Journal of Neurocritical Care最新文献

Accessory posterior cerebral artery (PCA): a rare variant of PCA 附属大脑后动脉（PCA）：PCA 的一种罕见变体

Journal of Neurocritical Care Pub Date : 2024-03-19 DOI: 10.18700/jnc.240002

Youngchan Jung, Sang Won Han, Hyun-jeung Yu

引用次数: 0

Basilar artery hypoplasia with persistent fetal circulations misinterpreted as basilar artery occlusion in a non-invasive angiography 在无创血管造影中，基底动脉发育不良伴胎儿持续循环被误认为基底动脉闭塞

Journal of Neurocritical Care Pub Date : 2024-03-18 DOI: 10.18700/jnc.230042

Soo Jeong, HongKeun Yoo, Young Seo Kim, Hyun Young Kim

引用次数: 0

A case report of pitfall of fever and altered mental status: cerebral malaria due to Plasmodium falciparum in an adult traveler returning from Congo 一例从刚果回国的成年旅行者因发烧和精神状态改变而陷入困境的病例报告：恶性疟原虫引起的脑型疟疾

Journal of Neurocritical Care Pub Date : 2023-12-20 DOI: 10.18700/jnc.230034

S. Park, Yerim Kim, Y. Kim, Jong Seok Bae, Ju-Hun Lee

引用次数: 0

Extremely elevated international normalized ratio in a patient using dabigatran etexilate: a case report 使用达比加群酯的患者国际正常化比率极度升高：一份病例报告

Journal of Neurocritical Care Pub Date : 2023-12-19 DOI: 10.18700/jnc.230032

Jin Kim, Youngchan Jung, Jinyoung Oh, Sang Won Han, Hyun-jeung Yu

{"title":"Extremely elevated international normalized ratio in a patient using dabigatran etexilate: a case report","authors":"Jin Kim, Youngchan Jung, Jinyoung Oh, Sang Won Han, Hyun-jeung Yu","doi":"10.18700/jnc.230032","DOIUrl":"https://doi.org/10.18700/jnc.230032","url":null,"abstract":"In general, blood coagulation tests are not necessary in patients using non-vitamin K-dependent oral anticoagulants (NOACs) [1,2]. If the patient follows the prescribed indications for NOACs, adjusting the dosage or administration interval of the medication according to the changes in coagulation tests is not necessary [3]. Here, we present the case of a patient with nonvalvular atrial fibrillation (NVAF) who was taking dabigatran and showed an extremely elevated prothrombin time-international normalized ratio (PT-INR). Background: We present the case of a patient who was administered dabigatran and showed an extremely elevated prothrombin time-international normalized ratio (PT-INR). Case Report: A 79-year-old man was referred due to PT-INR 12.6. The patient was taking 110 mg of dabigatran twice daily in capsule form. On admission, blood urea nitrogen level was 23 mg/dL, creatinine was 1.51 mg/dL, and the estimated glomerular filtration rate was 44.8 mL/min/1.73 m 2 . Coagulation tests revealed PT 96.8 seconds, PT-INR 12.46, and activated partial thromboplastin time 125.5 seconds. Dabigatran was discontinued, PT-INR on the day after admission was 8.96. PT-INR recovered to 1.61 on the fourth day without any treatment. Conclusion: The PT-INR was not directly correlated with dabigatran activity. Regular monitoring of coagulation was not necessary in all patients taking dabigatran. However, it may be useful to regularly perform coagulation tests in patients with renal impairment or in those at a high risk of bleeding.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"1 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management strategies for refractory status epilepticus 难治性癫痫状态的管理策略

Journal of Neurocritical Care Pub Date : 2023-12-19 DOI: 10.18700/jnc.230037

Jung-Won Shin

引用次数: 0

Diurnal variation in quantitative pupillary reactivity in large hemispheric stroke 大半球中风患者瞳孔定量反应性的昼夜变化

Journal of Neurocritical Care Pub Date : 2023-12-19 DOI: 10.18700/jnc.230030

T. J. Kim, Ji Sung Lee, Soo-Hyun Park, Sang-Bae Ko

引用次数: 0

Effects of sufficient anticoagulation on ischemic stroke outcomes in patients with nonvalvular atrial fibrillation 充分抗凝对非瓣膜性心房颤动患者缺血性中风预后的影响

Journal of Neurocritical Care Pub Date : 2023-12-15 DOI: 10.18700/jnc.230031

T. J. Kim, Soo-Hyun Park, Youngjoon Kim, Sang-Bae Ko

引用次数: 0

Cerebral fat embolism in sickle cell disease 镰状细胞病的脑脂肪栓塞

Journal of Neurocritical Care Pub Date : 2023-12-15 DOI: 10.18700/jnc.230024

Hortense Le Bourhis, Michel Djibré, Leo Razakamanantsoa, N. D. Montmollin

引用次数: 0

Disseminated nocardiosis including cerebral nocardiosis caused by Nocardia farcinica: a case report 由远古诺卡氏菌引起的包括脑诺卡氏菌在内的播散性诺卡氏菌病：一份病例报告

Journal of Neurocritical Care Pub Date : 2023-12-15 DOI: 10.18700/jnc.230035

Baeseoup Song, Dong Youn Kim, Young Jin Kim, Ho Geol Woo

引用次数: 0

Is the mechanism of synchronous cardiocerebral infarction (CCI) different from that of metachronous CCI? 同步性心脑梗塞（CCI）的发病机制与非同步性心脑梗塞（CCI）的发病机制是否不同？

Journal of Neurocritical Care Pub Date : 2023-12-06 DOI: 10.18700/jnc.230029

Seonjeong Kim, Hyein Chung, Yoonkyung Lee, Byeol-A Yoon, D. Kim, Jin-Heon Jeong, Jae-Kwan Cha

{"title":"Is the mechanism of synchronous cardiocerebral infarction (CCI) different from that of metachronous CCI?","authors":"Seonjeong Kim, Hyein Chung, Yoonkyung Lee, Byeol-A Yoon, D. Kim, Jin-Heon Jeong, Jae-Kwan Cha","doi":"10.18700/jnc.230029","DOIUrl":"https://doi.org/10.18700/jnc.230029","url":null,"abstract":"Background: Cardiocerebral infarction (CCI) is the simultaneous occurrence of acute ischemic stroke (AIS) and myocardial infarction (MI) at the same time (synchronous), or one after another (metachronous). This study aimed to investigate the differences in the underlying mechanisms between synchronous and metachronous CCI. Methods: This study analyzed patients with AIS registered in the Clinical Research Collaboration for Stroke in Korea Prospective Registry at a single Stroke Center from January 2019 to December 2022. Patients with synchronous and metachronous CCI (MI within 72 hours after AIS) were included. Severity at admission and modified Rankin Scale scores 3 months after treatment were assessed. Results: Among 3,319 AIS patients, 12 (0.36%) were diagnosed with acute CCI (male, 8; mean age, 69.6±14.0 years). Of these, six (0.18%) had synchronous CCI, while the other six had metachronous CCI. The synchronous CCI group exhibited lower neurological severity at admission than the metachronous CCI group (median National Institutes of Health Stroke Scale, 3.5 vs. 12.5). Among the 12 patients, seven (58%) had ST-elevation myocardial infarction (STEMI), with five (83%) of the synchronous CCI cases presenting as STEMI. Two cases of new-onset atrial fibrillation occurred exclusively in patients with synchronous CCI. Also, one case with synchronous CCI had a thrombus in the left ventricle. Conclusion: Acute CCI is rare and manifests with varying degrees of severity. Our study suggests that AIS in synchronous CCI may be secondary to embolism caused by a preceding MI. In contrast, metachronous CCI exhibits diverse mechanisms, including secondary myocardial injury resulting from a preceding severe AIS.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"58 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0