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1:32
YouTube
Danielle Hardin
NPi drops before the pupil dilates. Don’t miss the early warning
A patient with a basal ganglia ICH becomes harder to arouse. Pupils still look “normal,” but the NPi drops on one side. That’s your early warning. Basal ganglia hemorrhages don’t usually damage the pupillary pathway directly — they cause midline shift, and the pupillometer detects it before visible dilation. NPi falls → constriction ...
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