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Journal of Neurointensive Care最新文献

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Acute Acalculous Cholecystitis in Neurological Patients; Clinical Review, Risk Factors, and Possible Mechanism 神经科患者急性无结石性胆囊炎临床回顾、危险因素和可能的机制
Journal of Neurointensive Care Pub Date : 2019-09-19 DOI: 10.32587/jnic.2019.00199
See Won Um, Hak-Cheol Ko, S. Lee, H. Shin, J. Koh
{"title":"Acute Acalculous Cholecystitis in Neurological Patients; Clinical Review, Risk Factors, and Possible Mechanism","authors":"See Won Um, Hak-Cheol Ko, S. Lee, H. Shin, J. Koh","doi":"10.32587/jnic.2019.00199","DOIUrl":"https://doi.org/10.32587/jnic.2019.00199","url":null,"abstract":"Backgrounds Acute acalculous cholecystitis (AAC) has rarely been reported and has not been fully investigated in patients with severe neurological conditions that can cause changes in consciousness. Delays in diagnosis of AAC may increase the severity of this condition. The aim of this study was to investigate the clinical features and possible mechanisms of AAC in neurological patients. Methods Among the patients with neurological conditions admitted to our hospital between March 2007 and September 2018, the medical records of 52 patients who underwent cholecystectomy after being diagnosed with cholecystitis were reviewed retrospectively. Data regarding age, sex, neurological conditions, Glasgow Coma Scale (GCS) on admission, past medical history, time from admission to the onset of AAC, initial symptoms or signs of AAC, and fasting period were investigated. Results The mean age of the 52 patients (36 male, 16 female) was 67.1±14.4. The mean GCS was 10. The neurological conditions were intracerebral hemorrhage, subarachnoid hemorrhage, subdural hematoma, intraventricular hemorrhage, epidural hematoma, cerebral infarction, cerebral abscess, and hypoxic brain damage. The mean time interval between the onset of AAC and admission was 22.5 days and the mean fasting period was 8.1 days. Conclusion AAC may be a significant complication in patients with neurological conditions. It is important to identify symptoms and signs of AAC, accurately diagnose the AAC, particularly in long-term stay at intensive care unit (ICU), a long period of fasting, state of hypotension or hypoperfusion, high positive end-expiratory pressure (PEEP) ventilation.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133925543","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
Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by a Neurointensivist Compared with Conventional Surgical Tracheostomy in Neurosurgery Intensive Care Unit 神经外科重症监护室经皮扩张性气管切开术与常规气管切开术的安全性和可行性比较
Journal of Neurointensive Care Pub Date : 2019-09-19 DOI: 10.32587/jnic.2019.00213
J. Kwon, Yong Oh Kim, J. Ryu
{"title":"Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by a Neurointensivist Compared with Conventional Surgical Tracheostomy in Neurosurgery Intensive Care Unit","authors":"J. Kwon, Yong Oh Kim, J. Ryu","doi":"10.32587/jnic.2019.00213","DOIUrl":"https://doi.org/10.32587/jnic.2019.00213","url":null,"abstract":"A total of 118 patients underwent tracheostomy during the study period. Elective surgery of brain tumor (33.1%) and intracranial hemorrhage (20.3%) were the most common reasons for ICU admission. Prolonged intubation (42.4%) and airway protection or prevent risk of aspiration (25.4%) were the most common reasons for tracheostomy. There was no significant difference in initial success rate of tracheostomy between the two groups (p=0.110). However, procedural time was lengthier in CST than that in PDT (39.0 [30.0–60.0] min vs. 15.0 [11.0–23.0] min, p<0.001). Procedure-induced complications were more common in patients who underwent CST compared to those in patients who underwent PDT (26.3% vs. 11.5%, p=0.039). Although moderate or major bleeding occurred in five patients who underwent CST, only one patient had moderate bleeding in PDT. Especially, there were two respiratory arrests during procedure in CST. In addition, two VAPs and seven wound infections occurred in CST.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126827609","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
Delayed Occurrence of CSF Oculorrhea after Mild Blunt Traumatic Head Injury 轻度钝性颅脑损伤后脑脊液漏的延迟发生
Journal of Neurointensive Care Pub Date : 2019-08-22 DOI: 10.32587/JNIC.2019.00143
S. Choi, Sang Pyung Lee, J. Baek, T. Park
{"title":"Delayed Occurrence of CSF Oculorrhea after Mild Blunt Traumatic Head Injury","authors":"S. Choi, Sang Pyung Lee, J. Baek, T. Park","doi":"10.32587/JNIC.2019.00143","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00143","url":null,"abstract":"hazardous complications including infection of central nervous system(CNS). A 40-year-old male visited with epiphora occurring every morning. He underwent traumatic head injury about a year and a half ago. Intrathecal Gadolinium-Enhanced Magnetic Resonance (MR) Cisternography was performed to diagnose his CSF oculorrhea. The delayed CSF oculorrhea was successfully treatment with continuous lumbar drainage. This case report discusses the diagnosis and treatment of the very rare case of the delayed CSF oculorrhea after mild blunt traumatic head injury.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131455499","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
Change in Nutrition Strategy after Nutritional Support Team Activities for Cerebrovascular Disease Patients in the Intensive Care Unit 重症监护室脑血管病患者营养支持小组活动后营养策略的变化
Journal of Neurointensive Care Pub Date : 2019-08-22 DOI: 10.32587/JNIC.2019.00150
J. Lee, S. Kim, W. Lee, K. Lee, S. Paeng, S. Pyo, Y. Jeong, Kim Ms, Y. Jung
{"title":"Change in Nutrition Strategy after Nutritional Support Team Activities for Cerebrovascular Disease Patients in the Intensive Care Unit","authors":"J. Lee, S. Kim, W. Lee, K. Lee, S. Paeng, S. Pyo, Y. Jeong, Kim Ms, Y. Jung","doi":"10.32587/JNIC.2019.00150","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00150","url":null,"abstract":"Objective This study was done to introduce a nutrition support strategy and analyze the effect of nutritional support team (NST) activities in a single-center intensive care unit. Methods Between January and June 2017, acute severe cerebrovascular disease (CVA) patients who admitted to the intensive care unit and referred to the NST, were enrolled and assigned to the NST group. Demographics, initial GCS score, needed calorie intake (NCI), type of nutrition, time of switching from parenteral nutrition (PN) to enteral nutrition (EN), NCI satisfaction rate, incidence of feeding intolerance (FI), and clinical outcomes were analyzed, and compared with those in the control group, retrospectively. Results There were 38 patients in the NST group and 39 in the control group. The initial GCS score was 7.03±2.19 in the NST group and 6.82±2.19 in the control group. The average NCI was 1557.9 kcal in the NST group and 1635.9 kcal in the control group. In all patients, the start of PN was possible within 24 hours after admission. The EN start rate was slightly lower in the NST group. EN was initiated earlier in the NST group than in the control group. The NCI satisfaction rate at discharge was higher in the NST group. No statistically significant differences were observed in the rate of good clinical outcomes and incidence of FI between the two groups. Conclusion NST activity enabled the earlier start of EN and achievement of a high NCI satisfaction rate without increasing nutrition support related risks.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132547433","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
Endovascular Treatment of Intracranial Aneurysms Associated with Brain Arteriovenous Malformations 颅内动脉瘤伴脑动静脉畸形的血管内治疗
Journal of Neurointensive Care Pub Date : 2019-08-22 DOI: 10.32587/JNIC.2019.00171
Boeun Lee, Jae Whan Lee, K. Park, Dong Joon Kim, B. Kim, Joonho Chung
{"title":"Endovascular Treatment of Intracranial Aneurysms Associated with Brain Arteriovenous Malformations","authors":"Boeun Lee, Jae Whan Lee, K. Park, Dong Joon Kim, B. Kim, Joonho Chung","doi":"10.32587/JNIC.2019.00171","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00171","url":null,"abstract":"Objective Brain arteriovenous malformation (AVM) is frequently associated with the presence of intracranial aneurysms, which increase hemorrhage rates resulting in unfavorable outcomes. We report our experience with endovascular treatment (EVT) of intracranial aneurysms associated with AVM. Methods Between March 2010 and February 2017, we treated 274 patients with AVMs. Among them, 27 (9.9%) patients with intracranial aneurysms associated with AVM were treated endovascularly. Clinical and radiographic data for these patients were retrospectively reviewed. Results We treated 32 aneurysms (10 intranidal and 22 proximal aneurysms) in 27 patients. The most frequent presenting symptoms were hemorrhage (59.3%) caused by an AVM nidus in 7 cases and by aneurysm rupture in 9 cases. Of 22 proximal flow-related aneurysms, we performed a simple coiling technique in 16 aneurysms and 6 parent artery occlusions. For 10 intranidal aneurysms, we performed targeted embolization with liquid embolic materials, such as n-Butyl cyanoacrylate or Onyx. There were three procedure-related complications and only one patient suffered transient hemiparesis. Favorable outcome (modified Rankin Scale, mRS 0-2) was achieved in 18 (66.7%) patients and unfavorable outcome (mRS 3-6) in 9 (33.3%) patients, including one death. Conclusion When facing intracranial aneurysms associated with AVMs, EVT might be a useful treatment option for proximal and intranidal aneurysms.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123710652","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
Internal Carotid Artery Dissection with Traumatic Pseudoaneurysm Formation after Penetrating Head Injury 穿透性颅脑损伤后颈动脉夹层伴外伤性假性动脉瘤形成
Journal of Neurointensive Care Pub Date : 2019-08-22 DOI: 10.32587/JNIC.2019.00164
J. Ham, J. Kim, W. Yoon
{"title":"Internal Carotid Artery Dissection with Traumatic Pseudoaneurysm Formation after Penetrating Head Injury","authors":"J. Ham, J. Kim, W. Yoon","doi":"10.32587/JNIC.2019.00164","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00164","url":null,"abstract":"Traumatic pseudoaneurysm of the intracranial arteries is a devastating event leading to high mortality. Its prevalence is rare, and associated with blunt or penetrating head injuries. Here, we describe a case of a 46-year-old woman who was transferred to our hospital following a stab-induced head trauma. Owing to multiple assaults by a sharp knife, the patient presented with an injured intracranial internal carotid artery that formed dissecting pseudoaneurysms. Stupor mentality was noted, and brain computed tomography revealed traumatic subarachnoid hemorrhage, and intracerebral hemorrhage in a “knife shape”. Diagnostic angiography showed an active extravasation in the middle cerebral artery and distal internal carotid artery with two pseudoaneurysms. Immediate trapping was planned, and embolization was performed with detachable coils. The patient was transferred to the operation room and emergent decompressive craniectomy with wide durotomy was performed. Unfortunately, the patient expired few days after the operation despite maximal neurocritical care.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125667065","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
Endovascular Treatment of Ruptured Dissecting Aneurysms on the P2-3 Segment of the Posterior Cerebral Artery: A Report of Two Cases 脑后动脉P2-3段破裂夹层动脉瘤的血管内治疗(附2例报告)
Journal of Neurointensive Care Pub Date : 2019-08-22 DOI: 10.32587/JNIC.2019.00157
Seonah Choi, Joonho Chung
{"title":"Endovascular Treatment of Ruptured Dissecting Aneurysms on the P2-3 Segment of the Posterior Cerebral Artery: A Report of Two Cases","authors":"Seonah Choi, Joonho Chung","doi":"10.32587/JNIC.2019.00157","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00157","url":null,"abstract":"Intracranial ruptured dissecting aneurysms can have fatal outcomes. Among them, posterior cerebral artery dissecting aneurysm with hemorrhage is uncommon but usually fatal due to its deep location and proximity to surrounding critical structures. Most previously published reports on this type of aneurysm have concluded that the neurologic outcome can be improved with the use of certain surgical or endovascular approaches. However, in severe cases with a poor initial clinical status, patient improvement should not be expected. We report two cases of P2-3 segment ruptured dissecting aneurysms that were treated by external ventricular drainage for control of increased intracranial pressure followed by one-stage endovascular treatment for the aneurysm.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"264 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133784672","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
Guidelines for Cauda Equina Syndrome Management 马尾综合征治疗指南
Journal of Neurointensive Care Pub Date : 2019-04-30 DOI: 10.32587/JNIC.2019.00136
Junseok W. Hur, Dong-Hyuk Park, Jang-Bo Lee, Tai-Hyoung Cho, J. Park
{"title":"Guidelines for Cauda Equina Syndrome Management","authors":"Junseok W. Hur, Dong-Hyuk Park, Jang-Bo Lee, Tai-Hyoung Cho, J. Park","doi":"10.32587/JNIC.2019.00136","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00136","url":null,"abstract":"ever, proper diagnosis is often confused. There are some clinical check points; bilateral radiculopathy, impaired perineal sensation, impaired anal tone, and urinary retention. In addition, magnetic resonance image should match the clinical symptom. With these clinical and radiographic evidences, we can classify CES as CES suspected or suspicious (CESS), incomplete CES (CESI), and CES with neurogenic retention of urine (CESR). All these situations may need surgery, however, the timing of surgery and neurologic outcomes are various. Herein we prescribe the guideline for proper treatment strategy of CES.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130166583","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: 7
Prognostic Value of Optic Nerve Sheath Diameter in Patients after Extracorporeal Cardiopulmonary Resuscitation 体外心肺复苏后视神经鞘直径对患者预后的价值
Journal of Neurointensive Care Pub Date : 2019-04-30 DOI: 10.32587/JNIC.2019.00108
Young-Jin Kim, J. Ryu, Yong Oh Kim, Y. Cho, Jeong Hoon Yang, Sangkil Lee, J. Baek
{"title":"Prognostic Value of Optic Nerve Sheath Diameter in Patients after Extracorporeal Cardiopulmonary Resuscitation","authors":"Young-Jin Kim, J. Ryu, Yong Oh Kim, Y. Cho, Jeong Hoon Yang, Sangkil Lee, J. Baek","doi":"10.32587/JNIC.2019.00108","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00108","url":null,"abstract":"Ji Sun Baek Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Neurology, ChungBuk National University Hospital, Cheongju, Korea Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122372110","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
Neurointensive Care for Spinal Injuries ; Perspective on Its Role in Early Stage 脊髓损伤的神经重症监护;对其早期作用的透视
Journal of Neurointensive Care Pub Date : 2019-04-30 DOI: 10.32587/JNIC.2019.00129
W. Kwon, Dong-Hyuk Park, Jong-Keon Oh, J. Kim, H. Roh, H. Moon, Joo-Han Kim, Youn-Kwan Park
{"title":"Neurointensive Care for Spinal Injuries ; Perspective on Its Role in Early Stage","authors":"W. Kwon, Dong-Hyuk Park, Jong-Keon Oh, J. Kim, H. Roh, H. Moon, Joo-Han Kim, Youn-Kwan Park","doi":"10.32587/JNIC.2019.00129","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00129","url":null,"abstract":"Woo-Keun Kwon, Dong-Hyuk Park, Jong-Keon Oh, Jang Hun Kim, Haewon Roh, Hong Joo Moon, Joo Han Kim, Youn-Kwan Park Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Medical Center, Anam Hospital, Korea University College of Medicine, Seoul, Korea Focused Training Center for Trauma, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korean Armed Forces Capital Hospital, Seongnam, Korea","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126528884","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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