Korean Journal of Neurotrauma最新文献_第10页

Particular Surgical Technique for Transorbital-Penetrating Craniocerebral Injury Inflicted by a Screwdriver: Technical Case Report. 螺丝刀致经眶穿透性颅脑损伤的特殊手术技术：技术病例报告。

Korean Journal of Neurotrauma Pub Date : 2023-08-02 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e35

Dewa Putu Wisnu Wardhana, Christopher Lauren, Steven Awyono, Rohadi Muhammad Rosyidi, Tiffany Tiffany, Sri Maliawan

引用次数: 0

Acute Paraparesis Caused by Spinal Epidural Fluid After Balloon Kyphoplasty for Traumatic Avascular Necrosis: A Case Report. 外伤性缺血性坏死球囊后凸成形术后硬膜外液致急性麻痹1例报告。

Korean Journal of Neurotrauma Pub Date : 2023-08-01 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e34

Chi Ho Kim, Pius Kim, Chang Il Ju, Seok Won Kim

引用次数: 0

Open Surgery for Osteoporotic Compression Fracture Within One Month of Single Level Balloon Kyphoplasty. 单层球囊后凸成形术一个月内开放性手术治疗骨质疏松性压缩性骨折。

Korean Journal of Neurotrauma Pub Date : 2023-07-04 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e33

Chi Ho Kim, Pius Kim, Chang Il Ju, Seok Won Kim

{"title":"Open Surgery for Osteoporotic Compression Fracture Within One Month of Single Level Balloon Kyphoplasty.","authors":"Chi Ho Kim, Pius Kim, Chang Il Ju, Seok Won Kim","doi":"10.13004/kjnt.2023.19.e33","DOIUrl":"10.13004/kjnt.2023.19.e33","url":null,"abstract":"Objective: This study aimed to analyze the reasons for open surgery performed within one month of balloon kyphoplasty (BKP) for osteoporotic compression fractures.Methods: This study included 15 patients treated with open surgery within one month of BKP in our institution from 2013 to 2020. Among them, 10 patients underwent BKP in our institution and 5 patients were transferred because of adverse events after undergoing BKP at another hospital. Clinical findings including main indications, neurological deficits, and clinical course were analyzed.Results: All patients were followed up for at least 12 months after surgery (average time 15.5 months, range 12-39 months). Their mean age was 73.7 years and the mean T-score of the spine on bone densitometry was -3.35. The main reasons for open surgery included dislodgement of the cement mass or spinal instability (7 cases, 47%), neural injury due to cement leakage (3 cases, 20%), and spinal cord injury caused by a puncture mistake (3 cases, 20%). Two patients developed acute spinal subdural hematoma, and spinal epidural fluid was pushed out at the back edge of the vertebral body following BKP without signs of major cement leakage into the spinal canal. At the final follow-up, 7 patients with cement mass dislodgement showed complete improvement of related symptoms after posterior fusion with screw fixation. Among the 8 patients with neural injury, 6 improved; however, 2 remained at the same American Spinal Injury Association level.Conclusion: The main reasons for open surgery were cement mass dislodgement and neural injury caused by puncture errors or cement leakage into the spinal canal. It should be noted that proper selection of cases, detailed imaging evaluation, and optimal surgical techniques are key to reducing open surgery after BKP.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"348-355"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/76/kjn-19-348.PMC10567528.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239530","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

A Novel Acute Discogenic Myelopathy Model Using Merocel^® Sponge: Comparison With Clip Compression Model in Rats. 使用Merocel®海绵的新型急性椎间盘源性脊髓病模型：与大鼠夹压模型的比较。

Korean Journal of Neurotrauma Pub Date : 2023-06-23 eCollection Date: 2023-06-01 DOI: 10.13004/kjnt.2023.19.e28

Do-Hyung Kim, Ki-Bum Sim

{"title":"A Novel Acute Discogenic Myelopathy Model Using Merocel® Sponge: Comparison With Clip Compression Model in Rats.","authors":"Do-Hyung Kim, Ki-Bum Sim","doi":"10.13004/kjnt.2023.19.e28","DOIUrl":"10.13004/kjnt.2023.19.e28","url":null,"abstract":"Objective: Animal models of spinal cord injuries (SCIs) use rats to simulate human SCIs. Among the various techniques, clips have been used to reproduce the compression-contusion model. However, the mechanism of injury in discogenic incomplete SCI may differ from that in clip injury; however, a model has yet to be established. Previously, we issued a patent (No. 10-2053770) for a rat SCI model using Merocel®, a water-absorbing self-expanding polymer sponge. The objectives of this study were to compare the locomotor and histopathological changes between the Merocel®-compression model (MC group) and clip compression model (clip group).Methods: This study included 4 groups of rats: MC (n=30), MC-sham (n=5), clip (n=30), and clip-sham (n=5). Locomotor function was evaluated in all groups using the Basso, Beattie, and Bresnahan (BBB) scoring system, 4 weeks after injury. Histopathological analyses included morphology, presence of inflammatory cells, microglial activation, and extent of neuronal damage, which were compared among the groups.Results: The BBB scores in the MC group were significantly higher than those in the clip group throughout the 4 weeks (p<0.01). Neuropathological changes in the MC group were significantly less severe than those in the clip group. In addition, motor neurons were well preserved in the ventral horn of the MC group but poorly preserved in the ventral horn of the clip group.Conclusion: The novel MC group can help elucidate the pathophysiology of acute discogenic incomplete SCIs and may be applied in various SCI therapeutic strategies.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"204-217"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/77/kjn-19-204.PMC10329878.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189627","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 In-Fracture Pedicular Screw Placement During Ligamentotaxis Following Traumatic Spine Injuries, a Randomized Clinical Trial on Outcomes (Korean J Neurotrauma 2023;19:90-102). 致编辑的信：关于创伤性脊柱损伤后韧带牵引过程中骨折内椎弓根螺钉置入的评论，一项关于结果的随机临床试验（Korean J Neurotrauma 2023;19:90-102）。

Korean Journal of Neurotrauma Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI: 10.13004/kjnt.2023.19.e22

Byung-Jou Lee

引用次数: 0

Indirect Decompression of Osteoporotic Vertebral Compression Fracture Using Intraoperative Motor Evoked Potential Monitoring-Guided Ligamentotaxis. 利用术中运动诱发电位监测引导的韧带牵引对骨质疏松性椎体压缩骨折进行间接减压。

Korean Journal of Neurotrauma Pub Date : 2023-06-16 eCollection Date: 2023-06-01 DOI: 10.13004/kjnt.2023.19.e21

Subin Kweon, Saemin Kwon, Changhyun Kim, Changyoung Lee, Insoo Kim, Young San Ko

{"title":"Indirect Decompression of Osteoporotic Vertebral Compression Fracture Using Intraoperative Motor Evoked Potential Monitoring-Guided Ligamentotaxis.","authors":"Subin Kweon, Saemin Kwon, Changhyun Kim, Changyoung Lee, Insoo Kim, Young San Ko","doi":"10.13004/kjnt.2023.19.e21","DOIUrl":"10.13004/kjnt.2023.19.e21","url":null,"abstract":"Osteoporotic vertebral compression fractures have become common in aging societies and can lead to a decreased quality of life with severe back pain and neurological deficits. Traditional direct decompression and stabilization surgeries can produce sufficient decompression and provide good results. However, after surgical treatment, some elderly patients with numerous chronic diseases often experience severe postoperative complications owing to the long surgery duration and massive bleeding. Therefore, to prevent perioperative morbidity, other surgical methods that simplify the surgical process and reduce the operation time are required. Herein, we describe a case of indirect decompression using ligamentotaxis and sequential anabolic agents. To examine their effectiveness during surgery, we monitored intraoperative motor-evoked potentials. The patient's neurological symptoms improved postoperatively. After the operation, the anabolic agent \"romosozumab\" was injected monthly to treat osteoporosis, prevent additional fractures, and accelerate posterolateral fusion. On serial follow-up, the anterior body height of the fractured vertebra improved significantly, demonstrating the importance of osteoporosis treatment using anabolic agents. Indirect decompression surgery may have early effects, whereas sequential anabolic agent use may consolidate the long-term effects of surgical treatment.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"258-265"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/d9/kjn-19-258.PMC10329891.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813373","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

Massive Epidural Hematoma Caused by Percutaneous Epidural Neuroplasty: A Case Report. 经皮硬膜外神经成形术致硬膜外大面积血肿一例报告。

Korean Journal of Neurotrauma Pub Date : 2023-06-05 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e20

Chi Ho Kim, Pius Kim, Chang Il Ju, Seok Won Kim

引用次数: 0

Recent Updates on Controversies in Decompressive Craniectomy and Cranioplasty: Physiological Effect, Indication, Complication, and Management. 减压颅骨切除术和颅骨成形术争议的最新进展:生理效果、适应证、并发症和处理。

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e24

Jae Hyun Kim, Yoon-Hee Choo, Heewon Jeong, Moinay Kim, Eun Jin Ha, Jiwoong Oh, Seungjoo Lee

{"title":"Recent Updates on Controversies in Decompressive Craniectomy and Cranioplasty: Physiological Effect, Indication, Complication, and Management.","authors":"Jae Hyun Kim, Yoon-Hee Choo, Heewon Jeong, Moinay Kim, Eun Jin Ha, Jiwoong Oh, Seungjoo Lee","doi":"10.13004/kjnt.2023.19.e24","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e24","url":null,"abstract":"Decompressive craniectomy (DCE) and cranioplasty (CP) are surgical procedures used to manage elevated intracranial pressure (ICP) in various clinical scenarios, including ischemic stroke, hemorrhagic stroke, and traumatic brain injury. The physiological changes following DCE, such as cerebral blood flow, perfusion, brain tissue oxygenation, and autoregulation, are essential for understanding the benefits and limitations of these procedures. A comprehensive literature search was conducted to systematically review the recent updates in DCE and CP, focusing on the fundamentals of DCE for ICP reduction, indications for DCE, optimal sizes and timing for DCE and CP, the syndrome of trephined, and the debate on suboccipital CP. The review highlights the need for further research on hemodynamic and metabolic indicators following DCE, particularly in relation to the pressure reactivity index. It provides recommendations for early CP within three months of controlling increased ICP to facilitate neurological recovery. Additionally, the review emphasizes the importance of considering suboccipital CP in patients with persistent headaches, cerebrospinal fluid leakage, or cerebellar sag after suboccipital craniectomy. A better understanding of the physiological effects, indications, complications, and management strategies for DCE and CP to control elevated ICP will help optimize patient outcomes and improve the overall effectiveness of these procedures.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"128-148"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/9c/kjn-19-128.PMC10329888.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813368","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: 1

Comparison of Preventable Trauma Death Rates in Patients With Traumatic Brain Injury Before and After the Establishment of Regional Trauma Center: A Single Center Experience. 区域创伤中心建立前后外伤性脑损伤患者可预防创伤死亡率的比较:单中心经验

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e16

Dae Han Choi, Tae Seok Jeong, Myung Jin Jang

{"title":"Comparison of Preventable Trauma Death Rates in Patients With Traumatic Brain Injury Before and After the Establishment of Regional Trauma Center: A Single Center Experience.","authors":"Dae Han Choi, Tae Seok Jeong, Myung Jin Jang","doi":"10.13004/kjnt.2023.19.e16","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e16","url":null,"abstract":"Objective: To compare preventable trauma death rates (PTDRs) in patients with traumatic brain injury before and after the establishment of a regional trauma center (RTC) at a single center.Methods: Our institution established an RTC in 2014. A total of 709 patients were enrolled from January 2011 to December 2013 (before RTC) and 672 from January 2019 to December 2021 (after RTC). The revised trauma score, injury severity score, and trauma and injury severity score (TRISS) were evaluated. Definitive preventable (DP), possibly preventable (PP), and non-preventable deaths were defined as TRISS >0.5, TRISS 0.25-0.5, and TRISS <0.25, respectively. PTDR was the proportion of deaths from DP+PP out of all deaths, and the preventable major trauma death rate (PMTDR) was the proportion of deaths from DP+PP out of all DP+PP.Results: The overall mortality rates before and after the establishment of RTC were 20.3 and 13.1%, respectively. PTDR was lower after the establishment of RTC than before (90.3% vs. 79.5%). The PMTDR was also lower after the establishment of RTC than before (18.8% vs. 9.7%). The ratio of direct hospital visits was higher in patients before the establishment of RTC than in those after (74.9% vs. 61.3%, p<0.001).Conclusion: Establishing the RTC reduced PTDRs. Additional studies on factors associated with PTDR reduction are required.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"227-233"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/dc/kjn-19-227.PMC10329879.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813371","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

Long-term Tractography Evaluation of Corpus Callosum Impairment After Severe Traumatic Brain Injury in Patients With Isolated Intraventricular Hemorrhage on Admission CT: Two Illustrative Cases and a Literature Review. 入院CT对单纯脑室内出血重症颅脑外伤后胼胝体损伤的长期造影评价:2例并文献复习。

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e27

Polina Angelova, Ivo Kehayov, Edgar G Ordonez-Rubiano, Luisa F Figueredo, Dora Zlatareva

{"title":"Long-term Tractography Evaluation of Corpus Callosum Impairment After Severe Traumatic Brain Injury in Patients With Isolated Intraventricular Hemorrhage on Admission CT: Two Illustrative Cases and a Literature Review.","authors":"Polina Angelova, Ivo Kehayov, Edgar G Ordonez-Rubiano, Luisa F Figueredo, Dora Zlatareva","doi":"10.13004/kjnt.2023.19.e27","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e27","url":null,"abstract":"Severe traumatic brain injury (TBI) is often associated with diffuse axonal injury. Diffuse axonal injury affecting the corpus callosum may present with intraventricular hemorrhage on baseline computed tomography (CT) scan. Posttraumatic corpus callosum damage is a chronic condition that can be diagnosed over the long term using various magnetic resonance imaging (MRI) sequences. Here, we present two cases of severe survivors of TBI with isolated intraventricular hemorrhage detected on an initial CT scan. After acute trauma management, long-term follow-up was performed. Diffusion tensor imaging and subsequent tractography revealed a significant decrease in the fractional anisotropy values and the number of corpus callosum fibers compared with those in healthy control patients. This study presents a possible correlation between traumatic intraventricular hemorrhage on admission CT and long-term corpus callosum impairment detected on MRI in patients with severe head injury by presenting demonstrative cases and conducting a literature review.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"249-257"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/4c/kjn-19-249.PMC10329887.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189623","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