Absolute Neurocritical Care Review by Zachary David Levy

Author:Zachary David Levy
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

6. The correct answer is B. This patient is in status asthmaticus and severe respiratory distress. These patients will often present hypocapnic secondary to hyperventilation. “Normalization” of the pCO2 is an ominous sign, and portends impending respiratory failure. Therefore, this patient should be intubated immediately and admitted to the ICU.

7. The correct answer is D. Chiari malformations can be broadly described as follows: I—displacement of the cerebellar tonsils through the foramen magnum; II—displacement of the medulla and vermis through the foramen magnum, usually in conjunction with a myelomeningocele; III—similar to II with an associated with an occipital encephalocele; IV—cerebellar hypoplasia without herniation through the foramen magnum; and V—absent cerebellum with herniation of the occipital lobe through the foramen magnum (controversial) [2].

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