In evaluating neurological malpractice cases it is important to do the following:
Medical malpractice in the diagnosis of brain aneurysms can have catastrophic consequences. Aneurysms are ballooned areas on arteries. If the rupture of the artery is in in the brain then the arterial pressure can force the blood into the subarachnoid space,which is the area right above the membrane closest to the brain. This blood then quickly seeps into the cerebrosponal fluid which encapsulates the brain and the spinal cord.This brain bleed results in a sudden and explosive headache. Sometimes this explosive headache is preceded by a warning headache.
The most common symptoms and findings as to brain aneurysms are :
In some cases none of the above signs and symptoms are present other than the severe, sudden headache.
A proper workup of a patient with a suspected brain aneurysm is a CT without contrast. If that is negative then a lumbar puncture may be in order to check for the presence of blood in the cerebrospinal fluid.
With a thorough history,physical exam and diagnostic workup patients with a subarachnoid hemorrhage should be properly diagnosed.
Epidural abscess misdiagnosis can be be fatal. This infection is most often associated with severe back pain and a fever. The abscess itself is a bacterial infection outside the dura mater within the spinal canal. The abscess itself is frequently slow growing and it causes damage by compressing the spinal cord or restricting circulation in the surrounding blood vessels. If it is not treated, it can progress to the point of causing spinal cord damage, paralysis and death.
Once the condition is treated then antibiotic therapy must be started at once, and in most cases surgery must be performed to drain the abscess.
If the treating or admitting physician suspects an epidural abscess the standard of care requires a prompt referral to an infectious disease doctor, neurologist or a neurosurgeon for diagnosis and treatment. MRI is still the standard for prompt confirmation of the condition as this allows a reasonably clear picture of any cord compression and the severity of the compression.