Journal of Neurocritical Care最新文献_第2页

Ticagrelor washout bridged with GPIIb/IIIa inhibitor infusion to facilitate surgical care following placement of pipeline flow diverters: a case report 替卡瑞洛冲洗与GPIIb/IIIa抑制剂输注桥接以促进管道分流器放置后的外科护理：一例报告

Journal of Neurocritical Care Pub Date : 2023-06-30 DOI: 10.18700/jnc.230016

Aaron S. Zweig, James S. Stanley, Ronak Patel, John Agola, Michael R Halstead

{"title":"Ticagrelor washout bridged with GPIIb/IIIa inhibitor infusion to facilitate surgical care following placement of pipeline flow diverters: a case report","authors":"Aaron S. Zweig, James S. Stanley, Ronak Patel, John Agola, Michael R Halstead","doi":"10.18700/jnc.230016","DOIUrl":"https://doi.org/10.18700/jnc.230016","url":null,"abstract":"Background: Pipeline flow diverters (PFDs) are becoming increasingly common. Antiplatelet medication is required to minimize periprocedural ischemic events. Short-acting GPIIb/IIIa inhibitors are frequently administered intraprocedurally; however, the role of these agents in postprocedural PFD management in the neurocritical care unit (NCCU) has been overlooked.Case Report: A patient with an unruptured internal carotid artery aneurysm presented for PFD placement. PFD placement was complicated by post-procedure intra-PFD thrombosis and hemispheric ischemia. Aspirin and ticagrelor were restarted, and the surgery department consulted for tracheostomy and percutaneous endoscopic gastrostomy-tube placement. Short-half-life GPIIb/IIIa infusions served as bridges to surgery after aspirin and tirofiban washout.Conclusion: NCCU management of complications of PFD placement remains under-researched. The use of long-acting antiplatelet agents post-PFD limits the safe administration of surgical procedures. Bridging with GPIIb/IIIa infusion may facilitate the safe delivery of intensive care in these cases.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48260589","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

Concomitant moyamoya syndrome and infratentorial arteriovenous malformation in a neurofibromatosis type 1 patient: a case report 1型神经纤维瘤病患者伴有烟雾综合征和幕下动静脉畸形1例报告

Journal of Neurocritical Care Pub Date : 2023-06-29 DOI: 10.18700/jnc.230018

E. Ko, Il-Jung Hwang, Jung-Woo Kim, Ju-Suck Lee, D. Jung, S. Yoo

引用次数: 0

Unexpected epileptogenic effect of lethal doses of pentobarbital: a case report 致死剂量戊巴比妥致癫痫的意外效应:一例报告

Journal of Neurocritical Care Pub Date : 2023-06-28 DOI: 10.18700/jnc.230019

Amélie Giudicelli-Bailly, Chiara Della Badia, M. Augsburger, H. Quintard, R. Giraud, P. De Stefano

引用次数: 1

Myelin oligodendrocyte glycoprotein antibody-associated disease manifesting as intractable fever managed by bromocriptine: a case report 髓鞘少突胶质细胞糖蛋白抗体相关疾病表现为溴隐亭治疗的难治性发热:1例报告

Journal of Neurocritical Care Pub Date : 2023-06-27 DOI: 10.18700/jnc.230020

Jin San Lee, Sukyoon Lee, Seong-il Oh

引用次数: 0

Refractory and super-refractory status epilepticus and evidence for the use of ketamine: a scope review 难治性和超难治性癫痫持续状态和氯胺酮使用的证据:范围回顾

Journal of Neurocritical Care Pub Date : 2023-06-27 DOI: 10.18700/jnc.230003

Luis Espinosa, Mario Gómez, Adrián C. Zamora, Daniel Molano‐Franco

{"title":"Refractory and super-refractory status epilepticus and evidence for the use of ketamine: a scope review","authors":"Luis Espinosa, Mario Gómez, Adrián C. Zamora, Daniel Molano‐Franco","doi":"10.18700/jnc.230003","DOIUrl":"https://doi.org/10.18700/jnc.230003","url":null,"abstract":"Status epilepticus (SE) is a neurological emergency with serious consequences for neuronal tissues, therefore, it is considered the most serious manifestation of epilepsy. The response to treatment, its evolution time and duration, and the need to use one or more antiseizure drugs define SE as refractory or super-refractory. Ketamine has been used in SE management since the 90s when an article describing its use in treating SE was published. Since then, at least 24 publications have reported the use of ketamine for the treatment of SE in both adult and pediatric patients. This scoping review seeks to synthesize information on the use of drugs in super-refractory SE, specifically ketamine. Twenty articles were chosen for the final document construction. Few studies have investigated the use of ketamine in refractory status epilepticus (RSE) and super-refractory status epilepticus (SRSE). Most of the information comes from retrospective case series studies, mostly with small sample sizes, and although the information is heterogeneous, it points to the efficacy of ketamine as a third-line drug in RES and SRSE, in controlling seizures.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48509028","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

The etiology and mortality of altered level of consciousness in the emergency room: before and after coronavirus disease 急诊室意识水平改变的病因和死亡率：冠状病毒病前后

Journal of Neurocritical Care Pub Date : 2023-06-22 DOI: 10.18700/jnc.230008

Y. Jeon, J. Jeon, C. Jung, Keuntae Kim

{"title":"The etiology and mortality of altered level of consciousness in the emergency room: before and after coronavirus disease","authors":"Y. Jeon, J. Jeon, C. Jung, Keuntae Kim","doi":"10.18700/jnc.230008","DOIUrl":"https://doi.org/10.18700/jnc.230008","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has resulted in social, economic, medical, and psychological changes. New-onset altered level of consciousness (ALC) is a classical presentation in real-world medicine. This study investigated changes in ALC in the emergency room (ER) in the periods before (BC) and after (AC) COVID-19.Methods: This was a retrospective study of patients with ALCs who visited the ER of a tertiary referral center, and their medical records BC and AC were compared. A consortium allocated and analyzed the etiologies of ALC in a case-by-case discussion. The time point for etiological assessment was the time of discharge from the ER.Results: In total, 1,936 patients with ALCs (731 and 1,205 in BC and AC, respectively) were investigated. The most common etiology was systemic infection (25.9%), followed by metabolic causes (20.8%). Systemic infections (22.9% vs. 30.8%, P<0.001) and stroke (14.6% vs. 18.2%, P=0.037) were lower in AC than in BC, respectively, whereas rates of toxicity (15.4% vs. 6.0%, P<0.001) and traumatic brain injury (TBI; 5.9% vs. 0.8%, P<0.001) were higher in AC than in BC. The overall mortality rate of ALC in the ER was 18.5%.Conclusion: This study demonstrated that the major etiologies of ALC in the ER were extra-cranial (58.5%). The mortality of ALC in the ER and the incidence of toxic cause and TBI increased in AC, suggesting a change in medical circumstances after the Pandemic.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42101021","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

Delayed post-ischemic leukoencephalopathy in emergent large-vessel occlusive stroke after mechanical thrombectomy: case reports 机械血栓切除术后并发大血管闭塞性脑卒中的迟发性缺血性脑白质脑病1例

Journal of Neurocritical Care Pub Date : 2023-06-13 DOI: 10.18700/jnc.230011

J. Ryu, Dongwhane Lee, S. Kwon, J. Chang

{"title":"Delayed post-ischemic leukoencephalopathy in emergent large-vessel occlusive stroke after mechanical thrombectomy: case reports","authors":"J. Ryu, Dongwhane Lee, S. Kwon, J. Chang","doi":"10.18700/jnc.230011","DOIUrl":"https://doi.org/10.18700/jnc.230011","url":null,"abstract":"Background: Delayed post-ischemic leukoencephalopathy (DPIL) is a rare complication after mechanical thrombectomy, with no well-established clinical characteristics and patho-mechanism. We explored the characteristics and possible mechanisms in three patients with DPIL. Case Report: Based on the clinical manifestations and laboratory findings including magnetic-resonance imaging, magnetic resonance spectroscopy, electroencephalography, and lumbar puncture, DPIL was diagnosed in three patients. We administered antiplatelet agents and conservative treatment. Cardioembolism, successful recanalization using a balloon guiding catheter, and fluctuating or gradually worsening neurological symptoms in delayed phase between 13 and 70 days were common features of DPIL. Diffusion-weighted imaging and fluid-attenuated inversion recovery showed high-signal intensity in the affected subcortical white matter. Laboratory findings provided no evidence of an epileptic disorder, inflammatory demyelination, or tumorous conditions. Conclusion: This report shows the characteristics and neuroradiologic images of DPIL. Among the various hypotheses, regional hypoxic-ischemic leukoencephalopathy and delayed reperfusion injury might be the patho-mechanism underlying DPIL.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49586207","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: 1

Anti-N-methyl-D-aspartate receptor encephalitis after resection of cerebral astrocytoma 脑星形细胞瘤切除后抗N-甲基-D-天冬氨酸受体脑炎

Journal of Neurocritical Care Pub Date : 2023-05-15 DOI: 10.18700/jnc.230005

Sukyoon Lee, Seong-il Oh

引用次数: 0

Progressive cerebral large-vessel vasculitis in a patient with Sjögren’s syndrome 干燥综合征患者的进行性脑大血管血管炎

Journal of Neurocritical Care Pub Date : 2023-04-17 DOI: 10.18700/jnc.220088

Woo Jin Kim, Jin San Lee, Seong-il Oh

引用次数: 0

Posterior reversible encephalopathy syndrome superimposed on neuronal intranuclear inclusion disease 后可逆性脑病综合征叠加神经元核内包涵病

Journal of Neurocritical Care Pub Date : 2023-04-05 DOI: 10.18700/jnc.220084

Nak-In Kim, Euihyun Sung, Sanggon Lee, Jin-Ju Park

引用次数: 0