Mark Johnson, MRCP MBBCh BSc – In acute care environments, accurately assessing complications of intracranial pathology can be challenging. Ocular complications in acute intracranial disease are not consistently evaluated despite their high morbidity. We report on a case of monocular diplopia in a 63-year-old man with subacute traumatic brain injury with localized subarachnoid hemorrhage.
Eniola C. Gros; Lauren R. McCafferty – Ocular point of care ultrasound (POCUS) can help make timely recognition of multiple emergent ocular conditions and differentiate these from more benign conditions. While asteroid hyalosis (AH) is benign, it can easily mimic the more potentially serious vitreous hemorrhage on ocular POCUS, as both consist of numerous echogenic opacities within the vitreous with a classic “washing machine” appearance with eye movement.
Alireza Nathani; Shekhar A. Ghamande; Sarita Kambhampati; Braden Anderson; Matthew Lohse; Heath D. White – Intracerebral hemorrhage (ICH) results in spontaneous bleeding into the brain. In the United States, it accounts for 10-15% of all strokes [1]. It is associated with very high morbidity and in-hospital mortality of 32.4% [2]. In adults, the intracranial compartment is protected by the skull. The contents of the intracranial compartment include brain parenchyma, cerebrospinal fluid, and blood. Homeostasis of all three components is required to keep intracranial pressure less than 15mmHg.