Brain Injury

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In medical treatment the intersection of pharmacology and patient safety is a critical area of concern. A particularly alarming scenario arises when patients on Monoamine Oxidase Inhibitors (MAOIs) for depression are inadvertently treated with certain antibiotics, such as Linezolid, leading to severe complications like hypertension and stroke. This blog explores the mechanisms behind this dangerous interaction, the resulting medical condition known as Serotonin Syndrome, and the implications of such medical errors.

MAOIs are a class of antidepressants that work…

Continue Reading Linezolid, Serotonin Syndrome, and Medical Malpractice
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The prevalence of brain injury in the United States is alarming as it is the second leading cause of disability in the country. Often referred to as the silent epidemic, approximately 3.17- 5.3 million Americans suffer from traumatic brain injuries, another 4.7 million have brain injuries from strokes, and another 500,000 have cerebral palsy (brain injury due to an event of oxygen deprivation). Causes of brain injury that may give rise to a medical malpractice lawsuit are further described below: …

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Cerebrospinal fluid (CSF) is a clear fluid that surrounds the brain and spinal cord. This fluid is continually produced and stored in ventricles, which are cavities of the brain. CSF cushions the brain, supplies the brain with nutrients, and removes wastes.  Excess fluid drained from the brain is absorbed by other tissues.

Hydrocephalus is a condition in which there is an abundance of CSF in the ventricles due to interference in proper drainage and absorption. To accommodate the extra fluid…

Continue Reading Normal Pressure Hydrocephalus and Medical Malpractice

Lumbar puncture is a procedure performed in the lower back area, where a needle is inserted between two vertebrae to remove a sample of cerebrospinal fluid (CSF). The patient flexes his/her back to widen the spaces between the vertebrae so it is easier for the physician to access the region. The back is washed with antiseptic soap or iodine and covered with a sterile sheet. A local anesthetic is used to numb the area and then a thin hollow needle…

Continue Reading Lumbar Puncture – Indications and Usage

Premature birth can often result in complications for the newborn. Preterm or premature birth refers to babies born before 37 weeks of a normal 40 week long pregnancy. 

Some complications that can affect babies born prematurely are lung complications from lack of pulmonary maturity or development. Eye problems can result in vision difficulties or blindness. Premature babies may be more prone to infections and intestinal problems. They also are at increased risk for bleeding in the brain which can…

Continue Reading Premature Birth May Result in Injury to the Newborn

Epilepsy is one of the most common neurologic diseases in the world and is present in 4% 
of the world’s population. The majority 
of patients with epilepsy can be managed medically. Intracranial surgery involves inherent 
risks; thus, surgery is only indicated if the benefits outweigh the risks of uncontrolled
 seizures. If surgery is indicated, the patient must undergo a pre-surgical evaluation that involves an extensive medical history focusing on
 seizure activity, type, frequency, and duration. In addition a physical exam…

Continue Reading Electrical brain mapping and epilepsy surgery
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Pericardial effusion occurs when there is an abnormal amount of fluid around the heart.  The heart is normally surrounded by a thin membranous sac called the pericardium.  The space between the pericardium and the muscle that is the heart is referred to as the perciardial space.  Normal levels of pericardial fluid within the pericardial space are from 15 to 50 mL, or about 1-3 tablespoons.

An effusion, therefore, represents  an abnormal accumulation of fluid in the pericardial space.   Because of…

Continue Reading Increased Fluid Around the Heart May Cause Cardiac Tamponade
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Deep venous thrombosis is the development of a blood clot in the large, deep veins of the lower leg and thigh. Thrombi can cause tissue injury due to vascular occlusion or distal embolization. However, venous obstruction can be offset by collateral blood vessels. Thrombi can also cause local pain and edema due to the blockage of blood flow. If the clot breaks off and travels through the blood, it is referred to as an embolism. An embolism can become trapped…

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Meningitis is inflammation of the meninges, the membranes that cover the brain and spinal cord. It is commonly caused by infection, but other causes include chemical irritants, drug allergies, fungi, and tumors. Based on the clinical evolution of the illness and the type of inflammatory exudate present in the cerebral spinal fluid (CSF), infectious meningitis is categorized into acute pyogenic (usually bacterial), aseptic (usually viral), and chronic (usually tuberculosis, spirochetal, cryptococcal).

Early diagnosis is essential for bacterial meningitis because it…

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One of the first steps in evaluating brain injury is diagnostic imaging. Imaging refers to various methods of viewing the structures and processes residing in the brain. Some of the more familiar modalities are CT (or CAT) scans, which use X-rays to evaluate intracranial structures. MRI, Magnetic Resonance Imaging, uses magnetic fields to illustrate the brain. However, in cases of traumatic brain injury (TBI), more advanced methods may be needed for proper diagnosis.

An MRI machine can use special software…

Continue Reading Advanced Diagnostic Imaging for Acquired Brain Injury