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J Crit Care. 2014 Aug;29(4):627-33. doi: 10.1016/j.jcrc.2014.02.014. Epub 2014 Feb 26.

A practical approach to neurologic evaluation in the intensive care unit.

Author information

1
Department of Neurology, University of California, San Francisco, CA. Electronic address: neel.singhal@ucsfmedctr.org.
2
Department of Neurology, University of California, San Francisco, CA.

Abstract

Delirium and neurologic impairment are extremely common in the intensive care setting, and their delayed identification is an important contributor to patient morbidity. Even in comatose patients, the clinical neurologic examination remains the most accurate and effective tool in assessing nervous system function. Rapid identification of neurologic deficits with a practical and easily reproducible neurologic examination is a core skill for effectively caring for critically ill patients. The purpose of this tutorial is to discuss techniques of neurologic examination and localization with an emphasis on comatose patients. Commonly encountered cases of encephalopathy and coma along with clinical pearls are presented.

KEYWORDS:

Coma; Delirium; Encephalopathy; Neurological examination; Neurology

PMID:
24636925
DOI:
10.1016/j.jcrc.2014.02.014
[Indexed for MEDLINE]
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