Chapter

Outcome of Acute Injury to the Central Nervous System

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/9780195371093.003.0021

Series: Contemporary Neurology Series

Outcome of Acute Injury to the Central Nervous System

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To render a judgment about outcome in critically ill patients with a neurologic complication is difficult, depends on circumstances, and may even be disputable. In reality, a sudden major neurologic complication prompts a reassessment of the level of care. There may be little purpose in continuing and withdrawal of all elements of support may be justified. In other patients, when a “functional” outcome can be anticipated, the level of critical care should remain unchanged. It is self-evident that precision in determining outcome would be preferred, and in an ideal world, finite ICU resources should not be used for patients with disorders that are inevitably disastrous.

Chapter.  8495 words.  Illustrated.

Subjects: Neurology

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