NCCEd: Neurocritical Care Education for Residents

Case-Based Modules > Case 11 > Stage 2

Sorry! It's not the most unreasonable thing to do this. There's another much higher priority, though. This patient is acutely hydrocephalic. What guideline-concordant therapeutic intervention should be performed urgently to directly address this problem? If there's going to be a delay in pursuing this intervention (there shouldn't be), then you could administer hyperosmolar therapy as a stop-gap.

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Suggested Reading:

• Hoh BL, Ko NU, Amin-Hanjani S, et al. 2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association [published correction appears in Stroke. 2023 Dec;54(12):e516. doi: 10.1161/STR.0000000000000449.]. Stroke. 2023;54(7):e314-e370. doi:10.1161/STR.0000000000000436