Pontine haemorrhage CT
A new CT image of pontine haemorrhage has been added to the Spontaneous intracerebral haemorrhage page.
Neurology
Tetanus
The Tetanus page has had a number of updates, especially in relation to testing.
Myasthenia gravis
The Myasthenia gravis page has been updated with some additional information about the different forms of the disease.
Contra-indications to thrombolysis in stroke – correction
The Thrombolytic therapy in stroke page has been updated to indicate that thrombolysis is contra-indicated when > 1/3 of MCA territory is involved or NIHSS is > 25 – not < 1/3 and < 25 as previously written. Thanks to Andy for picking this up.
ICH score and mortality
The Spontaneous intracerebral haemorrhage page has been updated, including details of the ICH score and mortality risk.
Amyotrophic lateral sclerosis
The Motor neurone disease page has been updated with some additional information about ALS
TXA in ICH
The Stroke management page has been updated with information about the lack of utility of TXA in primary ICH.
Rhomberg’s is actually Romberg’s
The spelling of ‘Romberg’s’ (test) has been corrected from the previously incorrect spelling of ‘Rhomberg’s’.
More about vertigo
The Vertigo page has had another update with more features that help differentiate central from peripheral causes.
Cerebrovascular arterial dissection
The Cerebrovascular trauma page has been updated with more information about spontaneous dissection. A link from the Headache page has also been added.
Cerebral venous sinus thrombosis
The Cerebral venous sinus thrombosis page has been updated, including additional information about the role of D dimer in diagnosis.
SAH
The Investigation of suspected SAH page has had a significant rewrite and re-organisation.
IV fluids and O2 in migraine
The Migraine page has been updated with some additional information about O2 and IV fluids in acute migraine treatment.
Corticosteriods for prevention of migraine recurrence
The Migraine page has been updated with short segment on the role of corticosteroids in migraine prevention following discharge.
Subarachnoid mirage
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about subarachnoid mirage.
ADEM
The Multiple sclerosis page has been updated with additional information about ADEM, a differential diagnosis for MS
Investigation of SAH algorithm
The Investigation of suspected SAH page has been updated with a new investigation and management algorithm that better reflects contemporary thinking.
Role of LP in suspected SAH
The Investigation of subarachnoid haemorrhage page has had a major revision, including clearer guidance about the role (or usual lack of it) for normal risk patients who have had a negative high quality CT within 6 (and probably 12) hours.
Risk factors for SAH
The Subarachnoid haemorrhage page has had a major revision, including additional information about the epidemiology of SAH
CGS in non head trauma
The Coma and altered conscious state page has been updated, including a greater emphasis on the limitations of the GCS, particularly in non head injured patients.