The impacts of acute carbon monoxide poisoning on the brain: Longitudinal clinical and 99mTc ethyl cysteinate brain SPECT characterization of patients with persistent and delayed neurological sequelae.

Abstract:

OBJECTIVE:Acute carbon monoxide (CO) poisoning poses a significant threat to the central nervous system. It can cause brain injury and diverse neurological deficits including persistent neurological sequelae (PNS) and delayed neurological sequelae (DNS). The study aimed to investigate the long-term impacts of acute CO poisoning on brain perfusion and neurological function, and to explore potential differences between PNS and DNS patients. METHODS:We evaluated brain perfusion using (99m)Tc ethyl cysteinate (ECD) brain single photon emission computed tomography (SPECT) and assessed clinical neurological symptoms and signs one month following acute poisoning. For DNS patients, ECD SPECT and clinical evaluation were performed when their delayed symptoms appeared. All patients had follow-up SPECT imaging, along with clinical assessments six months following poisoning. RESULTS:12 PNS and 12 DNS patients were recruited between 2007 and 2010. Clinically, the main characteristic presentations were cognitive decline, emotional instability, and gait disturbance. SPECT imaging demonstrated consistent frontal hypoperfusion of varying severities in all patients, which decreased in severity at follow-up imaging. DNS patients usually had more severe symptoms and perfusion defects, along with worse clinical outcomes than the PNS group. CONCLUSION:These results suggest that acute CO poisoning might lead to long term brain injuries and neurological sequelae, particularly in DNS patients.

journal_name

Clin Neurol Neurosurg

authors

Tsai CF,Yip PK,Chen SY,Lin JC,Yeh ZT,Kung LY,Wang CY,Fan YM

doi

10.1016/j.clineuro.2014.01.005

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

21-7

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(14)00015-8

journal_volume

119

pub_type

杂志文章
  • 'Angiographic moyamoya' its definition, classification, and therapy.

    abstract::Are there any differences between probable Moyamoya disease and unilateral Moyamoya disease? What kinds of differences exist between definite and probable Moyamoya disease? Furthermore, according to the diagnostic criteria of Moyamoya disease, patients with systemic disorders and angiographic features similar to those...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0303-8467(97)00052-8

    authors: Natori Y,Ikezaki K,Matsushima T,Fukui M

    更新日期:1997-10-01 00:00:00

  • Kluver Bucy syndrome in young children.

    abstract::For the first time, Kluver Bucy syndrome (KBS) is described in young children who had no environmental learning of sex. The syndrome has so far been noted only in adults after bilateral temporal lobe affection. A few of its components, especially the hypersexuality and hypermetamorphosis, are likely to manifest differ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(98)00055-9

    authors: Pradhan S,Singh MN,Pandey N

    更新日期:1998-12-01 00:00:00

  • Combined approaches to the skull base for intracranial extension of tumors via perineural spread can improve patient outcomes.

    abstract::Many neoplasms of the head and neck extend centripetally, gaining access to the central nervous system via nerves through the skull base foramina. Often patients with perineural spread have been excluded from aggressive interventions given the overall poor prognosis and technical difficulty when addressing the perineu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.08.029

    authors: Palejwala SK,Barry JY,Rodriguez CN,Parikh CA,Goldstein SA,Lemole GM Jr

    更新日期:2016-11-01 00:00:00

  • Progressive multifocal leukoencephalopathy developed in incomplete Heerfordt syndrome, a rare manifestation of sarcoidosis, without steroid therapy responding to cidofovir.

    abstract::Progressive multifocal leukoencephalopathy (PML) is a severe demyelinating disease of the central nervous system caused by the JC virus; the mortality rate is high and it is usually refractory to treatment. In non-HIV patients, PML occurs as a late consequence of hematologic malignancies or during prolonged immunosupp...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.10.005

    authors: Yagi T,Hattori H,Ohira M,Nakamichi K,Takayama-Ito M,Saijo M,Shimizu T,Ito D,Takahashi K,Suzuki N

    更新日期:2010-02-01 00:00:00

  • Management strategy of surgical and endovascular treatment of unruptured paraclinoid aneurysms based on the location of aneurysms.

    abstract:OBJECTIVE:Advances in endovascular treatment (EVT) have greatly improved the treatment outcomes of paraclinoid aneurysms. However, EVT had the shortcoming of durability and thromboembolic complications. As well, surgical treatment of paraclinoid aneurysms is still challenging due to the complexity of adjacent structure...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.11.008

    authors: Oh SY,Lee KS,Kim BS,Shin YS

    更新日期:2015-01-01 00:00:00

  • Treatment allocation of ruptured anterior communicating artery aneurysms: The influence of aneurysm morphology.

    abstract:OBJECTIVES:Since publication of the ISAT study, the majority of neurovascular centers adhere to "coil first" policy for patients with subarachnoid hemorrhage (SAH). However, final allocation in favor of coiling or clipping is based on anatomic features of ruptured intracranial aneurysms with respect to clinical charact...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105506

    authors: Darkwah Oppong M,Deuschl C,Pierscianek D,Rauschenbach L,Chihi M,Radbruch A,Dammann P,Wrede KH,Özkan N,Müller O,Forsting M,Sure U,Jabbarli R

    更新日期:2019-11-01 00:00:00

  • High long-term symptomatic recurrence rates after Chiari-1 decompression without dural opening: a single center experience.

    abstract:OBJECTIVE:We evaluated long-term outcomes of posterior fossa decompression (PFD) without duroplasty in consecutive patients with newly diagnosed Chiari-1 malformation. METHODS:We searched the institutional database for all adult patients who underwent Chiari decompression between 1995 and 2007. PFD was offered to all ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.12.016

    authors: Krishna V,McLawhorn M,Kosnik-Infinger L,Patel S

    更新日期:2014-03-01 00:00:00

  • Profiling of novel circulating microRNAs as a non-invasive biomarker in diagnosis and follow-up of high and low-grade gliomas.

    abstract:OBJECTIVE:Glioblastoma (GBM) is the most common primary malignant neoplasm of the central nervous system (CNS). Despite the progress in therapeutic strategies such as surgical techniques, radiotherapy, chemotherapy, and targeted therapy, prognosis and therapeutically convenient monitoring tools in patients with GBM has...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105652

    authors: Tabibkhooei A,Izadpanahi M,Arab A,Zare-Mirzaei A,Minaeian S,Rostami A,Mohsenian A

    更新日期:2020-03-01 00:00:00

  • Central nervous system effects of current and emerging multiple sclerosis-directed immuno-therapies.

    abstract:OBJECTIVE:To review the direct and indirect effects on the central nervous system (CNS) of systemically administered immuno-modulatory therapies in use or under evaluation for the relapsing forms of multiple sclerosis (MS). METHODS:We summarize data published by our own lab and by others that delineate the effects of ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2008.03.021

    authors: Antel JP,Miron VE

    更新日期:2008-11-01 00:00:00

  • Apparent diffusion coefficients distinguish amyotrophic lateral sclerosis from cervical spondylotic myelopathy.

    abstract:OBJECTIVE:Fifty percent of patients with amyotrophic lateral sclerosis (ALS) have cervical spondylotic myelopathy (CSM) as a complication. Because patients with ALS do not develop bulbar signs and symptoms at onset, differentiating them from patients with CSM is sometimes difficult. We aimed to determine whether the ap...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2015.02.009

    authors: Koike Y,Kanazawa M,Terajima K,Watanabe K,Ohashi M,Endo N,Shimohata T,Nishizawa M

    更新日期:2015-05-01 00:00:00

  • Olfactory groove and tuberculum sellae meningioma resection by endoscopic endonasal approach versus transcranial approach: A systematic review and meta-analysis of comparative studies.

    abstract::Intracranial meningiomas such as olfactory groove meningioma (OGM) and tuberculum sellae meningioma (TSM) arising at the anterior skull base are amenable to surgical resection. Traditionally, this has been achieved by transcranial approaches (TCAs), however, there has been an evolution in an endoscopic endonasal appro...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.clineuro.2018.08.029

    authors: Lu VM,Goyal A,Rovin RA

    更新日期:2018-11-01 00:00:00

  • Intracranial dissection: incidence and long term endovascular treatment results of a not so rare disease.

    abstract:OBJECTIVE:The objective of this communication was to study the incidence and course of ICD and the long term outcome of this severe disease. The second goal was to analyze the different endovascular treatment modalities according to their long term results. METHODS:It is a retrospective analysis of 14 patients with IC...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2012.03.017

    authors: Bourcier R,Papagiannaki C,Bibi R,Cottier JP,Herbreteau D

    更新日期:2012-11-01 00:00:00

  • Trends in the incidence of primary malignant brain tumors in Taiwan and correlation with comorbidities: A population-based study.

    abstract:OBJECTIVE:Primary malignant brain tumors are relatively uncommon, and their incidence and survival rates have seldom been reported. PATIENTS AND METHODS:We identified all patients with malignant brain tumors in Taiwan between 1997 and 2012 using the National Health Insurance database. We estimated the stratified incid...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2017.05.021

    authors: Lin YJ,Chiu HY,Chiou MJ,Huang YC,Wei KC,Kuo CF,Hsu JT,Chen PY

    更新日期:2017-08-01 00:00:00

  • Predictive value of haptoglobin genotype as a risk of cerebral vasospasm after aneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVE:This study aims to investigate the genetic predisposition of haptoglobin (Hp) genotype as a predictor for cerebral vasospasm (CV) after acute subarachnoid hemorrhage (aSAH) in the Egyptian population. This permits CV risk factors stratification of patients with aSAH. Hence, it will guide the treatment plan an...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106296

    authors: Ateia AM,Elbassiouny A,El-Nabi SH,Fahmy NA,Ibrahim MH,El-Garawani I,Geba KM,Khalaf M

    更新日期:2020-12-01 00:00:00

  • Cardiac wall motion abnormality as a predictor for undetermined stroke with embolic lesion-pattern.

    abstract:OBJECTIVES:Several strokes of potential embolism do not clearly meet the definitions of embolic stroke with unknown source, cryptogenic stroke, or cardioembolic (CE) stroke. Considering the high mortality and recurrence of CE strokes, it is very important to detect treatable cardiac sources of embolism. Although region...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105677

    authors: Kim Y,Kim TJ,Lee SH

    更新日期:2020-04-01 00:00:00

  • Long term follow-up results of deep brain stimulation of the Globus pallidus interna in pediatric patients with DYT1-positive dystonia.

    abstract:OBJECTIVES:Primary generalized dystonia (PGD) due to heterozygous torsin 1A (TOR1A) gene mutation (DYT1) is a childhood onset dystonia with rapid deterioration of symptoms, leading to severe disability in adolescence. Globus pallidus interna deep brain stimulation (GPi-DBS) has been shown to provide significant improve...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106449

    authors: Ramezani Ghamsari M,Ghourchian S,Emamikhah M,Safdarian M,Shahidi G,Parvaresh M,Moghaddasi M,Habibi SAH,Munhoz RP,Rohani M

    更新日期:2020-12-28 00:00:00

  • Probably anti-Tr associated paraneoplastic cerebellar degeneration as initial presentation of a squamous cell carcinoma of the lung.

    abstract::Paraneoplastic cerebellar degeneration (PCD) is the most frequent paraneoplastic syndrome affecting the brain. Until now, anti-Tr associated PCD was only seen in patients with Hodgkin's disease. We report a male patient who presented with a progressive ataxia, affecting predominantly the lower limbs and a cerebellar d...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2005.01.008

    authors: Bruylant K,Crols R,Humbel RL,Appel B,De Deyn PP

    更新日期:2006-06-01 00:00:00

  • Role of comorbidities and in-hospital complications in short-term status epilepticus outcome.

    abstract:OBJECTIVE:pre-morbid patient conditions and hospitalization complications possibly play a role in status epilepticus short-term outcome, although evidence is incomplete and non-conclusive. The study's aim was to define whether comorbidities and in-hospital complications arising after status epilepticus affect its progn...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.12.017

    authors: Belluzzo M,Furlanis G,Stragapede L,Monti F

    更新日期:2017-03-01 00:00:00

  • The spectrum of multiple sclerosis and treatment decisions.

    abstract::An increasing number of patients referred for neuroimaging studies unrelated to multiple sclerosis (MS) are found to have incidental lesions suggestive of MS in their nervous systems but many such patients do not develop clinical symptoms and signs and remain as "subclinical MS" (SCMS). MRI and cerebrospinal fluid (CS...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2005.11.010

    authors: Siva A

    更新日期:2006-03-01 00:00:00

  • An investigation on the effect of improved X-rays-guided radiofrequency thermocoagulation denervation on lumbar facet joint syndrome.

    abstract:OBJECTIVES:This study aims to observe the clinical efficacy and feasibility of improved X-rays-guided radiofrequency thermocoagulation denervation for treating low back pain secondary to lumbar facet joint syndrome (LFJS). PATIENTS AND METHODS:Eighty LFJS patients were randomly assigned into two groups: the denervatio...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.07.018

    authors: Zhou Q,Zhou F,Wang L,Liu K

    更新日期:2016-09-01 00:00:00

  • Proton magnetic resonance spectroscopy in deep cerebral venous thrombosis.

    abstract::A 63-year-old man developed a severe left frontal headache followed by an acute change of mentality 6 days later. Magnetic resonance imaging revealed bilateral thalamic ischemia. Angiography confirmed the occlusion of deep cerebral veins. Proton magnetic resonance spectroscopy (1H-MRS) of the thalami showed normal N-a...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(97)00026-7

    authors: Hsu LC,Lirng JF,Fuh JL,Wang SJ,Shyu HY,Liu HC

    更新日期:1998-03-01 00:00:00

  • Lower motor neuron syndrome in a patient with HER2-positive metastatic breast cancer: A case report and review of the literature.

    abstract::Paraneoplastic neurological syndromes are very rare and often associated to breast, ovarian and small cells lung cancers. Paraneoplastic motor neuron diseases (MNDs) are even rarer, and frequently described in patients with breast cancer. We presented the first case of patient affected by HER2-positive breast tumor an...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2018.06.038

    authors: Diamanti L,Quaquarini E,Berzero G,Bini P,Gastaldi M,Franciotta D,Alfonsi E,Ceroni M,Frascaroli M,Bernardo A,Marchioni E

    更新日期:2018-09-01 00:00:00

  • Pain and functional improvement effects of methylene blue injection on the soft tissue around fusion site after traumatic thoracolumbar fixation: A double-blind, randomized placebo-controlled study.

    abstract:OBJECTIVE:Fractures of the thoracolumbar spine can cause pain, long-term reductions in quality of life (QOL), and neural deficits. The aim of this study was to investigate the effects of methylene blue (MB) on preventing postoperative pain and improving QOL in patients with throracolumbar fractures undergoing posterior...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.clineuro.2016.08.018

    authors: Farrokhi MR,Yazdanpanah H,Gholami M,Farrokhi F,Mesbahi AR

    更新日期:2016-11-01 00:00:00

  • Combined encephalo-arterio-synangiosis and encephalo-myo-synangiosis in the treatment of moyamoya disease.

    abstract::From January 1990 to December 1995, a total of nine cases of Moyamoya disease were treated at the National Taiwan University Hospital with combined encephalo-arterio-synangiosis (EAS) and encephalo-myo-synangiosis (EMS). There were five males and four females and their ages ranged from 6 months to 31 years. Of these, ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(97)00070-x

    authors: Tu YK,Liu HM,Kuo MF,Wang PJ,Hung CC

    更新日期:1997-10-01 00:00:00

  • Microsurgical efficacy and safety of a right-hemispheric approach for unruptured anterior communicating artery aneurysms.

    abstract:OBJECTIVE:We investigated the effectiveness of a right hemispheric surgical approach in treating unruptured anterior communicating artery aneurysms. METHODS:Between January 2005 and June 2012, 305 patients with anterior communicating artery (Acom) aneurysms were treated using the pterional approach. Among them, 113 wh...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2015.06.009

    authors: Kim SY,Jeon HJ,Ihm EH,Park KY,Lee JW,Huh SK

    更新日期:2015-10-01 00:00:00

  • Cranial nerve palsy secondary to cerebrospinal fluid diversion.

    abstract:OBJECTIVE:Cranial nerve palsy (CNP) secondary to cerebrospinal fluid (CSF) diversion is less familiar to us as a result of its rarity in incidence and insidiousness in presentation. This study aims to further expound the pathophysiological mechanism, clinical presentation, diagnosis, management and prognosis of CNP. M...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2016.02.010

    authors: Li G,Zhu X,Zhang Y,Zhao J,Han Z,Hou K

    更新日期:2016-04-01 00:00:00

  • Solitary olfactory groove schwannoma: case report with review of the literature.

    abstract::A 45-year-old man presented with headaches of 6 months' duration and generalized seizures in a cluster 2 days prior to admission. Examination revealed bilateral papilloedema and no focal deficits. CT scan showed an isodense enhancing mass lesion in the right frontobasal region with perilesional edema. Bifrontal cranio...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0303-8467(98)00058-4

    authors: Praharaj SS,Vajramani GV,Santosh V,Shankar SK,Kolluri S

    更新日期:1999-03-01 00:00:00

  • Optic nerve MRI enhancement in posterior ischaemic optic neuropathy due to internal carotid artery dissection.

    abstract::Posterior ischaemic neuropathy (PION) is characterized by infarction in the retrobulbar optic nerve. A 73-year-old man suddenly experienced blurred vision in his left eye and intermittent weakness in his right hand. He had visual defects of superior lateral quarter and inferior medial quarter areas in the left eye. Ga...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.12.008

    authors: Kawabe K,Nagaoka T,Iguchi H,Ikeda K,Iwasaki Y

    更新日期:2010-05-01 00:00:00

  • Treatment of multiple sclerosis and neuromyelitis optica in children and adolescents.

    abstract::Paediatric multiple sclerosis (MS) accounts for up to 5% of all MS cases. No therapies have been formally approved for paediatric patients with MS. However, there is published experience on the use of disease modifying therapies in children and adolescents with MS. Neuromyelitis optica (NMO) is an autoimmune inflammat...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2013.09.016

    authors: Tenembaum SN

    更新日期:2013-12-01 00:00:00

  • Provocative tests in different stages of carpal tunnel syndrome.

    abstract::The frequency of positive results of four conventional provocative tests (Phalen sign, Tinel sign, wrist extension and pressure provocation test) was evaluated in 179 patients with clinical and electrophysiological findings consistent with idiopathic carpal tunnel syndrome (CTS), 147 control subjects and 39 patients w...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0303-8467(01)00140-8

    authors: Mondelli M,Passero S,Giannini F

    更新日期:2001-10-01 00:00:00