Sara LaHue MD - Emergency Neurology

Emergency Neurology provides practical guidance to approaching both common as well as newly described neurological syndromes. With illustrative cases, key points, and useful tables, each chapter addresses common diagnostic and therapeutic dilemmas in a brief, engaging, and high impact format. Emergency Neurology is a useful resource for clinicians at all levels of training and experience in neurology.

John Probasco, MD, Vice Chair for Quality, Safety, and Service, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland

Now more than ever, hospital neurologists must be nimble and integrative in responding to complex consultations and urgent cases as their scope of practice continues to expand rapidly. In this Second Edition of Emergency Neurology, LaHue and Levin offer nuanced yet pragmatic approaches filled with clinical pearls relevant to trainees and seasoned clinicians alike. This book will get you into the mindset of a modern neurohospitalist and will surely improve your practice.

Joshua P. Klein, MD, PhD, Vice Chair, Clinical Affairs, and Chief, Division of Hospital Neurology, Department of Neurology, Brigham and Womens Hospital, Boston, Massachusetts

This book makes it easy to grasp collection of critical issues pertinent to approaching a clinic, hospitalized patient, curbside consult, morning report, or clinic conference. The text is loaded with logical, stepwise approaches to differential diagnosis, gently guiding the reader on how to proceed in the golden hours of neurological emergencies. Ample updates sprinkled throughout the text span the breadth of topics with significant advances in recent yearscomprehensive, easy on the eyes, and an essential guide for every clinician.

Vineeta Singh, MD, Professor of Neurology, University of California, San Francisco

SERIES CO-EDITORS-IN-CHIEF

Lawrence C. Newman, MD

Director of the Headache Division

Professor of Neurology

New York University Langone

New York, New York

Morris Levin, MD

Director of the Headache Center

Professor of Neurology

University of California, San Francisco

San Francisco, California

OTHER VOLUMES IN THE SERIES

Headache and Facial Pain

Epilepsy

Pain

Emergency Neurology

Neuroinfections

Neurogenetics

Neurotology

Pediatric Neurology

Neurocritical Care

Stroke

Peripheral Nerve and Muscle Disease

Cerebrovascular Disease

Movement Disorders

Womens Neurology

Neuroimmunology

Neuro-Ophthalmology

Concussion

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Oxford University Press 2021

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Library of Congress Cataloging-in-Publication Data

Names: LaHue, Sara C., author. | Levin, Morris, 1955 author.

Title: Emergency neurology / Sara C. LaHue, Morris Levin.

Other titles: What do I do now?

Description: 2nd edition. | New York, NY : Oxford University Press, [2021] |

Series: What do I do now | Morris Levins name appears first on previous edition. |

Includes bibliographical references and index.

Identifiers: LCCN 2020020672 (print) | LCCN 2020020673 (ebook) |

ISBN 9780190064303 (paperback) | ISBN 9780190064327 (epub) |

ISBN 9780190064334 (online)

Subjects: MESH: Central Nervous System Diseases | Emergencies | Case Reports

Classification: LCC RC350.7 (print) | LCC RC350.7 (ebook) | NLM WL 301 |

DDC 616.8/0425dc23

LC record available at https://lccn.loc.gov/2020020672

LC ebook record available at https://lccn.loc.gov/2020020673

DOI: 10.1093/med/9780190064303.001.0001

This material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances. And, while this material is designed to offer accurate information with respect to the subject matter covered and to be current as of the time it was written, research and knowledge about medical and health issues are constantly evolving and dose schedules for medications are being revised continually, with new side effects recognized and accounted for regularly. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulation. The publisher and the author make no representations or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the author make no representations or warranties as to the accuracy or efficacy of the drug dosages mentioned in the material. The author and the publisher do not accept, and expressly disclaim, any responsibility for any liability, loss, or risk that may be claimed or incurred as a consequence of the use and/or application of any of the contents of this material.

Some of the most exciting recent developments in neurology have occurred in the management of neurologic emergencies. This case-based second edition of Emergency Neurology features 13 new chapters as well as significant updates to chapters that appeared in the first edition and that provide practical approaches incorporating these clinical advances. The topics include acute stroke management and stroke prevention, status epilepticus, neurologic toxicities from cancer immunotherapy, newly appreciated autoimmune and paraneoplastic diseases, the prevention and management of delirium, and many others.

Can I tell you about a new case? is a common refrain among medical colleagues who strive to learn from each other and from our patients. Sharing cases serves as an internal check to our personal systematic approaches to the management of various diseases and are a delightfully interactive way to stay up to date in medicine. A number of clinical presentations that we see lead to diagnostic or therapeutic impasses (i.e., What do I do now?). We have tried to identify important examples and sort through them in a comprehensive but practical way. Our point of view is often that of an attendee at a morning rounds discussion, starting with key details of a relevant case, followed by a pragmatic discussion of the differential diagnosis, testing options, and management strategies.