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Journal of Neurocritical Care最新文献

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Venous Thromboembolism Following Acute Ischemic Stroke: A Prospective Incidence Study 急性缺血性卒中后静脉血栓栓塞的前瞻性发病率研究
Journal of Neurocritical Care Pub Date : 2018-12-27 DOI: 10.18700/JNC.180068
K. Ko, Ji-hoon Kang, Sa-Yoon Kang, Jung Seok Lee, S. Song, J. Oh, Joong-Goo Kim, E. Han, H. K. Lee, J. Choi
{"title":"Venous Thromboembolism Following Acute Ischemic Stroke: A Prospective Incidence Study","authors":"K. Ko, Ji-hoon Kang, Sa-Yoon Kang, Jung Seok Lee, S. Song, J. Oh, Joong-Goo Kim, E. Han, H. K. Lee, J. Choi","doi":"10.18700/JNC.180068","DOIUrl":"https://doi.org/10.18700/JNC.180068","url":null,"abstract":"Methods: We prospectively enrolled patients with acute ischemic stroke admitted to Jeju National University Hospital. The inclusion criteria were: 1) aged ≥18 years, 2) admission within seven days of symptom onset, and 3) an initial National Institute of Health Stroke Scale (NIHSS) score >1 for the affected lower limb. Ultrasound scans of the lower limbs and plasma D-dimer assays were performed on days 7-14 and 15-28 after stroke onset.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49300151","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: 2
Effects of Medication Reconciliation and Cost Avoidance Analysis by Clinical Pharmacists in a Neurocritical Care Unit 神经重症监护室临床药剂师药物调节效果及成本规避分析
Journal of Neurocritical Care Pub Date : 2018-12-27 DOI: 10.18700/JNC.180064
Uiyoung Cho, Young Joo Song, Y. Jung, K. Choi, Eun Sook Lee, Euni Lee, Moon‐Ku Han
{"title":"Effects of Medication Reconciliation and Cost Avoidance Analysis by Clinical Pharmacists in a Neurocritical Care Unit","authors":"Uiyoung Cho, Young Joo Song, Y. Jung, K. Choi, Eun Sook Lee, Euni Lee, Moon‐Ku Han","doi":"10.18700/JNC.180064","DOIUrl":"https://doi.org/10.18700/JNC.180064","url":null,"abstract":"","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48094638","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: 2
A Variant Guillain-Barré Syndrome with Anti-Ganglioside Complex Antibody 具有抗神经节苷复合物抗体的变异型格林-巴勒综合征
Journal of Neurocritical Care Pub Date : 2018-12-27 DOI: 10.18700/JNC.180073
S. Huh, So-Young Lee, Jin-Hyung Lee, Won Gu Lee, Jong Kuk Kim, Yoon Bw, Nam Jun Kim
{"title":"A Variant Guillain-Barré Syndrome with Anti-Ganglioside Complex Antibody","authors":"S. Huh, So-Young Lee, Jin-Hyung Lee, Won Gu Lee, Jong Kuk Kim, Yoon Bw, Nam Jun Kim","doi":"10.18700/JNC.180073","DOIUrl":"https://doi.org/10.18700/JNC.180073","url":null,"abstract":"Background: Recently, anti-ganglioside complex (GSC) antibodies were discovered among the various subtypes of Guillain-Barré syndrome. GSC is the novel glycoepitopes formed by two individual ganglioside molecules. Case Report: We present a 36-year-old man with overlap Miller Fisher syndrome and acute bulbar palsy who had anti-GSC antibody that provided diagnostic robustness. Conclusion: Anti-GSC testing could be considered important in patients who show atypical manifestation with negative antibody reaction against each constituent ganglioside. J Neurocrit Care 2018;11(2):134-136","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48708657","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: 2
Thoracic Endovascular Repair of Spinal Cord Infarction Resulting from Impending Rupture of the Thoracic Aortic Aneurysm 胸主动脉瘤即将破裂所致脊髓梗死的胸腔血管内修复
Journal of Neurocritical Care Pub Date : 2018-12-21 DOI: 10.18700/JNC.180071
Su Wan Kim, Seung Hyoung Kim, Sa-Yoon Kang, J. Oh
{"title":"Thoracic Endovascular Repair of Spinal Cord Infarction Resulting from Impending Rupture of the Thoracic Aortic Aneurysm","authors":"Su Wan Kim, Seung Hyoung Kim, Sa-Yoon Kang, J. Oh","doi":"10.18700/JNC.180071","DOIUrl":"https://doi.org/10.18700/JNC.180071","url":null,"abstract":"Thoracic Endovascular Repair of Spinal Cord Infarction Resulting from Impending Rupture of the Thoracic Aortic Aneurysm Su Wan Kim, MD, PhD, Seung Hyoung Kim, MD, Sa-Yoon Kang, MD, Jung-Hwan Oh, MD Departments of Thoracic and Cardiovascular Surgery, Radiology, Neurology, Jeju National University School of Medicine, Jeju, Korea J Neurocrit Care 2018;11(2):148-151 https://doi.org/10.18700/jnc.180071 eISSN 2508-1349","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41685623","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
Consciousness Recovery by Rituximab after Seizure Control in Cryptogenic New-Onset Refractory Status Epilepticus 隐源性新发难治性癫痫发作控制后利妥昔单抗的意识恢复
Journal of Neurocritical Care Pub Date : 2018-12-21 DOI: 10.18700/JNC.180066
Tae-won Yang, J. Jo, Do-Hyung Kim, Young Soo Kim, O. Kwon
{"title":"Consciousness Recovery by Rituximab after Seizure Control in Cryptogenic New-Onset Refractory Status Epilepticus","authors":"Tae-won Yang, J. Jo, Do-Hyung Kim, Young Soo Kim, O. Kwon","doi":"10.18700/JNC.180066","DOIUrl":"https://doi.org/10.18700/JNC.180066","url":null,"abstract":"Consciousness Recovery by Rituximab after Seizure Control in Cryptogenic New-Onset Refractory Status Epilepticus Tae-Won Yang, MD, Jeong Won Jo, MD, Do-Hyung Kim, MD, Young-Soo Kim, MD, PhD, Oh-Young Kwon, MD, PhD Department of Neurology, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon; Department of Dermatology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju; Department of Neurology and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju; Department of Neurology, Gyeongsang National University Hospital, Jinju, Korea","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49594736","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
Monitoring and Interpretation of Mechanical Ventilator Waveform in the Neuro-Intensive Care Unit 神经重症监护室机械通气波形的监测与解读
Journal of Neurocritical Care Pub Date : 2018-12-21 DOI: 10.18700/JNC.180069
Jin Park
{"title":"Monitoring and Interpretation of Mechanical Ventilator Waveform in the Neuro-Intensive Care Unit","authors":"Jin Park","doi":"10.18700/JNC.180069","DOIUrl":"https://doi.org/10.18700/JNC.180069","url":null,"abstract":"Management of mechanical ventilation is essential for patients with neuro-critical illnesses who may also have impairment of airways, lungs, respiratory muscles, and respiratory drive. However, balancing the approach to mechanical ventilation in the intensive care unit (ICU) with the need to prevent additional lung and brain injury, is challenging to intensivists. Lung protective ventilation strategies should be modified and applied to neuro-critically ill patients to maintain normocapnia and proper positive end expiratory pressure in the setting of neurological closed monitoring. Understanding the various parameters and graphic waveforms of the mechanical ventilator can provide information about the respiratory target, including appropriate tidal volume, airway pressure, and synchrony between patient and ventilator, especially in patients with neurological dysfunction due to irregularity of spontaneous respiration. Several types of asynchrony occur during mechanical ventilation, including trigger, flow, and termination asynchrony. This review aims to present the basic interpretation of mechanical ventilator waveforms and utilization of waveforms in various clinical situations in the neuro-ICU.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43177642","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: 3
Cardiac Arrest in Conjunction with Hypoglycemia in a Non-Diabetic Patient with CerebralInfarction 非糖尿病脑梗死患者心脏骤停合并低血糖
Journal of Neurocritical Care Pub Date : 2018-12-19 DOI: 10.18700/JNC.180063
Je Ko, Ji-Yong Lee
{"title":"Cardiac Arrest in Conjunction with Hypoglycemia in a Non-Diabetic Patient with Cerebral\u0000Infarction","authors":"Je Ko, Ji-Yong Lee","doi":"10.18700/JNC.180063","DOIUrl":"https://doi.org/10.18700/JNC.180063","url":null,"abstract":"Background: Hypoglycemia is uncommon in people without diabetes. There have been only a few reports of cardiac arrest in conjunction with hypoglycemia in non-diabetic patients. Case Report: A 66-year-old man visited the emergency room with dizziness. He was a chronic alcoholic. Laboratory test showed no evidence of diabetes mellitus. Brain magnetic resonance imaging revealed a left cerebellar infarction. Abdomen computed tomography demonstrated liver cirrhosis with minimal ascites. During his hospital stay, he consumed only a small amount of food because of nausea and headache. On hospital day 4, he had a cardiac arrest after two seizure episodes. His blood glucose was 10 mg/dL. The combination of liver cirrhosis, renal failure and poor oral intake was presumed to be the causes of the severe hypoglycemia. Conclusion: We report a rare case of cardiac arrest occurring in conjunction with severe hypoglycemia in a non-diabetic patient with cerebral infarction. J Neurocrit Care 2018;11(2):143-147","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45592862","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
Transportation Time is Significantly Decreased in Acute Ischemic Stroke Patients Under Drip-and-Ship Paradigm for Thrombolysis 急性缺血性脑卒中患者在滴加船溶栓模式下运输时间显著缩短
Journal of Neurocritical Care Pub Date : 2018-12-19 DOI: 10.18700/JNC.180058
Jeong-Yeon Kim, J. Cha, Dae-Hyun Kim, H. Nah, Jin-Heon Jeong
{"title":"Transportation Time is Significantly Decreased in Acute Ischemic Stroke Patients Under Drip-and-Ship Paradigm for Thrombolysis","authors":"Jeong-Yeon Kim, J. Cha, Dae-Hyun Kim, H. Nah, Jin-Heon Jeong","doi":"10.18700/JNC.180058","DOIUrl":"https://doi.org/10.18700/JNC.180058","url":null,"abstract":"Results: During the observation period, 225 patients were treated under ‘Drip-and-Ship’ or ‘Ship-and-Drip’ paradigm. Twenty-three were excluded due the lack of detailed data. Among 202 patients, 73 and 129 were treated under Drip-and-Ship and Ship-and-Drip paradigms, respectively. In 2013, 35 patients from 18 hospitals (median distance, 25 km) were transferred to our regional stroke center and their median ITD time was 116 minutes. It was gradually decreased after 2015. In 2017, ITD time was significantly (P<0.01) shortened to 85 minutes without significant changes in transfer distance. The median onset to puncture time was also significantly (P=0.03) decreased from 365 minutes in 2013 to 270 minutes in 2017.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48950258","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
Glucose Control in Intensive Care Unit Patients: Recent Updates 重症监护病房患者的血糖控制：最新进展
Journal of Neurocritical Care Pub Date : 2018-12-19 DOI: 10.18700/JNC.180067
S. Rhee
{"title":"Glucose Control in Intensive Care Unit Patients: Recent Updates","authors":"S. Rhee","doi":"10.18700/JNC.180067","DOIUrl":"https://doi.org/10.18700/JNC.180067","url":null,"abstract":"Proper glucose management in hospitalized patients can improve clinical outcomes. In particular, intensive care unit (ICU) patients are known to have significantly higher rates of mortality from changes in blood glucose due to severe comorbidities. Improving glucose control in ICU patients, therefore, can improve mortality and prognosis. Several studies related to the management of blood glucose in the ICU patients have been conducted. Intensive glucose management of surgical ICU patients has been successful. However, studies on medical ICU patients did not demonstrate positive effects of strict glycemic control. There is no independent glucose management goal for neurological ICU patients. However, maintenance of the usual glucose control target of 140180 mg/dL is recommended for ICU patients. Intravenous insulin infusion is essential for glucose control in ICU patients not consuming a regular diet, and caution should be exercised to prevent hypoglycemia. J Neurocrit Care 2018;11(2):81-85","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42901871","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
Acute Ischemic Stroke in Moyamoya Syndrome Associated with Thyrotoxicosis 烟雾综合征伴甲状腺毒症的急性缺血性脑卒中
Journal of Neurocritical Care Pub Date : 2018-09-27 DOI: 10.18700/JNC.180046
D. Kang, Gi-Hun Seong, J. Bae, Ju-Hun Lee, Hong-Ki Song, Yerim Kim
{"title":"Acute Ischemic Stroke in Moyamoya Syndrome Associated with Thyrotoxicosis","authors":"D. Kang, Gi-Hun Seong, J. Bae, Ju-Hun Lee, Hong-Ki Song, Yerim Kim","doi":"10.18700/JNC.180046","DOIUrl":"https://doi.org/10.18700/JNC.180046","url":null,"abstract":"Background: A few cases of moyamoya syndrome associated with thyrotoxicosis have been reported. However, studies on the association of hyperthyroidism with moyamoya syndrome are insufficient. Case Report: Here we report a case of hyperthyroidism associated with moyamoya syndrome in a 41-year-old woman with aphasia and right side weakness. Brain imaging revealed acute cerebral infarction of left middle cerebral artery territory and occlusion of bilateral distal internal carotid arteries. Conclusion: Antithyroid medication stabilized the patient’s neurologic deterioration, suggesting that thyrotoxicosis could aggravate acute cerebral infarction caused by moyamoya syndrome. J Neurocrit Care 2018;11(2):129-133","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47489361","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
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