Chapter

Neurologic Manifestations of Acid–Base Derangements, Electrolyte Disorders, and Endocrine Crises

Eelco F. M. Wijdicks

in Neurologic Complications of Critical Illness

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print May 2009 | ISBN: 9780195371093
Published online April 2013 | e-ISBN: 9780199322886 | DOI: http://dx.doi.org/10.1093/med/9780195371093.003.0009

Series: Contemporary Neurology Series

Neurologic Manifestations of Acid–Base Derangements, Electrolyte Disorders, and Endocrine Crises

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Critically ill patients, by nature of their illness, display a gamut of homeostatic imbalances. What the ultimate clinical response will be in any given patient with any degree of acute metabolic abnormality is difficult to predict. These aberrations are not always consequential, but simultaneously mounting physiologic disturbances may emerge. Thus, the clinical spectrum associated with acute metabolic or endocrine derangements could range from transient and subtle neurologic manifestations to irreversible damage to the central nervous system (CNS). Several electrolyte and acid–base abnormalities are encountered so regularly in the intensive care unit (ICU) that they deserve a discussion in a separate chapter. The most representative clinical neurologic manifestations are selected to guide clinicians in their differential diagnosis, and additionally there is an attempt to clarify the extent of the derangement on the nervous system.

Chapter.  17865 words.  Illustrated.

Subjects: Neurology

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