Korean Journal of Neurotrauma最新文献

Brain Oxygenation and Metabolism Monitoring in Acute Brain Injury: Review on Current Trends and Clinical Implications. 急性脑损伤的脑氧合和代谢监测：当前趋势和临床意义的综述。

Korean Journal of Neurotrauma Pub Date : 2025-07-28 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e26

In Sung Hwang, Yong-Won Shin, Eun Jin Ha

引用次数: 0

Tailored Tissue Plasminogen Factor Injection via Subdural Catheter for Subacute Subdural Hematoma in an Elderly Patient: A Case Report and Literature Review. 硬膜下导管注射组织型纤溶酶原因子治疗老年亚急性硬膜下血肿1例报告并文献复习。

Korean Journal of Neurotrauma Pub Date : 2025-07-22 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e25

Dongwook Seo

{"title":"Tailored Tissue Plasminogen Factor Injection via Subdural Catheter for Subacute Subdural Hematoma in an Elderly Patient: A Case Report and Literature Review.","authors":"Dongwook Seo","doi":"10.13004/kjnt.2025.21.e25","DOIUrl":"10.13004/kjnt.2025.21.e25","url":null,"abstract":"This report presents an 89-year-old patient with subacute subdural hematoma (SDH) treated with local anesthesia via burr-hole trephination (BHT) and subdural drain placement, followed by liquefaction of the hematoma using the fibrinolytic agent, tissue plasminogen activator (tPA). Initially, the patient presented with acute post-trauma SDH without neurological symptoms, for which conservative treatment was administered. About a week later, the patient developed hemiplegia and progressed to a stuporous state. Radiographic evidence indicated that the subacute SDH had evolved into a chronic stage with an increased mass effect, causing new neurological deficits. Although craniotomy was considered, general anesthesia was not performed at the caregiver's request. After BHT, a subdural catheter was placed, but initial drainage was minimal. tPA was then administered to promote liquefaction and drainage. Follow-up computed tomography of the brain confirmed significant drainage of the hematoma. The patient subsequently recovered consciousness and motor function. This report discusses a less-invasive alternative for managing symptomatic subacute SDH. My approach of combining BHT with fibrinolytic therapy using tPA facilitated effective evacuation of the hematoma with minimal surgical intervention. Here, I present a case where tPA was used, detailing the methodology, imaging findings, and clinical outcomes of fibrinolytic therapy.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"21 3","pages":"208-215"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Injury Incidence and Radiological Outcomes in OLIF L5/S1: Iliac Bifurcation Versus Prepsoas Approach. 评估OLIF L5/S1的损伤发生率和放射预后：髂分叉与腰前肌入路。

Korean Journal of Neurotrauma Pub Date : 2025-07-22 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e24

Yunhee Choi, Youngmin Kwon

{"title":"Assessment of Injury Incidence and Radiological Outcomes in OLIF L5/S1: Iliac Bifurcation Versus Prepsoas Approach.","authors":"Yunhee Choi, Youngmin Kwon","doi":"10.13004/kjnt.2025.21.e24","DOIUrl":"10.13004/kjnt.2025.21.e24","url":null,"abstract":"Objective: The oblique lateral interbody fusion (OLIF) technique at the L5-S1 segment can be approached via iliac vessel bifurcation or prepsoas approaches, depending on vascular anatomy and iliac crest height. This study aims to compare clinical and radiological outcomes between these two surgical methods.Methods: This single-center retrospective study analyzed 58 patients undergoing OLIF surgery at L5-S1 from January 2020 to December 2023. Patients were divided into bifurcation (n=36) and prepsoas (n=22) approach groups. Outcomes measured included radiological parameters (anterior/posterior disc heights, foraminal height, disc angle), clinical parameters (Visual Analog Scale for leg/back pain, Oswestry Disability Index), and complications.Results: No significant differences were observed preoperatively between groups. Postoperatively, the prepsoas group showed significantly increased posterior disc and foraminal heights, whereas the bifurcation group had a significantly greater disc angle. Leg pain scores improved significantly more in the bifurcation group at four months. Complications were comparable, though the prepsoas approach was associated with higher incidences of contralateral root and endplate injuries.Conclusion: Both surgical approaches are safe and effective. The bifurcation corridor approach using an anterior lumbar interbody fusion cage optimizes segmental angulation, while the prepsoas corridor approach is more effective for increasing foraminal height. Careful preoperative anatomical evaluation is essential for selecting the optimal surgical approach.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"21 3","pages":"183-192"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vertebral Body Fracture During Manual Therapy in a Patient Following Spinal Surgery and Previous Instrumentation Removal. 脊柱手术和既往器械取出后患者手工治疗期间的椎体骨折。

Korean Journal of Neurotrauma Pub Date : 2025-07-18 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e23

Jun-Yong Cha, Sangsoo Choi, Sungbum Kim, Il-Tae Jang

{"title":"Vertebral Body Fracture During Manual Therapy in a Patient Following Spinal Surgery and Previous Instrumentation Removal.","authors":"Jun-Yong Cha, Sangsoo Choi, Sungbum Kim, Il-Tae Jang","doi":"10.13004/kjnt.2025.21.e23","DOIUrl":"10.13004/kjnt.2025.21.e23","url":null,"abstract":"Spinal fusion with metallic implants is a widely used surgical approach to manage various spinal pathologies including instability and degenerative diseases. Although spinal instrumentations facilitate successful bone fusion by providing immediate rigid support and stability, their removal may be necessary because of pain, mechanical failure, or infection. However, implant removal, particularly in patients with low bone density, may lead to fractures of the fused vertebral bodies owing to stress-shielding effects. This case report describes a 70-year-old woman with a history of spinal fusion surgery at the L3-L4-L5 levels who underwent another spinal fusion surgery at the L5-S1 level and removal of previous implants owing to adjacent segment disease. During recovery, the patient developed sudden severe back pain due to vertebral body fractures at the L3 and L4 levels following manual therapy. Percutaneous vertebroplasty was performed to treat these fractures and allowed for recovery without any complication. This case highlights the importance of careful preoperative planning and postoperative management in preventing fractures associated with hardware removal.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"21 3","pages":"216-221"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing Spine Fracture Detection: The Role of Artificial Intelligence in Clinical Practice. 推进脊柱骨折检测：人工智能在临床实践中的作用。

Korean Journal of Neurotrauma Pub Date : 2025-07-18 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e22

Seonghoon Jeong, Byung-Jou Lee

{"title":"Advancing Spine Fracture Detection: The Role of Artificial Intelligence in Clinical Practice.","authors":"Seonghoon Jeong, Byung-Jou Lee","doi":"10.13004/kjnt.2025.21.e22","DOIUrl":"10.13004/kjnt.2025.21.e22","url":null,"abstract":"Vertebral fractures are prevalent skeletal injuries commonly associated with osteoporosis, trauma, and degenerative diseases. Early and accurate diagnosis is crucial to prevent complications such as chronic pain and progressive spinal deformities. In recent years, artificial intelligence (AI) has emerged as a powerful tool in medical imaging to support automatic detection and classification of vertebral fractures. This review provides an overview of AI-based approaches for spinal fracture diagnosis and summarizes recent advances in deep learning (DL) and machine learning (ML) models. The performance of AI models, mainly evaluated by sensitivity, specificity, and accuracy metrics, varies with imaging modality and dataset size, with computed tomography-based models demonstrating superior diagnostic accuracy. In addition, AI-assisted workflows have been shown to improve diagnostic efficiency, reducing the time required for fracture detection. Despite these advances, challenges remain, such as dataset variability, the need for large-scale annotated datasets, and standardization of evaluation metrics. Future research should focus on improving model generalization, integrating multimodal imaging data, and validating AI applications in real-world clinical settings to further improve vertebral fracture diagnosis and patient management.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"21 3","pages":"172-182"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the Editor: Commentary on Investigating the Impact of Turmeric on Neuroinflammation and Degenerative Changes in Repetitive Traumatic Brain Injuries: Insights from Murine Model (Korean J Neurotrauma 2025;21:18-31). 致编辑的信：关于调查姜黄对重复性创伤性脑损伤神经炎症和退行性变化的影响的评论：来自小鼠模型的见解（Korean J Neurotrauma 2025;21:18-31）。

Korean Journal of Neurotrauma Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e20

Subum Lee

引用次数: 0

Hidden Threat: A Delayed Diagnosis of an Intracranial Impacted Car Key Leading to Brain Abscess. 隐藏的威胁：颅内撞击汽车钥匙导致脑脓肿的延迟诊断。

Korean Journal of Neurotrauma Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e21

Ghassen Gader, Kerima Belhadj Ali, Houssem Hdhili, Ihsèn Zammel, Mouna Rkhami

引用次数: 0

Letter to the Editor: Commentary on Transcranial-Penetrating Craniocerebral Injury Inflicted by a Nail Gun: A Technical Case Report (Korean J Neurotrauma 2024;20:191-197). 致编者信：钉枪致经颅穿透性颅脑损伤的技术病例报告述评（韩国神经创伤杂志2024；20:191-197）。

Korean Journal of Neurotrauma Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.13004/kjnt.2025.21.e19

Myoung Soo Kim

引用次数: 0

Future of Dedicated Neurosurgical Specialists in Regional Trauma Centers. 区域创伤中心神经外科专家的未来。

Korean Journal of Neurotrauma Pub Date : 2025-04-28 eCollection Date: 2025-04-01 DOI: 10.13004/kjnt.2025.21.e18

Mahnjeong Ha

引用次数: 0

Effect of Choline Alfoscerate on Cognitive Dysfunction After Mild Traumatic Brain Injury: A Single-Center Prospective Case-Control Study. 胆碱对轻度创伤性脑损伤后认知功能障碍的影响：一项单中心前瞻性病例对照研究。

Korean Journal of Neurotrauma Pub Date : 2025-04-25 eCollection Date: 2025-04-01 DOI: 10.13004/kjnt.2025.21.e17

Mu Seung Park, Jin Seo Yang, Suk-Hyung Kang, Hyuk Jai Choi, Jin Pyeong Jeon, Yong-Jun Cho

{"title":"Effect of Choline Alfoscerate on Cognitive Dysfunction After Mild Traumatic Brain Injury: A Single-Center Prospective Case-Control Study.","authors":"Mu Seung Park, Jin Seo Yang, Suk-Hyung Kang, Hyuk Jai Choi, Jin Pyeong Jeon, Yong-Jun Cho","doi":"10.13004/kjnt.2025.21.e17","DOIUrl":"https://doi.org/10.13004/kjnt.2025.21.e17","url":null,"abstract":"Objective: The purpose of this study was to determine the effect of choline alfoscerate on the recovery of cognitive function in patients with mild traumatic brain injury.Methods: Patients with mild traumatic brain injuries were included. The Korean version of the Mini-Mental State Examination (K-MMSE) was used to evaluate cognitive function. The K-MMSE was performed on the 7th day post-trauma. The patients were divided into the choline and control groups (15 subjects). The choline group was administered choline alfoscerate (400 mg) twice daily for 8 weeks. After 8 weeks, the K-MMSE was administered to both groups, and the results were compared with those before treatment.Results: Thirty patients (15 each in the choline and control groups) were enrolled between November 2013 and March 2015. The mean ages were 64.2±12.1 and 63.7±16.8 years for the choline and control groups, respectively. The K-MMSE scores on the 7th day post-trauma were 21.7±6.2 and 25.1±4.3 for the choline and control groups, respectively. The K-MMSE scores at 9 weeks post-trauma were 24.1±5.1 and 25.7±4.4 for the choline and control groups, respectively. The change in cognitive function during the 8-weeks was 2.5±2.1 and 0.5±0.9 for the choline and control groups, respectively. The choline group showed greater cognitive improvement than the control group (p=0.004).Conclusion: Choline alfoscerate improves cognitive function in patients with mild traumatic brain injuries.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"21 2","pages":"114-123"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0