The reverse Robin-Hood syndrome

I forgot to add a few minor talks on this blog, but today we covered one of the most interesting reasons for early neurological deterioration: the reverse Robin-Hood syndrome.

To understand it you have to learn about CO2-reactivity and autoregulation of the cerebrovascular system, how to measure it with your doppler device. Once you have this, it is easy to understand the syndrome of stealing from the poor and giving to the rich – as in healthy tissue stealing from the penumbra. This has lots of implications for practical treatment: if you find RRHS, you might want to increase the blood pressure or non-invasively ventilate your patient to avoid Cheyne-Stokes-respiration.

Read up on this topic – it is fascinating…


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