Emergency Neurological Life Support: Acute Ischemic Stroke.

abstract：INTRODUCTION:Hydrocephalus with normal intracranial pressure has rarely been reported to result in herniation. METHODS:Case report. RESULTS:A 52-year-old man became acutely comatose with extensor posturing and ventriculomegaly 17 days after experiencing a primary ventricular hemorrhage. An external ventricular drain ...

journal_title：Neurocritical care

authors： Pratt RW,Mayer SA

更新日期：2005-01-01 00:00:00

abstract：INTRODUCTION:Hypothermic brain protection has been linked to how rapidly cooling is initiated and how quickly and uniformly the therapeutic hypothermic zone (THZ) is reached. The nasopharyngeal (NP) approach is uniquely suited for preferential brain cooling due to anatomic proximity to the cerebral circulation, caverno...

journal_title：Neurocritical care

authors： Wolfson MR,Malone DJ,Wu J,Hoffman J,Rozenberg A,Shaffer TH,Barbut D

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Improvements in technology play an important role in caring for critically ill patients. One example is the advance in ventilator design to facilitate triggering of mechanical breaths. Minimal changes in circuit flow unrelated to respiratory effort can trigger a ventilator breath and may mislead caregivers i...

journal_title：Neurocritical care

authors： McGee WT,Mailloux P

更新日期：2011-04-01 00:00:00

abstract：:Drug shortages have become all too familiar in the health care environment, with over 200 drugs currently on shortage. In the wake of Hurricane Maria in September 2017, hospitals across the USA had to quickly and creatively adjust medication preparation and administration techniques in light of decreased availability ...

journal_title：Neurocritical care

authors： Clark SL,Levasseur-Franklin K,Pajoumand M,Barra M,Armahizer M,Patel DV,Wyatt Chester K,Tully AP

更新日期：2020-02-01 00:00:00

abstract：:Electroencephalography in the setting of hypothermia and anoxia has been studied in humans since the 1950s. Specific patterns after cardiac arrest have been associated with prognosis since the 1960s, with several prognostic rating scales developed in the second half of the twentieth century. In 2002, two pivotal clini...

journal_title：Neurocritical care

authors： Crepeau AZ,Britton JW,Fugate JE,Rabinstein AA,Wijdicks EF

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Currently, continuous electroencephalographic monitoring (cEEG) is the only available diagnostic tool for continuous monitoring of brain function in intensive care unit (ICU) patients. Yet, the exact relevance of routinely applied ICU cEEG remains unclear, and information on the implementation of cEEG, espec...

journal_title：Neurocritical care

authors： Hilkman DMW,van Mook WNKA,Mess WH,van Kranen-Mastenbroek VHJM

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:Case reports suggest lacosamide may have a role in status epilepticus (SE). The purpose of this case series is to describe the use of lacosamide in refractory SE (RSE) at our institution. METHODS:Observational study of all patients admitted to the neurosciences intensive care unit with RSE who received at l...

journal_title：Neurocritical care

authors： Goodwin H,Hinson HE,Shermock KM,Karanjia N,Lewin JJ 3rd

更新日期：2011-06-01 00:00:00

abstract：:Sleep is fundamental for everyday functioning, yet it is often negatively impacted in critically ill patients by the intensive care setting. With a focus on the neurological intensive care unit (NeuroICU), this narrative review summarizes methods of measuring sleep and addresses common causes of sleep disturbance in t...

journal_title：Neurocritical care

authors： Chang VA,Owens RL,LaBuzetta JN

更新日期：2020-04-01 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:The apnea test is a crucial component of the clinical diagnosis of brain death. Apprehension about hypoxemia, hypotension, and/or cardiac arrhythmias may sometimes lead clinicians to avoid performing or prematurely terminate the apnea test. The purpose of this study was to perform a contemporary re-evaluat...

journal_title：Neurocritical care

authors： Datar S,Fugate J,Rabinstein A,Couillard P,Wijdicks EF

更新日期：2014-12-01 00:00:00

abstract：INTRODUCTION:Recent and on going clinical research trials may indicate that the incidence of vasospasm is less in patients treated with lumbar drains following SAH than with patients treated with external ventricular drainage (EVD) alone. These studies have sparked interest in the more aggressive use of LDs in patients...

journal_title：Neurocritical care

authors： Hoekema D,Schmidt RH,Ross I

更新日期：2007-01-01 00:00:00

abstract：:A farmer's wife was slapped by her cow's tail during milking. There was no obvious injury, but afterward she first developed unusual headaches of unknown origin and then a severe stroke 7 days later. Further diagnostics, including magnetic resonance imaging techniques, revealed a dissection of the carotid artery to be...

journal_title：Neurocritical care

authors： Huber R,Kassubek J

更新日期：2005-01-01 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：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：:An elevated platelet count may occur during care of neurology/neurosurgical patients and is usually due to reactive or secondary thrombocytosis (ST) caused by inflammation or infection. Primary (clonal) thrombocythemia or essential thrombocythemia associated with myeloproliferative disorders is usually known before or...

journal_title：Neurocritical care

authors： Powner DJ,Hoots WK

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:Point-of-care ultrasound of the optic nerve sheath diameter (ONSD) to diagnose increased intracranial pressure (ICP) is of great interest in various clinical scenarios. Yet, the lack of examination standardization has made clinical utility difficult. We compare three ultrasound ocular plane views (inferior...

journal_title：Neurocritical care

authors： Raval R,Shen J,Lau D,Ferguson N,Kelly T,Daniels J,Dorotta I,Ramsingh D

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Brain tissue hypoxia (PbtO2 < 20 mmHg) is common after subarachnoid hemorrhage (SAH) and associated with poor outcome. Recent data suggest that brain oxygen optimization is feasible and reduces the time spent with PbtO2 < 20 mmHg from 45 to 16% in patients with severe traumatic brain injury. Here, we intende...

journal_title：Neurocritical care

authors： Rass V,Solari D,Ianosi B,Gaasch M,Kofler M,Schiefecker AJ,Miroz JP,Morelli P,Thomé C,Beer R,Pfausler B,Oddo M,Helbok R

更新日期：2019-10-01 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：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：BACKGROUND:Attitudes toward the degree of acceptable disability and the importance of aphasia are critical in deciding on decompressive hemicraniectomy (DHC) in space-occupying middle cerebral artery stroke (SOS). The attitudes of nurses deserve strong attention, because of their close interaction with patients during ...

journal_title：Neurocritical care

authors： Neugebauer H,Malakou F,Uttner I,Köpke M,Jüttler E,IGNITE Study Group (Initiative of German NeuroIntensive Trial Engagement).

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Early recognition and treatment of autoimmune encephalitis (AE) has become an essential issue in clinical practice. However, little is known about patients with deteriorating conditions and the need for intensive care treatment. Here, we aimed to characterize underlying aetiologies, clinical symptoms, reason...

journal_title：Neurocritical care

authors： Harutyunyan G,Hauer L,Dünser MW,Karamyan A,Moser T,Pikija S,Leitinger M,Novak HF,Trinka E,Sellner J

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:In patients with spontaneous intracerebral hemorrhage (ICH), pre-hospital markers of disease severity might be useful to potentially triage patients to undergo early interventions. OBJECTIVE:Here, we tested whether loss of consciousness (LOC) at the onset of ICH is associated with intraventricular hemorrhag...

journal_title：Neurocritical care

authors： Witsch J,Falcone GJ,Leasure AC,Matouk C,Endres M,Sansing L,Woo D,Sheth KN

更新日期：2021-01-21 00:00:00

abstract：BACKGROUND:Burst suppression in mechanically ventilated intensive care unit (ICU) patients is associated with increased mortality. However, the relative contributions of propofol use and critical illness itself to burst suppression; of burst suppression, propofol, and critical illness to mortality; and whether preventi...

journal_title：Neurocritical care

authors： Hogan J,Sun H,Aboul Nour H,Jing J,Tabaeizadeh M,Shoukat M,Javed F,Kassa S,Edhi MM,Bordbar E,Gallagher J,Junior VM,Ghanta M,Shao YP,Akeju O,Cole AJ,Rosenthal ES,Zafar S,Westover MB

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:The correlation between noninvasive (oscillometric) blood pressure (NBP) and intra-arterial blood pressure (IAP) in critically ill patients receiving vasoactive medications in a Neurocritical Care Unit has not been systematically studied. The purpose of this study is to examine the relationship between simul...

journal_title：Neurocritical care

authors： Saherwala AA,Stutzman SE,Osman M,Kalia J,Figueroa SA,Olson DM,Aiyagari V

更新日期：2018-06-01 00:00:00

abstract：INTRODUCTION:Cerebral vasospasm in aneurysmal subarachnoid hemorrhage (SAH) is associated with poor outcome. The safety and feasibility of continuous high-dose intravenous magnesium sulfate (MgSO4) for the prevention of cerebral vasospasm and ischemic cerebral injury has not been well studied. METHODS:Patients present...

journal_title：Neurocritical care

authors： Yahia AM,Kirmani JF,Qureshi AI,Guterman LR,Hopkins LN

更新日期：2005-01-01 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:Levetiracetam (LEV) is used in the setting of acute brain injury for seizure treatment or prophylaxis but its safety and efficacy in this setting is unknown. METHOD:We retrospectively analyzed the patterns of use and safety/efficacy of LEV in 379 patients treated in the neuroscience intensive care unit (N...

journal_title：Neurocritical care

authors： Szaflarski JP,Meckler JM,Szaflarski M,Shutter LA,Privitera MD,Yates SL

更新日期：2007-01-01 00:00:00

abstract：:Computed tomography (CT) scan of the brain transitioned clinical neurology from the educated-guess world to the real computer-age world. One of the first CT scans-published by the British neuroradiologist James Ambrose-showed an intracranial hemorrhage and also suggested the use of iodine to demonstrate abnormal blood...

journal_title：Neurocritical care

authors： Wijdicks EFM

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Nosocomial pneumonia (NP) is a frequent complication among spontaneous intracerebral hemorrhage (sICH) patients. This study was aimed at identifying in-hospital risk factors that predispose sICH patients to NP. METHODS:We identified 591 consecutive sICH subjects admitted to six tertiary care hospitals betwe...

journal_title：Neurocritical care

authors： Divani AA,Hevesi M,Pulivarthi S,Luo X,Souslian F,Suarez JI,Bershad EM

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Subclinical seizures are common in critically ill children and are best detected by continuous EEG (cEEG) monitoring. Timely detection of seizures requires pediatric intensive care unit (PICU) physicians to identify patients at risk of seizures and request cEEG monitoring. A recent consensus statement from t...

journal_title：Neurocritical care

authors： Ghossein J,Alnaji F,Webster RJ,Bulusu S,Pohl D

更新日期：2020-07-21 00:00:00