21, and 28 showed no ictal activity. The aneurysm was successfully embolized 34 days after admission.
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U2 - 10.1212/CPJ.0000000000000508
DO - 10.1212/CPJ.0000000000000508
M3 - Article
VL - 8
SP - 541
EP - 542
JO - Neurology: Clinical Practice
JF - Neurology: Clinical Practice
SN - 2163-0402
IS - 6
ER -