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Topics:
Internal Medicine • Neurology • Neuro-critical care • Traumatic Brain Injury • Neurohospitalist
What is your approach to monitoring the neurologic status of a patient with a traumatic brain injury requiring burst suppression for status epilepticus?
E.g., a patient has an intracranial hemorrhage after TBI with convulsive status epilepticus.
Answer from: at Academic Institution
As with any other patient in status epilepticus requiring burst suppression, the neurological exam becomes limited to pupillary light reactivity. Pharmacotherapy used in the management of status epilepticus does not negate pupillary response. Not being able to obtain frequent neurological exams on a...
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