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Old 08-21-2012
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Default to give high dose corticosteroid after intracranial hemorrhage or not??

Hi all:

as titled, I posted the reply to another thread a few days ago, and as far as I remember, UW says that corticosteroid is effective in reducing intracranial pressure in cases of tumor ( to decrease the mass effect), but is not effective in reducing increased intracranial pressure after head trauma( cranial hemorrhage).

But Kaptest Q0085 a boy hit his head on the bottom of a swimming pool, the answer is to use high-dose corticosteroid. Is it because in this case it emphasizes on the injury of " SPINAL CORD", rather than cranial hemorrhage?

So, to use or not to use corticosteroids in this case??

Last edited by chienpolska; 08-21-2012 at 10:36 PM.
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Old 08-22-2012
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Originally Posted by chienpolska View Post
Hi all:

as titled, I posted the reply to another thread a few days ago, and as far as I remember, UW says that corticosteroid is effective in reducing intracranial pressure in cases of tumor ( to decrease the mass effect), but is not effective in reducing increased intracranial pressure after head trauma( cranial hemorrhage).

But Kaptest Q0085 a boy hit his head on the bottom of a swimming pool, the answer is to use high-dose corticosteroid. Is it because in this case it emphasizes on the injury of " SPINAL CORD", rather than cranial hemorrhage?

So, to use or not to use corticosteroids in this case??
Well , theres not indication of steroid in the IC hemorrhage ,even with spinal cord case we dont give CS. But only in case of compression from tumors.
Indication of CS in CNS disorder are:
Spinal cord compression from tumors.
Thats what i learned from Uworld
T.B. meningitis.
Bacterial Meningitis.
Brain cysticercosis.
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Old 08-22-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all:

as titled, I posted the reply to another thread a few days ago, and as far as I remember, UW says that corticosteroid is effective in reducing intracranial pressure in cases of tumor ( to decrease the mass effect), but is not effective in reducing increased intracranial pressure after head trauma( cranial hemorrhage).

But Kaptest Q0085 a boy hit his head on the bottom of a swimming pool, the answer is to use high-dose corticosteroid. Is it because in this case it emphasizes on the injury of " SPINAL CORD", rather than cranial hemorrhage?

So, to use or not to use corticosteroids in this case??
In kaplan surgery notes they say they have shown to have "SOME" benefit, but they really arent that game changing at all, follow that Uworld says and just give them under the circumstances that Anders mentioned
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