Korean Journal of Neurotrauma最新文献_第5页

Thromboelastometry-Based Prophylaxis for Venous Thromboembolism in the Acute Period Following Isolated Severe Traumatic Brain Injury. 基于血栓弹性测定的孤立性严重创伤性脑损伤后急性期静脉血栓栓塞预防疗法。

Korean Journal of Neurotrauma Pub Date : 2024-03-14 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e10

Anastasia I Baranich, Aleksandr A Sychev, Ivan A Savin, Gleb V Danilov, Yulia V Strunina

{"title":"Thromboelastometry-Based Prophylaxis for Venous Thromboembolism in the Acute Period Following Isolated Severe Traumatic Brain Injury.","authors":"Anastasia I Baranich, Aleksandr A Sychev, Ivan A Savin, Gleb V Danilov, Yulia V Strunina","doi":"10.13004/kjnt.2024.20.e10","DOIUrl":"https://doi.org/10.13004/kjnt.2024.20.e10","url":null,"abstract":"Objective: Traumatic brain injury (TBI) is an independent risk factor for venous thromboembolism (VTE). This study aimed to determine the optimal timing for initiating pharmacological thromboprophylaxis for VTE in patients with isolated severe TBI using rotational thromboelastometry (ROTEM).Methods: This single-center observational study enrolled 115 patients aged 18-59 years with isolated severe TBI within the first 48 hours after injury.Results: Using ROTEM data, we identified hypercoagulation due to an increase in clot density (MCF EXTEM >72), which was attributed to fibrinogen (MCF FIBTEM >25). From day 4, hypercoagulation occurred in 14.8% of the patients. By day 7, these changes were observed in 85.2% of patients. According to brain computed tomography findings, patients who received early VTE chemoprophylaxis on days 3-4 after severe TBI did not experience progression of hemorrhagic foci.Conclusion: Our results emphasize the clinical significance of thromboelastometry in patients with isolated severe traumatic TBI. Anticoagulant prophylaxis started on 3-4 days after severe TBI was relatively safe, and most patients did not experience hemorrhagic foci progression. The data acquired in this study may enable the optimization of VTE chemoprophylactic approaches, thereby reducing the associated risks to patients.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866089","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

Acute Translation Fracture of the Lumbar Spine With Increased Motoric Outcomes: A Case Report. 腰椎急性移位性骨折导致运动障碍加重：病例报告。

Korean Journal of Neurotrauma Pub Date : 2024-03-14 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e11

Tommy Alfandy Nazwar, Farhad Bal'afif, Donny Wisnu Wardhana, Arif Ismail, Zia Maula Fadhlullah, Christin Panjaitan

{"title":"Acute Translation Fracture of the Lumbar Spine With Increased Motoric Outcomes: A Case Report.","authors":"Tommy Alfandy Nazwar, Farhad Bal'afif, Donny Wisnu Wardhana, Arif Ismail, Zia Maula Fadhlullah, Christin Panjaitan","doi":"10.13004/kjnt.2024.20.e11","DOIUrl":"https://doi.org/10.13004/kjnt.2024.20.e11","url":null,"abstract":"Translation fracture of the lumbar spine is a rare but serious condition that necessitates prompt medical attention. This injury can cause nerve damage, spinal cord compression, and other complications that can affect motor function. The motoric outcomes of this fracture type depend on a variety of factors, including the severity and location of the fracture, the age and general health of the patient, and the timeliness and effectiveness of treatment. Accurate diagnosis and treatment of these injuries is important to prevent further neurological damage and improve motoric outcomes. Here we present the case of a male patient with a translation fracture at the L1-L2 level with AO spine type C who underwent immediate realignment and posterior stabilization, and subsequently participated in an early rehabilitation program, resulting in improved neurologic function. Thoracolumbar fracture with lateral dislocation is very rare and significant experience is needed to determine which management strategy can ensure the best outcome.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853970","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

Epidemiology and Outcomes of Severe Traumatic Brain Injury: Regional Trauma Center in Incheon, Korea, 2018-2022. 严重创伤性脑损伤的流行病学和结果：韩国仁川地区创伤中心，2018-2022 年。

Korean Journal of Neurotrauma Pub Date : 2024-03-12 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e9

Ik Jun Hwang, Tae Seok Jeong, Woo Seok Kim, Jung Ook Kim, Myung Jin Jang

{"title":"Epidemiology and Outcomes of Severe Traumatic Brain Injury: Regional Trauma Center in Incheon, Korea, 2018-2022.","authors":"Ik Jun Hwang, Tae Seok Jeong, Woo Seok Kim, Jung Ook Kim, Myung Jin Jang","doi":"10.13004/kjnt.2024.20.e9","DOIUrl":"https://doi.org/10.13004/kjnt.2024.20.e9","url":null,"abstract":"Objective: This study aims to explore the epidemiology and outcomes of severe traumatic brain injury (TBI) in Incheon, focusing on regional characteristics using data from a local trauma center.Methods: From January 2018 to December 2022, 559 patients with severe TBI were studied. We analyzed factors related to demography, prehospitalization, surgery, complications, and clinical outcomes, including intensive care unit stay, ventilator use, hospital stay, mortality, and Glasgow outcome scale (GOS) scores at discharge and after 6 months.Results: In this study, most severe TBI patients were in the 60-79 age range, constituting 37.4% of cases. Most patients (74.1%) used public emergency medical services for transportation, and 75.3% arrived directly at the hospital, a significantly higher proportion compared to transferred patients. Timewise, 40.0% reached the hospital within an hour of injury. Complication rates stood at 16.1%, with pneumonia being the most common. The mortality rate was 44.0%, and at discharge, 81.2% of patients had unfavorable outcomes (GOS 1-3), reducing to 70.1% at 6 months.Conclusion: As a pioneering study at Incheon's trauma center, this research provides insights into severe TBI outcomes, enhancing understanding by contrasting local and national data.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"17-26"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858426","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

Spinal Neurenteric Cyst of the Ventral Cervicothoracic Junction With Klippel-Feil Syndrome as a Symptom of Progressive Myelopathy: A Case Report. 颈胸交界处脊髓神经源性囊肿伴有作为进行性脊髓病症状的 Klippel-Feil 综合征：病例报告。

Korean Journal of Neurotrauma Pub Date : 2024-03-11 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e8

Jong Tae Lee, Myeong Jin Ko, Hee Sung Kim, Seung Won Park, Young-Seok Lee

{"title":"Spinal Neurenteric Cyst of the Ventral Cervicothoracic Junction With Klippel-Feil Syndrome as a Symptom of Progressive Myelopathy: A Case Report.","authors":"Jong Tae Lee, Myeong Jin Ko, Hee Sung Kim, Seung Won Park, Young-Seok Lee","doi":"10.13004/kjnt.2024.20.e8","DOIUrl":"https://doi.org/10.13004/kjnt.2024.20.e8","url":null,"abstract":"Neurenteric cysts are rare and account for only 0.7%-1.3% of all spinal tumors. Spinal neurenteric cysts are associated with spina bifida, split-cord malformations, and Klippel-Feil syndrome, a rare congenital disorder characterized by fusion of two or more cervical vertebrae. Klippel-Feil syndrome is rarely accompanied by neurenteric cysts. In this case report, we describe a cervicothoracic junction neurenteric cyst associated with Klippel-Feil syndrome in a 30-year-old man who presented with a 2-month history of neck pain with radiation of pain into both arms and a 1-month history of weakness in the left arm. Magnetic resonance imaging (MRI) of the spine revealed an expansive intradural extramedullary cystic lesion anterior to the spinal cord at the cervicothoracic junction. The neurenteric cyst was removed using an anterior approach, accompanied by C5-C6 corpectomy. The patient's condition improved postoperatively, and he was discharged after postoperative MRI. Spinal neurenteric cysts should be considered in the differential diagnosis in cases of vertebral developmental abnormalities concurrent with intraspinal cysts.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856131","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 Predictor of the Postoperative Swelling After Craniotomy for Spontaneous Intracerebral Hemorrhage: Sphericity Index as a Novel Parameter (Korean J Neurotrauma 2023;19:333-347). 致编辑的信关于自发性脑内出血开颅术后肿胀的预测因素的评论：球形指数是一个新参数》（Korean J Neurotrauma 2023; 19:333-347）。

Korean Journal of Neurotrauma Pub Date : 2024-03-08 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e6

Min Ho Lee

引用次数: 0

A Multidisciplinary Approach to Polytrauma Management. 多学科方法处理多发性创伤。

Korean Journal of Neurotrauma Pub Date : 2024-03-08 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e5

Tae Seok Jeong

引用次数: 0

Optimization of Patients Outcomes: Management Strategies for Polytrauma in the Neuro-ICU. 优化患者疗效：神经重症监护室多发性创伤的管理策略。

Korean Journal of Neurotrauma Pub Date : 2024-03-08 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e7

Min Soo Kim

引用次数: 0

Penetrating Sugarcane Injury to Brain via Orbit: A Case Report. 甘蔗经轨道穿透性损伤脑部：病例报告。

Korean Journal of Neurotrauma Pub Date : 2024-02-22 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e4

Majid Anwer, Anurag Kumar, Anil Kumar, Deepak Kumar, Farheen Ahmed

引用次数: 0

Epidemiology of Cervical Spine Injuries Requiring Surgical Treatment in Plovdiv and Plovdiv Region, Bulgaria. 保加利亚普罗夫迪夫和普罗夫迪夫地区需要手术治疗的颈椎损伤流行病学。

Korean Journal of Neurotrauma Pub Date : 2024-02-14 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e3

Borislav Kitov, Maria Gicheva, Atanas N Davarski, Polina Angelova, Ivo Kehayov

{"title":"Epidemiology of Cervical Spine Injuries Requiring Surgical Treatment in Plovdiv and Plovdiv Region, Bulgaria.","authors":"Borislav Kitov, Maria Gicheva, Atanas N Davarski, Polina Angelova, Ivo Kehayov","doi":"10.13004/kjnt.2024.20.e3","DOIUrl":"https://doi.org/10.13004/kjnt.2024.20.e3","url":null,"abstract":"Objective: Cervical spine injuries (CSI) are associated with high rates of permanent disability and mortality, which increase the socioeconomic burden on healthcare systems worldwide. We aimed to investigate the epidemiology of CSI, frequency of operative treatment, and incidence of associated neurological deficits at regional level.Methods: We performed a retrospective monocentric study of patients with sustained CSI from January 2017 to December 2021, carried out only in a first-level trauma center in the Plovdiv metro region. Demographic, clinical, and imaging data from the medical records were thoroughly analyzed. Based on the assumption that all patients with CSI were hospitalized in single trauma center, the percentage of cases indicated for surgical treatment was calculated based on the population of the entire Plovdiv metro area.Results: One hundred forty-nine patients permanently residing in the Plovdiv metro region were included in this study. Of the 149 patients, 97 (65.1%) were surgically treated and 61 (62.9%) were over 60 years of age. The frequency of operative interventions for CSI was 2.9/100,000 patients. Annually, 10.6 people from the Plovdiv metro region suffer from neurological deficits as a result of neck injuries (1.6/100,000 residents). The number of patients with complete spinal cord injury in the surgically treated group was 11 (11.3%); that is, the regional frequency was 2.2 people per year.Conclusion: In the Plovdiv metro region, a significant annual frequency of neurological deficits requiring surgical intervention for CSI has been established, especially in patients aged >60 years.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870111","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

Delayed Unilateral Facet Interlocking After a Stable Superior Articular Process Fracture of the Cervical Spine: A Case Report. 颈椎上关节突骨折稳定后的延迟性单侧面骨交锁：病例报告。

Korean Journal of Neurotrauma Pub Date : 2024-02-06 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e1

Sejin Choi, Wonseok Lee, Jin-Deok Joo, Jong Kook Rhim, You Nam Chung, Jisoon Huh

{"title":"Delayed Unilateral Facet Interlocking After a Stable Superior Articular Process Fracture of the Cervical Spine: A Case Report.","authors":"Sejin Choi, Wonseok Lee, Jin-Deok Joo, Jong Kook Rhim, You Nam Chung, Jisoon Huh","doi":"10.13004/kjnt.2024.20.e1","DOIUrl":"https://doi.org/10.13004/kjnt.2024.20.e1","url":null,"abstract":"A 42-year-old man presented with neck pain after a fall from a tree. Spine computed tomography (CT) illustrated the right C5 superior articular process fracture without displacement. Magnetic resonance imaging (MRI) confirmed the fracture and injury of the posterior ligament complex. Initially he was managed conservatively with a neck brace as there were no signs of instability or vertebral body misalignment. However, three days after discharge, right shoulder weakness and numbness of the right upper arm became prominent. X-rays and CT showed anterior slippage of the C4 vertebral body and locked C4/5 facet ??a fractured bony fragment of the C5 superior articular process was pushed forward by the locked inferior articular process of C4 and invaded the neural foramen. Anterior cervical discectomy and fusion (ACDF) was performed using allograft and plate/screws fixation. Although initial imaging showed no evidence of subluxation, surgeons should be aware of occult instability and the possibility of delayed dislocation associated with the unilateral cervical facet fracture.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868334","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