N e u r o l o g i c a l I n t e n s i v e C a r e - C o n t e m p o r a r y S t a t e

Overview

The rapid development of intensive care which occurred in the Czech Republic during the last decade led to theformation of intensive care units in many neurological departments. Their existence is made possible amongothers by a greater availability of non-invasive imaging methods, better equipment o f departments and systematicpostgraduate training of neurologists engaged in intensive care. Many acute neurological patients in a criticalstate no longer "escape" neurologists to anaesthesiological and resuscitation departments and can benefit fromthe speciality of intensive care. The majority of neurologists engaged in revision activities has several yearspractice in the discipline and integrated basic knowledge in the field of neurointensive care. Therefore thepresented article is not focused on the theoretical background on which the work of neurointensivists is based(mechanism of primary and secondary affection of the CNS, intracranial hypertension, coma, neuromonitoringetc.) but from many subjects only on some acute neurological situations which are of interest from the aspect ofthe neurointensivist and revision medical officer, states the treatment of which developed significantly in recentyears and with which our department has several years practical experience.

Key words:
cerebrovascular attack - intraarterial thrombolysis - decompressive craniotomy - spontaneous