abstract：BACKGROUND:Stroke is common after aneurysmal subarachnoid hemorrhage (aSAH). Transcranial Doppler ultrasound (TCD) monitoring is often employed to identify vasospasm and allow intervention to avoid infarction. The required duration of monitoring has not been established. We aim to determine if 10 days of TCD monitoring...

journal_title：Neurocritical care

authors： Miller CM,Palestrant D,Schievink WI,Alexander MJ

更新日期：2011-12-01 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: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:Intra-arterial (IA) nicardipine is often used to treat cerebral vasospasm associated with subarachnoid hemorrhage (SAH). While hypotension has been noted to be a dose-limiting side effect of intravenous infusions, this has seldom been reported for IA administration. METHODS:We reviewed a consecutive series ...

journal_title：Neurocritical care

authors： Rosenberg N,Lazzaro MA,Lopes DK,Prabhakaran S

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:The indications for bevacizumab (a vascular endothelial growth factor inhibitor) have been expanded recently. Despite concerns for cerebrovascular events from bevacizumab treatment, detailed clinical and radiologic information are lacking. METHODS:Using the Mayo Clinic Rochester database (January 2006-Septe...

journal_title：Neurocritical care

authors： Seet RC,Rabinstein AA,Lindell PE,Uhm JH,Wijdicks EF

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:There is some evidence that hyperglycemia increases the rate of poor outcomes in patients with intracerebral hemorrhage (ICH). We explored the relationship between various parameters of serum glucose concentrations measured during acute hospitalization and hematoma expansion, perihematomal edema, and three m...

journal_title：Neurocritical care

authors： Qureshi AI,Palesch YY,Martin R,Novitzke J,Cruz-Flores S,Ehtisham A,Ezzeddine MA,Goldstein JN,Kirmani JF,Hussein HM,Suri MF,Tariq N,Liu Y,ATACH Investigators.

更新日期：2011-12-01 00:00:00

abstract：INTRODUCTION:The pathogenesis of delayed cerebral ischemia (DCI) after subarachnoid hemorrhage (SAH) remains obscure. The authors assessed the relationship of tumor necrosis factor alpha (TNF-α) and TNF-α gene polymorphisms with occurrence of DCI and poor outcome at 3 months. METHODS:Serum levels of TNF-α were measure...

journal_title：Neurocritical care

authors： Beeftink MM,Ruigrok YM,Rinkel GJ,van den Bergh WM

更新日期：2011-12-01 00:00:00

abstract：:Prophylactic use of hypervolemia and hypertension is believed to present an option to decrease the incidence of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage and improve neurologic outcome. A Medline literature search was conducted to review available evidence regarding volume management after subarac...

journal_title：Neurocritical care

authors： Wolf S,Participants in the International Multi-Disciplinary Consensus Conference on the Critical Care Management of Subarachnoid Hemorrhage.

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Abusive head trauma (AHT) is a common condition in children. Little is known in this condition regarding the frequency of seizures, the factors associated with increased risk of seizures, or the association of seizures with outcome. We sought to determine frequency and risks for in-hospital seizures after AH...

journal_title：Neurocritical care

authors： Goldstein JL,Leonhardt D,Kmytyuk N,Kim F,Wang D,Wainwright MS

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:Fever in neurocritical care patients is common and has a negative impact on neurological outcome. The purpose of this prospective observational study was (1) to evaluate the practicability of cooling with newly developed neck pads in the daily setting of neurointensive care unit (NICU) patients and (2) to ev...

journal_title：Neurocritical care

authors： Mink S,Schwarz U,Mudra R,Gugl C,Fröhlich J,Keller E

更新日期：2011-08-01 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:To date, common therapy in patients with intracranial hemorrhage (ICH) includes prophylaxis of seizure using antiepileptic drugs, commonly phenytoin. Phenytoin therapy is associated with a high incidence of cognitive disturbance. Levetiracetam is known to cause less cognitive disruption and may be a suitable...

journal_title：Neurocritical care

authors： Taylor S,Heinrichs RJ,Janzen JM,Ehtisham A

更新日期：2011-08-01 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：BACKGROUND:A pretruncal subarachnoid hemorrhage has been accepted as a "benign" entity. Here we present two patients with delayed cerebral infarction following pretruncal subarachnoid hemorrhage. METHODS:Case report. RESULTS:Two patients with possible delayed cerebral infarction after pretruncal subarachnoid hemorrha...

journal_title：Neurocritical care

authors： Dupont SA,Rabinstein AA,Wijdicks EF,Lanzino G

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Infection is common following stroke and is independently associated with worse outcome. Clinical studies suggest that infections occur more frequently in those individuals with stroke-induced immunologic dysfunction. This study sought to explore the contribution of immunomodulatory cytokines and hormones to...

journal_title：Neurocritical care

authors： Tanzi P,Cain K,Kalil A,Zierath D,Savos A,Gee JM,Shibata D,Hadwin J,Carter K,Becker K

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Cerebral edema and raised intracranial pressure are common problems in neurological intensive care. Osmotherapy, typically using mannitol or hypertonic saline (HTS), has become one of the first-line interventions. However, the literature on the use of these agents is heterogeneous and lacking in class I stud...

journal_title：Neurocritical care

authors： Hays AN,Lazaridis C,Neyens R,Nicholas J,Gay S,Chalela JA

更新日期：2011-04-01 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：BACKGROUND:Hyponatremia may complicate brain injury and exacerbate cerebral edema and intracranial pressure (ICP). Vasopressin-receptor antagonists (such as conivaptan) are promising novel agents to treat hyponatremia that act by inducing aquaresis. It is unclear whether raising serum sodium in this way could also conf...

journal_title：Neurocritical care

authors： Dhar R,Murphy-Human T

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND AND PURPOSE:In patients with subarachnoid hemorrhage (SAH), higher hemoglobin (HGB) has been associated with better outcomes, but packed red blood cell (PRBC) transfusions with worse outcomes. We performed a prospective pilot trial of goal HGB after SAH. METHODS:Forty-four patients with SAH and high risk fo...

journal_title：Neurocritical care

authors： Naidech AM,Shaibani A,Garg RK,Duran IM,Liebling SM,Bassin SL,Bendok BR,Bernstein RA,Batjer HH,Alberts MJ

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:The natural history of cerebral aneurysms derived from metastatic spread of cardiac myxomas is not well known, and their management presents many dilemmas. METHODS:Case report and literature review. RESULTS:An 18-year-old man presented with an intraparenchymal hemorrhage several months after resection of a...

journal_title：Neurocritical care

authors： Eddleman CS,Gottardi-Littell NR,Bendok BR,Batjer HH,Bernstein RA

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Clinical recognition of acute bacterial meningitis (ABM) and its early prognostication would guide the degree of intensive treatment required. We aimed to study the clinical features and factors associated with death in patients with community acquired ABM. METHODS:Adult patients with clinically suspected c...

journal_title：Neurocritical care

authors： Vibha D,Bhatia R,Prasad K,Srivastava MV,Tripathi M,Singh MB

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:The management of symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage (aSAH) can be often complicated by the presence of stunned myocardium and left ventricular failure. Vasopressors and inotropes are commonly used to optimize mean arterial pressure (MAP) and cerebral perfusion pressure (...

journal_title：Neurocritical care

authors： Lazaridis C,Pradilla G,Nyquist PA,Tamargo RJ

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Pneumocephalus is commonly encountered after neurosurgical procedures but can also be caused by craniofacial trauma and tumors of the skull base and rarely, can occur spontaneously. Contributing factors for the development of pneumocephalus include head position, duration of surgery, nitrous oxide (N(2)O) an...

journal_title：Neurocritical care

authors： Schirmer CM,Heilman CB,Bhardwaj A

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Physiological reactions of the stress hormone cortisol include hyperglycemia, hypertension, and endothelium dysfunction. In patients with aneurysmal subarachnoid hemorrhage (SAH), hyperglycemia, hypertension, and endothelium dysfunction are associated with the occurrence of delayed cerebral ischemia (DCI). T...

journal_title：Neurocritical care

authors： Vergouwen MD,van Geloven N,de Haan RJ,Kruyt ND,Vermeulen M,Roos YB

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Impaired cerebrovascular reactivity (CR) has been reported to be associated with adverse outcome in patients with aneurysmal subarachnoid hemorrhage (aSAH). However, CR may be determined using different paradigms and it is unclear, which measurement method most suitable reflects the clinical course or is abl...

journal_title：Neurocritical care

authors： Barth M,Woitzik J,Weiss C,Muench E,Diepers M,Schmiedek P,Kasuya H,Vajkoczy P

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Delayed ischemic neurological deficits (DINDs) contribute to morbidity and mortality following aneurysmal subarachnoid hemorrhage (SAH). Based on promising preliminary reports, some clinicians routinely administer statins to prevent DINDs. METHODS:Without language restriction, we searched MEDLINE, EMBASE, t...

journal_title：Neurocritical care

authors： Kramer AH,Fletcher JJ

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Oral anticoagulants have been associated with greater hematoma expansion in patients with intracerebral hemorrhage (ICH). The purpose of this study was to determine whether the reported use of antiplatelet agents also results in greater hematoma expansion. METHODS:Retrospective review of patients with spont...

journal_title：Neurocritical care

authors： Moussouttas M,Malhotra R,Fernandez L,Maltenfort M,Holowecki M,Delgado J,Lawson N,Badjatia N

更新日期：2010-02-01 00:00:00

abstract：INTRODUCTION:It is unclear whether the rate of stimulation for somatosensory evoked potentials (SEPs) can influence the presence or absence of cortical responses to median nerve stimulation in comatose patients. If so, this could affect how SEPs are performed and interpreted for prognostication in coma. Our objective w...

journal_title：Neurocritical care

authors： Robinson LR,Micklesen PJ

更新日期：2010-02-01 00:00:00

abstract：:The presence of pulmonary dysfunction after brain injury is well recognized. Acute lung injury (ALI) occurs in 20% of patients with isolated brain injury and is associated with a poor outcome. The "blast injury" theory, which proposes combined "hydrostatic" and "high permeability" mechanisms for the formation of neuro...

journal_title：Neurocritical care

authors： Mascia L

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Median nerve short-latency somatosensory evoked potentials (SSEPs) are useful in determining prognosis for awakening after coma following hypoxic ischemic encephalopathy, but reliability of interpretation is unclear. OBJECTIVE:To measure inter- and intra-observer reliability of determining presence or absen...

journal_title：Neurocritical care

authors： Hakimi K,Kinney G,Kraft G,Micklesen P,Robinson L

更新日期：2009-12-01 00:00:00

abstract：INTRODUCTION:Several studies have been performed to assess the prognostic value of early neurological and neurophysiological findings in patients with postanoxic coma, but they have not led to precise, generally accepted, prognostic rules. This study was performed to assess whether it is possible to create a prognostic...

journal_title：Neurocritical care

authors： Roest A,van Bets B,Jorens PG,Baar I,Weyler J,Mercelis R

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Infection in the intensive care unit (ICU) empirically requires broad-spectrum antibiotics. Imipenem/cilastatin, often reserved for more serious hospital-acquired infections, is thought to be associated with a higher risk of seizures than other penicillins and carbapenems. We sought to evaluate the safety of...

journal_title：Neurocritical care

authors： Hoffman J,Trimble J,Brophy GM

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:The initial noncontrast computed tomography (CT) study of the head after an aneurysmal subarachnoid hemorrhage (SAH) is used to predict the risk of developing vasospasm. Changes in the extent of subarachnoid blood seen on CT images occur as a function of time after SAH, but there is no consensus on the time ...

journal_title：Neurocritical care

authors： Dupont SA,Wijdicks EF,Manno EM,Lanzino G,Brown RD Jr,Rabinstein AA

更新日期：2009-01-01 00:00:00

abstract：INTRODUCTION:Hyponatremia frequently complicates acute brain injury and may precipitate neurological worsening by promoting cerebral edema. An increase in brain water may be better managed through water excretion than with fluid restriction or hypertonic fluids. Vasopressin-receptor antagonists such as conivaptan, whic...

journal_title：Neurocritical care

authors： Murphy T,Dhar R,Diringer M

更新日期：2009-01-01 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：INTRODUCTION:Methylene blue (MB) infusion is frequently used to localize the parathyroid glands during parathyroidectomy and generally considered safe. Several recent reports suggest neurological toxicity and post-operative altered mental state typically after large dose infusions. The mechanism by which MB has neuroto...

journal_title：Neurocritical care

authors： Rowley M,Riutort K,Shapiro D,Casler J,Festic E,Freeman WD

更新日期：2009-01-01 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:Takotsubo syndrome is a reversible neuromyocardial failure that has been thought to be related to an acute catecholamine toxicity of the myocardium brought upon by a stressful event. The neurocritical care unit population is particularly vulnerable for this condition given the acute presentation of neurologi...

journal_title：Neurocritical care

authors： Lemke DM,Hussain SI,Wolfe TJ,Torbey MA,Lynch JR,Carlin A,Fitzsimmons BF,Zaidat OO

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:Liver transplant (LT) recipients are at significant risk for the development of neurological complications, such as altered mental status and seizures, in the postoperative period. Identifying accurate predictors of these events may allow optimal selection and preparation of candidates, and minimize risk a...

journal_title：Neurocritical care

authors： Dhar R,Young GB,Marotta P

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:No proven treatments exist for intracerebral hemorrhage (ICH). Carefully selected patients may benefit from surgery, and an international multicenter trial is ongoing. We sought to determine how many patients in a population-based ICH cohort would have been eligible for surgery using the Surgical Trial in ...

journal_title：Neurocritical care

authors： Adeoye O,Woo D,Haverbusch M,Tao H,Sekar P,Moomaw CJ,Shutter L,Kleindorfer D,Kissela B,Broderick J,Flaherty ML

更新日期：2008-01-01 00:00:00