Subarachnoid Hemorrhage Management Pearls

1.  SAH requiring intubation:

Anatomic landmarks followed by a "blind" stick is currently the standard practice for performing bedside lumbar punctures, but with increasing use and ease of ultrasound, could we one day see lumbar punctures follow in the footsteps of central line placement?

Always looking up the clinical findings of a central vs. peripheral CN VII palsy? Wondering who to treat and who not to treat? Well...this post is for you! Click to read more about the basics of a Bell's Palsy!

Looking for a quick evidence based review of medications for your seizing patient?  Dr. Mansfield provides us guidelines for your treatment algorithm for a seizing patient.  

Benzos not stopping your seizing patient and you are preparing to order phenytoin?  This week Dr. Nicole Mansfield discussed an evidence based approach to the seizing patient, focusing on this risks/benefits of phenytoin.  

How to add this quick and simple trick to your migraine treatment repertoire

Mr. Clean, Escape, Extend IA. So many trials...just tell me the bottom line! Here are some of the most critical neuro-interventional trials and their take home points.

Ever wonder where the the current American Heart Association and American Stroke Association (AHA/ASA) guidelines for thrombolysis in acute ischemic stroke come from?   Included is a summary of the landmark studies that have contributed to these recommendations (NINDS& ECASS III) as well as a review of IST-3. 

Do you routinely recommend rest for your post-concussive pediatric patient?  You may reconsider this adivce.  This week Dr. Lou Argentine reviewed this clincal question for his critically appraised topic.    

A 34 yo female with a history of trigeminal neuralgia presented to the Emergency Department with a chief complaint of 5 days of severe, worsening paroxysms of pain in the left trigeminal nerve distribution. The pain was refractory to carbamazepine and gabapentin. Neurology was consulted and an unconventional therapy was recommended.