Osmotic therapy: fact and fiction.

abstract：BACKGROUND AND PURPOSE:Patients with acute brain injuries require strict physiologic control to minimize morbidity and mortality. This study aimed to assess in-hospital compliance to strict physiologic parameters (BP, HR, ICP, SpO2) in these populations. METHODS:Patients with severe cerebrovascular events were admitte...

journal_title：Neurocritical care

authors： Porto GB,Spiotta AM,Chalela JA,Kellogg RT,Jauch EC

更新日期：2015-12-01 00:00:00

abstract：INTRODUCTION:To describe a new device meant for rapid endovascular thrombectomy of intracranial arteries of various sizes and its first clinical use. METHODS:A device with oriented microfilaments was constructed that consists of a core wires compound surrounded by a dense palisade of perpendicular-oriented stiff polya...

journal_title：Neurocritical care

authors： Henkes H,Reinartz J,Lowens S,Miloslavski E,Roth C,Reith W,Kühne D

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:In the postpartum patient, sudden depression of consciousness may be caused by a number of etiologies and can result in serious consequences. Rapid, accurate diagnosis allows for specific treatments that optimize outcome, but diagnosis can be challenging in this population. We present a case of postpartum he...

journal_title：Neurocritical care

authors： Orehek EK,Burns JD,Koyfman F,Azocar RJ,Holsapple JW,Green DM

更新日期：2012-12-01 00:00:00

abstract：OBJECTIVE:Identification of patients with posterior fossa infarction at risk for neurological deterioration remains a challenge. MRI-based assessments of MCA infarction can predict poor outcome. Similar quantitative imaging measures after cerebellar stroke have not been studied. We tested the hypothesis that MRI-based ...

journal_title：Neurocritical care

authors： Tchopev Z,Hiller M,Zhuo J,Betz J,Gullapalli R,Sheth KN

更新日期：2013-12-01 00:00:00

abstract：INTRODUCTION:Delayed posthypoxic demyelination may rarely complicate an episode of severe hypoxia, with or without exposure to carbon monoxide. Following recovery from initial coma, progressive neurologic deterioration ensues with outcomes ranging from death to full recovery. Delayed posthypoxic demyelination is hypoth...

journal_title：Neurocritical care

authors： Khot S,Walker M,Lacy JM,Oakes P,Longstreth WT Jr

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:The aim of this study is to determine the utility of non-invasive bedside neuromonitoring, including cerebral regional oxygen saturation (rSO2) measured by near-infrared spectroscopy and serum biomarkers, in identifying children at risk from adverse neurological outcome after heart surgery. METHODS:Prospect...

journal_title：Neurocritical care

authors： Sanchez-de-Toledo J,Chrysostomou C,Munoz R,Lichtenstein S,Sao-Avilés CA,Wearden PD,Morell VO,Clark RS,Toney N,Bell MJ

更新日期：2014-08-01 00:00:00

abstract：:A common observation in closed head injuries is the contrecoup brain injury. As the in vivo brain is less dense than the cerebrospinal fluid (CSF), one hypothesis explaining this observation is that upon skull impact, the denser CSF moves toward the site of skull impact displacing the brain in the opposite direction, ...

journal_title：Neurocritical care

authors： Drew LB,Drew WE

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:Diagnosis of intensive care unit acquired weakness (ICUAW) is challenging. Pathogenesis of underlying critical illness polyneuromyopathy (CIPNM) remains incompletely understood. This exploratory study investigated whether longitudinal neuromuscular ultrasound examinations and cytokine analyses in correlation...

journal_title：Neurocritical care

authors： Fisse AL,May C,Motte J,Pedreiturria X,Breuer TGK,Schneider-Gold C,Marcus K,Gold R,Yoon MS,Pitarokoili K

更新日期：2020-11-24 00:00:00

abstract：BACKGROUND/PURPOSE:Blood type has become an increasingly recognized risk factor for coagulopathy. We explored the association between blood type and hematoma expansion (HE) after intracerebral hemorrhage (ICH). METHODS:Spontaneous ICH patients prospectively enrolled in an ongoing ICH cohort study at Columbia Universit...

journal_title：Neurocritical care

authors： Roh D,Martin A,Sun CH,Eisenberger A,Boehme A,Elkind MSV,Pucci JU,Murthy S,Kamel H,Sansing L,Park S,Agarwal S,Connolly ES,Claassen J,Hod E,Francis RO

更新日期：2019-08-01 00:00:00

abstract：INTRODUCTION:Effective treatment for severe ischemic stroke continues to be largely an unmet medical need. Using a nonvascular (paravascular cerebrospinal fluid) pathway to provide oxygen and nutrients to ischemic tissues may be a means of treating this disease. The primary objective of this study was to evaluate the s...

journal_title：Neurocritical care

authors： Bell RD,Powers BL,Brock D,Provencio JJ,Flanders A,Benetiz R,Rosenwasser R,Strause J,Frazer G,Kramer MS,Hesson D,Barnitz J,Osterholm JL

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Noncontrast computed tomography (CT) markers are increasingly used for predicting hematoma expansion. The aim of our study was to investigate the predictive value of expansion-prone hematoma in predicting hematoma expansion and outcome in patients with intracerebral hemorrhage (ICH). METHODS:Between July 20...

journal_title：Neurocritical care

authors： Li Q,Shen YQ,Xie XF,Xue MZ,Cao D,Yang WS,Li R,Deng L,Wei M,Lv FJ,Wu GF,Tang ZP,Xie P

更新日期：2019-06-01 00:00:00

abstract：OBJECTIVE:To determine the clinical characteristics and outcomes of patients with neurogenic stress cardiomyopathy (NSC) among patients admitted to our neuroscience intensive care unit (NICU). METHODS:Following institutional review board approval, consecutive adult patients admitted to the NICU between 2009 and 2013 w...

journal_title：Neurocritical care

authors： Nasr DM,Tomasini S,Prasad A,Rabinstein AA

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:During late pregnancy and the puerperium cerebral venous and sinus thrombosis (CVST) is a rare but important cause of stroke. Despite adequate anticoagulation some patients deteriorate, which may warrant the use of more aggressive treatment modalities. CASE REPORT:A 29-year-old pregnant woman (29th week of ...

journal_title：Neurocritical care

authors： Ebke M,Jürgens KU,Tomandl B,Merten U,Kastrup A

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:It is controversial whether a low cerebral blood flow (CBF) simply reflects the severity of injury or whether ischemia contributes to the brain's injury. It is also not clear whether posttraumatic cerebral hypoperfusion results from intracranial hypertension or from pathologic changes of the cerebral vascula...

journal_title：Neurocritical care

authors： Hlatky R,Contant CF,Diaz-Marchan P,Valadka AB,Robertson CS

更新日期：2004-01-01 00:00:00

abstract：INTRODUCTION:Spinal cord ischemia and stroke are recognized complications of descending thoracic (DTA) and thoracoabdominal aortic (TAA) operations. However, there are limited data available on outcomes since the advent of thoracic endovascular aortic repair (TEVAR). METHODS:We reviewed charts from consecutive patient...

journal_title：Neurocritical care

authors： Messé SR,Bavaria JE,Mullen M,Cheung AT,Davis R,Augoustides JG,Gutsche J,Woo EY,Szeto WY,Pochettino A,Woo YJ,Kasner SE,McGarvey M

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Target blood pressure (BP) in stable (non-hypotensive) patients with acute isolated blunt traumatic intracranial hemorrhage (TICH) is unknown. To address this issue, our study correlated BP with radiological volumetric progression (RP) and neurological deterioration (ND) in these patients. METHODS:A retrosp...

journal_title：Neurocritical care

authors： Bugaev N,Al-Hazmi M,Allcorn M,Arabian SS,Riesenburger R,Safain M,Burke S,Colangelo A,Rabinovici R

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Global cerebral edema (GCE) with subsequent refractory intracranial hypertension complicates some cases of aneurysmal subarachnoid hemorrhage (aSAH), and typically is associated with poorer outcome. Treatment options for refractory intracranial pressure (ICP) cases are limited to decompressive hemicraniectom...

journal_title：Neurocritical care

authors： Karnatovskaia LV,Lee AS,Festic E,Kramer CL,Freeman WD

更新日期：2014-12-01 00:00:00

abstract：:Neurocritical care relies on the continuous, real-time measurement of numerous physiologic parameters. While our capability to obtain such measurements from patients has grown markedly with multimodal monitoring in many neurologic or neurosurgical intensive care units (ICUs), our ability to transform the raw data into...

journal_title：Neurocritical care

authors： Sivaganesan A,Manley GT,Huang MC

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Spontaneous intracranial hypotension (SIH) is a neurologic condition with the prototypical symptom of orthostatic headache. We report a dramatic case of SIH with life-threatening bilateral hygroma and uncal herniation. METHODS:Case report. RESULTS:A 44-year-old male patient presenting with orthostatic head...

journal_title：Neurocritical care

authors： Sass C,Kosinski C,Schmidt P,Mull M,Schulz J,Schiefer J

更新日期：2013-08-01 00:00:00

abstract：:Severe intracranial hypertension (IH) in the setting of fulminant hepatic failure (FHF) carries a high mortality and is a challenging disease for the critical care provider. Despite considerable improvements in the understanding of the pathophysiology of cerebral edema during liver failure, therapeutic maneuvers that ...

journal_title：Neurocritical care

authors： Raghavan M,Marik PE

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:Altered mental status and more subtle cognitive and personality changes after traumatic brain injury (TBI) are pervasive problems in patients who survive initial injury. MRI is not necessarily part of the diagnostic evaluation of these patients. METHODS:Case report with relevant image and review of the li...

journal_title：Neurocritical care

authors： Hirsch KG,Hoesch RE

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:Terson's syndrome is intraocular hemorrhage (IOH) subsequent to subarachnoid hemorrhage (SAH). Its presence is associated with higher mortality in SAH. We report a case of Terson's syndrome and review the literature. CASE REPORT:A 71-year-old Caucasian gentleman collapsed and became comatose. Past medical h...

journal_title：Neurocritical care

authors： Hassan A,Lanzino G,Wijdicks EF,Rabinstein AA,Flemming KD

更新日期：2011-12-01 00:00:00

abstract：INTRODUCTION:A case of cefepime-induced nonconvulsive status epilepticus in a 15-year-old child with end stage renal disease on hemodialysis is reported. Clinical symptoms and EEG dramatically improved 48 h after discontinuation of cefepime. METHODS:Twenty-five cases of nonconvulsive status epilepticus associated with...

journal_title：Neurocritical care

authors： Thabet F,Al Maghrabi M,Al Barraq A,Tabarki B

更新日期：2009-01-01 00:00:00

abstract：:One of the most feared complications after intracranial surgery is development of acute intracranial pathology, which may result in hypoperfusion and brain injury. Thus, early neurological assessment, performed in the operating room immediately after emergence from anesthesia, is a practice that may contribute to time...

journal_title：Neurocritical care

authors： Munis JR,Marcukaitis AW,Sprung J

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:In comatose post-cardiac arrest patients, a serum neuron-specific enolase (NSE) level of >33 μg/L within 72 h was identified as a reliable marker for poor outcome in a large Dutch study (PROPAC), and this level was subsequently adopted in an American Academy of Neurology practice parameter. Later studies rep...

journal_title：Neurocritical care

authors： Mlynash M,Buckwalter MS,Okada A,Caulfield AF,Venkatasubramanian C,Eyngorn I,Verbeek MM,Wijman CA

更新日期：2013-10-01 00:00:00

abstract：INTRODUCTION:Acute bilateral acute carotid arteries occlusion is a very rare condition. We describe a patient with initial right middle cerebral artery syndrome who developed coma and quadriplegia 1 h after thrombolysis with intravenous tPA and was found to have bilateral cervical internal carotid artery occlusion. ...

journal_title：Neurocritical care

authors： Zubkov AY,Klassen BT,Burnett MS,Rabinstein AA

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:Direct invasive monitoring of brain tissue oxygenation (PbtO(2)) has been routinely utilized to predict cerebral ischemia and to prevent secondary injury in patients with traumatic brain injury (TBI) and vasospasm secondary to subarachnoid hemorrhage (SAH). The safety and utility of these devices in the pedi...

journal_title：Neurocritical care

authors： Allen BB,Hoffman CE,Traube CS,Weinstein SL,Greenfield JP

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Hematoma expansion (HE) occurs in approximately one-third of patients with intracerebral hemorrhage (ICH) and is known to be a strong predictor of neurological deterioration as well as poor functional outcome. This study aims to externally validate three risk prediction models of HE (PREDICT, 9-point, and BR...

journal_title：Neurocritical care

authors： Lim JX,Han JX,See AAQ,Lew VH,Chock WT,Ban VF,Pothiawala S,Lim WEH,McAdory LE,James ML,King NKK

更新日期：2019-04-01 00:00:00

abstract：INTRODUCTION:Patients on neurological intensive care units (NICU) who require ventilatory support often suffer from co-existing bulbar dysfunction, either because of their underlying disease or because of their decreased level of consciousness. For this reason, most patients are ventilated through a cuffed tracheostomy...

journal_title：Neurocritical care

authors： McGowan SL,Gleeson M,Smith M,Hirsch N,Shuldham CM

更新日期：2007-01-01 00:00:00

abstract：INTRODUCTION:The treatment and outcomes of heparin-induced thrombocytopenia (HIT) are not well described in neurosurgery patients. This study reviewed the treatment for HIT in subarachnoid hemorrhage (SAH) patients, and compared outcomes in patients with isolated HIT (iHIT) and HIT with thrombotic syndrome (HITTS). ME...

journal_title：Neurocritical care

authors： Benken ST,Tesoro EP,Kim KS,Mucksavage JJ

更新日期：2012-10-01 00:00:00