CSF analysis for diagnosis of dementia
The Altered mental state page has been updated with information about CSF analysis for the diagnosis of dementia.
Neurology
Spontaneous cerebellar haemorrhage
The Spontaneous intracranial haemorrhage page has been updated with additional information regarding surgical intervention for posterior fossa haemorrhages.
Fluoroquinones and ICP
The Sulphonamides and quinolones and Idiopathic intracranial hypertension pages have been updated with fluoroquinones added as a risk factor for increased ICP.
Sudden death and seizures
The Management of isolated seizures page has been updated with information about sudden death following seizures.
Paramedian LP approach
The Lumbar puncture page has been revised and information about the paramedian approach added.
US assisted LP
The Lumbar puncture page has been revised and the segment on US assisted LP extensively revised and expanded.
Migraine triggers
The Migraine page has been updated with a short segment on migraine triggers.
Postural change during true seizures
The Assessment of isolated seizures page has been updated with information about the rarity of body rotation > 90 degrees in true seizures.
Head position in stroke
The Stroke management page has been updated with information about patient positioning following stroke.
Risk of asymptomatic cerebral artery aneurysm rupture
The rates of rupture of asymptomatic cerebral artery aneurysm rupture in asymptomatic patients has been revised on the Subarachnoid haemorrhage page, following the publication of a meta analysis on the subject. Malhotra, A, Wu, X, Forman, HP, et al. Growth and rupture risk of small unruptured intracranial aneurysms: A systematic review. Annals of Internal Medicine … Read more
Anticonvulsants for seizure prevention
The Anticonvulsants for seizure prevention page has been updated with mostly formatting changes.
Anticonvulsants for immediate seizure control
The Anticonvulsants for immediate seizure control has been revised, with mostly formatting and prioritisation changes.
Valproate and levetiracetam dosing in status epilepticus
The Status epilepticus page has been revised, including an increase in the dose ranges for IV valproate and levetiracetam.
Pseudoseizures
The Assessment of isolated seizures page has been updated with additional information about pseudoseizures.
Nimodipine dose error
The Management of aneurysmal subarachnoid haemorrhage page has been updated to correct a dose error for nimodipine. The correct initial dose is 15µg/kg/hour not 15g/kg/hour. Thanks to Cherie for spotting this.
Pseudo-infarction ECG from SAH
An ECG demonstrating a pseudo inferior STEMI due to SAH has been added to the Investigation of suspected subarachnoid haemorrhage page.
AXR of fractured VP shunt catheter
The Cerebral ventricular shunts page has been updated with an abdominal Xray image demonstrating a fractured VP shunt catheter coiled in the abdomen.
Skull Xray of disconnected VP shunt
The Cerebral ventricular shunts page has been updated with a skull Xray image demonstrating a disconnected VP shunt.
WCC and neutrophil/lymphocyte ratio in SAH
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about the WCC and neutrophil/lymphocyte ratio in SAH.
Vertebral infections
A new segment on Vertebral infections has been created in the Low back pain page. As a result, the segments on Transverse myelitis, Epidural abscess and Spinal tumours have moved from the Non traumatic spinal cord disorders page.