Korean Journal of Neurotrauma最新文献_第2页

Delayed Diagnosis of Pyogenic Spondylitis After Impalement by Steel Rods: Case Report. 钢棒穿刺后脓源性脊柱炎的延迟诊断1例。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.13004/kjnt.2026.22.e25

Myoung Soo Kim, Seok Hwa Youn, Seonpyo Jang

{"title":"Delayed Diagnosis of Pyogenic Spondylitis After Impalement by Steel Rods: Case Report.","authors":"Myoung Soo Kim, Seok Hwa Youn, Seonpyo Jang","doi":"10.13004/kjnt.2026.22.e25","DOIUrl":"10.13004/kjnt.2026.22.e25","url":null,"abstract":"Penetrating spine injuries associated with abdominal and thoracic injuries caused by steel bars are rare. We report a unique case of delayed spinal spondylitis after penetrating abdominal and thoracic injuries from multiple steel bars. A 65-year-old man fell from a 20-m high scaffolding onto vertical steel bars. Steel bars penetrated his scrotum, abdomen, thoracic cavity, thigh, calf, and left ankle. At the accident scene, a fellow worker removed multiple penetrating bars. The first operation included repairs to the liver, diaphragm, transverse colon, sigmoid colon, jejunum, scrotum, and the pelvic wound, as well as open reduction and internal fixation of the left ankle. In a second operation, surgeons resected the sigmoid colon with anastomosis, and then sutured and debrided the peritoneum, mesentery, and the right thigh and calf wounds. The patient complained of anorexia and melena a month and a half after the trauma. Chest computed tomography 57 days after the trauma demonstrated pyogenic spondylitis in the thoracic spine. Culture of a perivertebral abscess 2 months after trauma revealed Pseudomonas aeruginosa. Antibiotic treatment resolved the pyogenic spondylitis. High clinical suspicion and awareness of delayed pyogenic spondylitis support early diagnosis and improve outcomes when appropriate treatment is given.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 3","pages":"285-293"},"PeriodicalIF":1.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686280","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

Healthcare Inequity in Spinal Cord Injury: Out of Pocket and Access Barriers in Paraplegic and Tetraplegic Patients in Iran. 脊髓损伤中的医疗不公平：伊朗截瘫和四肢瘫痪患者的自费和准入障碍。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-06-29 eCollection Date: 2026-07-01 DOI: 10.13004/kjnt.2026.22.e21

Ali Alavi-Badabsari, Alireza Ahmadi-Veshno, Seyyed Pouyan Zadparast, Delaram Fadaee Heydarabadi, Enayatollah Homaie Rad

{"title":"Healthcare Inequity in Spinal Cord Injury: Out of Pocket and Access Barriers in Paraplegic and Tetraplegic Patients in Iran.","authors":"Ali Alavi-Badabsari, Alireza Ahmadi-Veshno, Seyyed Pouyan Zadparast, Delaram Fadaee Heydarabadi, Enayatollah Homaie Rad","doi":"10.13004/kjnt.2026.22.e21","DOIUrl":"10.13004/kjnt.2026.22.e21","url":null,"abstract":"Objective: Spinal cord injury (SCI) imposes substantial long-term physical, psychological, as well as financial burdens on patients in Iran, where high out-of-pocket (OOP) payments remain a major barrier to care. This study examined inequalities in healthcare utilization and OOP expenditures among patients with paraplegia and tetraplegia.Methods: This cross-sectional analyzed data from the 2023 International Spinal Cord Injury Survey for Iran, including 191 patients from the Guilan Province. Data on healthcare utilization and OOP spending for consultations, rehabilitation, medications, diagnostics, mental health, and inpatient services were analyzed. Inequality was assessed using Gini and concentration indices, and further explored through decomposition analysis and recentered influence function regression.Results: Inpatient care accounted for the highest OOP cost (US$516.27/month), followed by rehabilitation (US$178.65/month). Mental health services were the least utilized and most inequitable, with a concentration index of 0.49, indicating pro-rich access. Education, marital status, and place of residence significantly influenced the disparities, with rural and less-educated patients experiencing greater barriers.Conclusion: Patients with SCI in Iran face substantial financial inequities, and wealthier groups enjoy greater access to essential services. Policy reforms aimed at expanding insurance coverage, decentralizing rehabilitation, and subsidizing high-cost care are urgently required to promote equitable healthcare access and improve outcomes.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 3","pages":"256-267"},"PeriodicalIF":1.9,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686388","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

Vestibular Rehabilitation for Post-Concussive Vestibular Dysfunction: Pathophysiology, Evidence-Based Practice, and Future Perspectives. 脑震荡后前庭功能障碍的前庭康复：病理生理学、循证实践和未来展望。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e19

Ki Hun Shin, Byung-Mo Oh, Hoo Young Lee

{"title":"Vestibular Rehabilitation for Post-Concussive Vestibular Dysfunction: Pathophysiology, Evidence-Based Practice, and Future Perspectives.","authors":"Ki Hun Shin, Byung-Mo Oh, Hoo Young Lee","doi":"10.13004/kjnt.2026.22.e19","DOIUrl":"10.13004/kjnt.2026.22.e19","url":null,"abstract":"Mild traumatic brain injury (mTBI) is often referred to as a major public health concern due to its high incidence and frequently overlooked long-term sequelae. A critical factor hindering functional recovery and return to daily activities is post-concussive vestibular dysfunction. To optimize rehabilitation outcomes, an early, mechanism-based integrated assessment is essential. Such an approach moves beyond simple symptom relief, focusing instead on identifying specific dysfunctions and underlying pathophysiology to target treatment accurately. Post-concussive vestibular dysfunction is rarely a single-lesion issue; it emerges from complex interactions between the peripheral vestibular system, the central nervous system, and the cervical spine, often exacerbated by impaired sensory reweighting. This review provides updated insights into precise diagnosis and evidence-based, individualized vestibular rehabilitation therapy (VRT). Specifically, it addresses the differential diagnosis of cervicogenic dizziness and structural peripheral lesions, while also discussing persistent postural-perceptual dizziness, which often requires multimodal therapeutic approaches beyond standard VRT alone. The review also explores how advanced technologies, including virtual reality and wearable sensors, are paving the way for digital therapeutics and artificial intelligence-driven precision rehabilitation, potentially expanding access to remote and individualized care for patients with mTBI.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 2","pages":"119-134"},"PeriodicalIF":1.9,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869465","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

Mild Traumatic Brain Injury as a Heterogeneous Neurological Disorder: Definition, Epidemiology, Neurobiology, and Clinical Course. 轻度创伤性脑损伤作为一种异质性神经系统疾病：定义、流行病学、神经生物学和临床过程。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-23 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e18

Youngbo Shim, Minwoo Kim, Hong Gyu Yoon, Jong Joo Lee, Je Beom Hong, Yeongu Chung, Jae Keun Oh, Yu Sam Won

{"title":"Mild Traumatic Brain Injury as a Heterogeneous Neurological Disorder: Definition, Epidemiology, Neurobiology, and Clinical Course.","authors":"Youngbo Shim, Minwoo Kim, Hong Gyu Yoon, Jong Joo Lee, Je Beom Hong, Yeongu Chung, Jae Keun Oh, Yu Sam Won","doi":"10.13004/kjnt.2026.22.e18","DOIUrl":"10.13004/kjnt.2026.22.e18","url":null,"abstract":"Mild traumatic brain injury (mTBI) is the most common form of traumatic brain injury (TBI) and represents a major yet frequently underrecognized public health concern. Although traditionally considered a transient and benign condition, mTBI is not recognized as a biologically complex and clinically heterogeneous disorder, with a substantial proportion of patients experiencing prolonged cognitive, emotional, and somatic symptoms. Current diagnostic frameworks remain largely symptom-based; however, recent consensus efforts have aimed to improve definitional precision and applicability across diverse clinical settings. In Korea, nationwide data indicate that mTBI constitutes a substantial share of the overall TBI burden, with increasing relevance in older adults and notable variation according to occupational and regional context. Mechanistically, mTBI involves not only primary biomechanical injury but also downstream neurometabolic disturbance, blood-brain barrier dysfunction, neuroinflammation, and axonal and network-level alterations. Clinically, recovery is often favorable but highly variable, with distinct trajectories shaped by acute symptom burden, premorbid vulnerability, and environmental factors. Future progress will depend on more biologically informed classification systems, validated biomarkers, and longitudinal studies that better capture heterogeneity in mechanisms and outcomes.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 2","pages":"78-88"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869356","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

Diagnosis of Mild Traumatic Brain Injury: A Narrative Review of Advances in Neuroimaging and Patient-Reported Outcome Measures. 轻度外伤性脑损伤的诊断：神经影像学和患者报告的预后指标进展的叙述性回顾。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-23 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e17

Heewon Jeong

{"title":"Diagnosis of Mild Traumatic Brain Injury: A Narrative Review of Advances in Neuroimaging and Patient-Reported Outcome Measures.","authors":"Heewon Jeong","doi":"10.13004/kjnt.2026.22.e17","DOIUrl":"10.13004/kjnt.2026.22.e17","url":null,"abstract":"Mild traumatic brain injury (mTBI) is one of the most common neurological injuries, yet its diagnosis remains challenging because of heterogeneous case definitions, the limited sensitivity of conventional imaging, and the nonspecific nature of post-traumatic symptoms. Computed tomography is widely used in acute trauma care to exclude life-threatening intracranial lesions, but it is often normal in patients with mTBI, including those with persistent symptoms. Conventional magnetic resonance imaging (MRI) may improve lesion detection, although many patients still show no clear abnormalities despite ongoing clinical impairment. Recent advances in neuroimaging, including susceptibility-based imaging, diffusion MRI, magnetic resonance spectroscopy, volumetric analysis, and functional MRI, have improved understanding of subtle structural, microstructural, metabolic, and functional changes after mTBI. In parallel, patient-reported outcome measures (PROMs) have become important tools for assessing symptom burden, functional limitations, emotional distress, and health-related quality of life that may not be captured by imaging alone. In this narrative review, we summarize recent advances in neuroimaging and PROMs in the diagnostic assessment of mTBI and discuss their strengths, limitations, and complementary roles. An integrated approach combining clinical evaluation, imaging findings, and patient-reported outcomes may improve diagnostic characterization and support more individualized management.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 2","pages":"89-102"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869743","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

Blood-Based Biomarkers and Cognitive-Behavioral Assessment in Mild Traumatic Brain Injury: Current Evidence and Clinical Perspectives. 基于血液的生物标志物和轻度创伤性脑损伤的认知行为评估：目前的证据和临床观点。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-21 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e16

Dong-Wan Kang

{"title":"Blood-Based Biomarkers and Cognitive-Behavioral Assessment in Mild Traumatic Brain Injury: Current Evidence and Clinical Perspectives.","authors":"Dong-Wan Kang","doi":"10.13004/kjnt.2026.22.e16","DOIUrl":"10.13004/kjnt.2026.22.e16","url":null,"abstract":"Mild traumatic brain injury (mTBI) comprises the majority of all traumatic brain injuries, but clinical evaluation remains challenging because conventional neuroimaging cannot adequately detect subtle structural abnormalities or explain functional disturbances. Blood-based biomarkers have been studied as indicators of tissue injury. They may help reduce unnecessary computed tomography scans and predict unfavorable outcomes. However, biomarkers still have limitations in accurately assessing cognitive and behavioral abnormalities. Cognitive and behavioral evaluation helps characterize the functional consequences of mTBI, including impairments in attention, memory, executive function, and emotional symptoms. Although a range of cognitive and behavioral assessment tools is available, their interpretation is also influenced by factors such as timing, comorbidities, and patient effort. Taken together, blood-based biomarkers and cognitive and behavioral assessment should be interpreted in combination to allow a more comprehensive evaluation of the patients with mTBI. In this review, we summarize blood-based biomarkers and cognitive and behavioral assessment tools in mTBI, discuss their limitations, and propose an integrated approach to support more precise and individualized patient management.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 2","pages":"103-113"},"PeriodicalIF":1.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869749","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

Clinical Outcomes of Hinged Craniotomy as an Alternative Surgery Technique Compared to Conventional Decompressive Craniectomy for Traumatic Brain Injury: A Systematic Review. 与传统的颅脑损伤减压术相比，铰链开颅术作为一种替代手术技术的临床效果：一项系统综述。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-15 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e15

Luh Ari Devanita S, I Gede Raka Adhyatma, I Putu Ananta Wijaya Sabudi

{"title":"Clinical Outcomes of Hinged Craniotomy as an Alternative Surgery Technique Compared to Conventional Decompressive Craniectomy for Traumatic Brain Injury: A Systematic Review.","authors":"Luh Ari Devanita S, I Gede Raka Adhyatma, I Putu Ananta Wijaya Sabudi","doi":"10.13004/kjnt.2026.22.e15","DOIUrl":"10.13004/kjnt.2026.22.e15","url":null,"abstract":"Hinge craniotomy (HC) is a relatively underused surgical technique for managing increased intracranial pressure in patients with traumatic brain injury (TBI). As an alternative to conventional decompressive craniectomy (DC), HC preserves the native bone flap and may obviate the need for subsequent cranioplasty. This systematic review summarizes and compares the clinical outcomes of HC and DC in adult patients with TBI. Electronic databases were systematically searched for studies evaluating these 2 techniques. Outcomes, including functional recovery, mortality, complications, and reoperation rates, were analyzed and albatross plots were used to synthesize the data. Across studies, HC demonstrated outcomes broadly comparable to those of DC, with some studies suggesting trends toward lower early mortality and fewer poor functional outcomes, although these findings were not statistically significant. Overall, both procedures showed similar safety and efficacy profiles, whereas HC offered the potential advantage of avoiding secondary cranioplasty. Larger, well-designed prospective studies are required to confirm these findings and to better define the appropriate patient selection criteria.Trial registration: PROSPERO Identifier: CRD42025638233.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 2","pages":"135-148"},"PeriodicalIF":1.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869788","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 Validation of the Korean Moss Attention Rating Scale in Traumatic Brain Injury: Reliability and Validity (Korean J Neurotrauma 2026;22:24-35). 致编者信：外伤性脑损伤韩国Moss注意评定量表的有效性评价：信度和效度（韩文神经创伤杂志2026；22:24-35）。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-14 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e13

Hong Rye Kim

引用次数: 0

Shifting the Paradigm: Redefining Our Approach to Mild Traumatic Brain Injury. 范式转换：重新定义我们治疗轻度创伤性脑损伤的方法。

Korean Journal of Neurotrauma Pub Date : 2026-04-14 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e14

Min Soo Kim

引用次数: 0

Medical and Non-Surgical Strategies for Mild Traumatic Brain Injury. 轻度创伤性脑损伤的医学和非手术治疗策略。

IF 1.9

Korean Journal of Neurotrauma Pub Date : 2026-04-14 eCollection Date: 2026-04-01 DOI: 10.13004/kjnt.2026.22.e12

Min Soo Kim

{"title":"Medical and Non-Surgical Strategies for Mild Traumatic Brain Injury.","authors":"Min Soo Kim","doi":"10.13004/kjnt.2026.22.e12","DOIUrl":"10.13004/kjnt.2026.22.e12","url":null,"abstract":"Historically, mild traumatic brain injury (mTBI) was often overlooked. However, growing clinical consensus emphasizes that active intervention is essential to manage physiological impairments and facilitate functional recovery. As secondary impact syndrome poses fatal risks during the acute phase, transitioning from passive rest to multimodal, active management is critical. This paper reviews current medical and non-surgical strategies for mTBI, shifting the paradigm from simple observation to proactive, evidence-based interventions. The review categorizes non-surgical interventions into 4 primary domains. First, lifestyle modification serves as the foundation, prioritizing 24-48 hours of rest, hydration, and minimized cognitive load from screens and light. Second, manual and physical therapies are employed; osteopathic manipulative medicine addresses musculoskeletal dysfunction, while hyperbaric oxygen therapy and blood flow restriction training support neurovascular repair and physical conditioning. Third, pharmacotherapy and supplementation focus on mitigating oxidative stress via antioxidants like MLC901 and enhancing cognitive function through medications such as methylphenidate or galantamine. Finally, active rehabilitation incorporates early intermediate-level aerobic exercise and vestibular rehabilitation to normalize cerebral blood flow and resolve balance deficits. The management of mTBI has evolved into a multimodal approach. By integrating these specialized strategies, clinicians can effectively mitigate long-term sequelae and promote rapid functional restitution.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"22 2","pages":"114-118"},"PeriodicalIF":1.9,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869819","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