Neurohospitalist   

Does your strategy change depending on whether or not it is a secured or unsecured aneurysmal SAH?

When would you consider using anticoagulation and for how long?

How would you treat it?

For example, in the setting of TBI, how do you guide the duration of the medical treatment?

E.g., a patient has an intracranial hemorrhage after TBI with convulsive status epilepticus.

Given the risk of elevated ICP, would you attempt a brain MRI to further characterize the lesion? Or would CT imaging suffice prior to intervention?

Do all malignant posterior fossa infarcts need sub-occipital craniectomy or are there a subset of cases that can be managed with EVD? 

This applies to using EVD either in addition to or instead of a large volume lumbar puncture.

What effective modalities have you found for acute exacerbations of trigeminal neuralgia including in patients who present to the ED? 

What factors influence your thinking?