Korean Journal of Neurotrauma最新文献_第8页

Penetrating Neck Injury Involving Wooden Foreign Bodies: Case Report. 涉及木质异物的颈部穿透性损伤：病例报告。

Korean Journal of Neurotrauma Pub Date : 2023-11-14 eCollection Date: 2023-12-01 DOI: 10.13004/kjnt.2023.19.e56

Tommy Alfandy Nazwar, Farhad Bal'afif, Donny Wisnu Wardhana, Christin Panjaitan

{"title":"Penetrating Neck Injury Involving Wooden Foreign Bodies: Case Report.","authors":"Tommy Alfandy Nazwar, Farhad Bal'afif, Donny Wisnu Wardhana, Christin Panjaitan","doi":"10.13004/kjnt.2023.19.e56","DOIUrl":"10.13004/kjnt.2023.19.e56","url":null,"abstract":"Although rare, penetrating neck injuries can have grave consequences, and are associated with high mortality rates. Individuals with cervical injuries due to wooden foreign bodies are at an increased risk of developing infectious complications. In this case, a male patient aged 27 years presented with a cervical injury indicative of a penetrating wound caused by a wooden foreign body. Computed tomography (CT) scan revealed no signs of intracranial hemorrhage or fracture. Additionally, cervical CT scan showed no evidence of cervical corpus or longus colli muscle lesions. The medical team suggested a cervical magnetic resonance imaging (MRI) examination; however, the patient's family opted out. Subsequently, the patient underwent wound debridement, which involved the extraction of a fragment of impaling wood. Two days after the procedure, the patient developed a fever and weakness of the shoulder and arm on the ipsilateral side. Following the process of re-education, the family provided consent for MRI examination. A subsequent surgical procedure was performed on the patient based on the MRI findings and clinical presentation. Residual wooden fragments were effectively extracted, resulting in positive progression of the patient's condition.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 4","pages":"502-508"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466935","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

Erratum: Contralateral Transverse Sinus Occlusion After Treatment of Transverse-Sigmoid Sinus Dural Arteriovenous Fistula: A Case Report. 勘误：治疗横隔窦-乙状窦硬脑膜动静脉瘘后的对侧横隔窦闭塞：病例报告。

Korean Journal of Neurotrauma Pub Date : 2023-11-13 eCollection Date: 2023-12-01 DOI: 10.13004/kjnt.2023.19.e55

Jung Hwan Lee, Jae Il Lee, Jun Kyeung Ko, Tae Hong Lee, Chang Hwa Choi

引用次数: 0

Epidemiology of Traumatic and Non-Traumatic Spinal Cord Injury in Korea: A Narrative Review. 韩国创伤性和非创伤性脊髓损伤的流行病学：叙述性综述。

Korean Journal of Neurotrauma Pub Date : 2023-11-09 eCollection Date: 2023-12-01 DOI: 10.13004/kjnt.2023.19.e54

Yoonjeong Choi, Ja-Ho Leigh

{"title":"Epidemiology of Traumatic and Non-Traumatic Spinal Cord Injury in Korea: A Narrative Review.","authors":"Yoonjeong Choi, Ja-Ho Leigh","doi":"10.13004/kjnt.2023.19.e54","DOIUrl":"10.13004/kjnt.2023.19.e54","url":null,"abstract":"This review describes the incidence rates and trends of traumatic spinal cord injuries (TSCI) and non-traumatic spinal cord injuries (NTSCI) in South Korea. The incidence of NTSCI has increased more rapidly than that of TSCI in recent years. In 2007, TSCI was more common, but by 2020, NTSCI had surpassed TSCI, particularly in older individuals. While men have a higher incidence of both TSCI and NTSCI, the incidence difference by sex is greater in TSCI. The incidence rates of both TSCI and NTSCI are higher in older individuals, particularly those in their 70s and 80s. For TSCI, falls and traffic accidents are the most common causes, with falls being more prevalent in older adults. Cervical SCIs are the most common TSCI, especially in high-income countries like South Korea. Patients with NTSCI predominantly display paraplegia, which is usually associated with non-traumatic causes such as degenerative disorders and tumors. Higher rates of tetraplegia and paraplegia are observed with TSCI and NTSCI, respectively. The neurological levels of injury also differ between TSCI and NTSCI. Overall, SCIs are a growing concern in South Korea and there is a need for targeted interventions for their management and prevention, especially in older age groups.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 4","pages":"434-445"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466916","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

Glasgow Coma Scale Motor Score Predicts Need for Tracheostomy After Decompressive Craniectomy for Traumatic Brain Injury. 格拉斯哥昏迷量表运动评分预测创伤性脑损伤减压颅骨切除术后气管造口术的必要性。

Korean Journal of Neurotrauma Pub Date : 2023-11-06 eCollection Date: 2023-12-01 DOI: 10.13004/kjnt.2023.19.e53

Andrew R Guillotte, Lane Fry, Domenico Gattozzi, Kushal Shah

{"title":"Glasgow Coma Scale Motor Score Predicts Need for Tracheostomy After Decompressive Craniectomy for Traumatic Brain Injury.","authors":"Andrew R Guillotte, Lane Fry, Domenico Gattozzi, Kushal Shah","doi":"10.13004/kjnt.2023.19.e53","DOIUrl":"10.13004/kjnt.2023.19.e53","url":null,"abstract":"Objective: Many patients with severe traumatic brain injury (TBI) require a tracheostomy after decompressive craniectomy. Determining which patients will require tracheostomy is often challenging. The existing methods for predicting which patients will require tracheostomy are more applicable to stroke and spontaneous intracranial hemorrhage. The aim of this study was to investigate whether the Glasgow Coma Scale (GCS) motor score can be used as a screening method for predicting which patients who undergo decompressive craniectomy for severe TBI are likely to require tracheostomy.Methods: The neurosurgery census at the University of Kansas Medical Center was retrospectively reviewed to identify adult patients aged over 18 years who underwent decompressive craniectomy for TBI. Eighty patients met the inclusion criteria for the study. There were no exclusion criteria. The primary outcome of interest was the need for tracheostomy. The secondary outcome was the comparison of the total length of stay (LOS) and intensive care unit LOS between the early and late tracheostomy patient groups.Results: All patients (100%) with a GCS motor score of 4 or less on post operative (POD) 5 required tracheostomy. Setting the threshold at GCS motor score of 5 on POD 5 for recommending tracheostomy resulted in 86.7% sensitivity, 91.7% specificity, and 90.5% positive predictive value, with an area under the receiver operator curve of 0.9101.Conclusion: GCS motor score of 5 or less on POD 5 of decompressive craniectomy is a useful screening threshold for selecting patients who may benefit from tracheostomy, or may be potential candidates for extubation.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 4","pages":"454-465"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466922","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

Interdisciplinary Approaches to Spinal Cord Injuries: Innovations, Collaborations, and the Role of the Korean Spinal Cord Society and Korean Neurotraumatology Society. 脊髓损伤的跨学科方法：创新、合作以及韩国脊髓学会和韩国神经创伤学会的作用。

Korean Journal of Neurotrauma Pub Date : 2023-09-25 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e50

Hyuk Jin Oh, Je Hoon Jeong, Byung-Jou Lee

引用次数: 0

Factors Associated With Short-Term Outcomes of Burr-Hole Craniostomy Associated With Brain Re-Expansion and Subdural Hematoma Shrinkage for Chronic Subdural Hematoma. 影响Burr Hole开颅术短期疗效的因素慢性硬膜下血肿的脑再扩张和硬膜下血肿缩小。

Korean Journal of Neurotrauma Pub Date : 2023-09-25 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e51

Gyubin Lee, Yeongyu Jang, Kum Whang, Sungmin Cho, Jongyeon Kim, Byeongoh Kim, Jongwook Choi

{"title":"Factors Associated With Short-Term Outcomes of Burr-Hole Craniostomy Associated With Brain Re-Expansion and Subdural Hematoma Shrinkage for Chronic Subdural Hematoma.","authors":"Gyubin Lee, Yeongyu Jang, Kum Whang, Sungmin Cho, Jongyeon Kim, Byeongoh Kim, Jongwook Choi","doi":"10.13004/kjnt.2023.19.e51","DOIUrl":"10.13004/kjnt.2023.19.e51","url":null,"abstract":"Objective: Chronic subdural hematoma (CSDH) is a commonly encountered neurosurgical pathology that frequently requires surgical intervention. With an increasingly aging demographic, more older people and patients with comorbidities will present with symptomatic CSDH. This study evaluated clinical and laboratory factors affecting the short-term outcomes of CSDH after surgical intervention.Methods: We retrospectively analyzed 170 patients who underwent burr-hole trephination for CSDH in a single institution from January 2019 to December 2021. All patients were examined for risk factors and evaluated for hematoma thickness change and midline shifting on brain computed tomography (CT) scans at 3 days after burr-hole trephination.Results: This consecutive series of patients included 114 males (67.1%) and 56 females (32.9%); mean age 72.4±12.5 years. Renal disease (p=0.044) and prior intracranial hemorrhage (p=0.004) were clinical factors associated with poorer prognosis. A statistically significant association was found between initial laboratory findings, including high creatine kinase (p=0.025) and low platelet (p=0.036) levels, and CT findings 3 days postoperatively. The 3-day mean arterial pressure and postoperative ambulation were not significantly associated with outcomes.Conclusion: Burr-hole craniostomy is an effective surgical procedure for initial CSDH. However, patients with a history intracranial hemorrhage and abnormal laboratory findings, such as low platelet levels, who underwent burr-hole trephination had poor short-term outcomes. Therefore, these patients should be carefully monitored.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"324-332"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/9b/kjn-19-324.PMC10567527.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239427","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

Case Report of a Post-Traumatic Hydrocephalus Patient: Ventriculo-Vesicle Shunt With a Review of the Literature. 外伤后脑积水患者的病例报告：脑室-囊泡分流术并文献复习。

Korean Journal of Neurotrauma Pub Date : 2023-09-25 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e52

Gyubin Lee, Kum Whang, Sungmin Cho, Jongyeon Kim, Byeongoh Kim, Yeongyu Jang, Jongwook Choi

{"title":"Case Report of a Post-Traumatic Hydrocephalus Patient: Ventriculo-Vesicle Shunt With a Review of the Literature.","authors":"Gyubin Lee, Kum Whang, Sungmin Cho, Jongyeon Kim, Byeongoh Kim, Yeongyu Jang, Jongwook Choi","doi":"10.13004/kjnt.2023.19.e52","DOIUrl":"10.13004/kjnt.2023.19.e52","url":null,"abstract":"Post-traumatic hydrocephalus (PTH) is treated through cerebrospinal fluid (CSF) diversion, typically through ventriculoperitoneal shunt (VPS) or other bypass techniques. As these shunts are associated with significant complications and high revision rates in certain populations, it is important to tailor a patient's shunt procedure according to their medical history and complications. Herein, we report the case of a 30-year-old man with PTH following a traffic accident on a motorcycle. VPS was chosen as the method of treatment but required multiple revisions and replacements due to persistent complications such as post-operative infection, shunt obstruction and abdominal problem. As the patient's heart failure and pleural effusion rendered both ventriculopleural and ventriculoatrial shunt not feasible, it was decided to move the shunt to the bladder (ventriculo-vesicle shunt [VVS]) in cooperation with a urologist. Follow-up examinations after about 3 months showed a decrease in ventricle size, improved hydrocephalus, and no complications such as urinary infection or bladder stone formation. In cases where the patient's underlying conditions, such as heart failure and pleural effusion, make it unsuitable to choose the pleural cavity or atrium as non-peritoneal spaces, VVS can be a suitable option for continuous CSF drainage when complications have occurred with the previous VPS.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"370-375"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/31/kjn-19-370.PMC10567529.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239424","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

The History and Current Status of the Korean Spinal Cord Society (KoSCoS). 韩国脊髓学会（KoSCoS）的历史和现状。

Korean Journal of Neurotrauma Pub Date : 2023-09-22 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e49

Bum-Suk Lee

引用次数: 0

Fencing Knife-Induced Transorbital Penetrating Brain Injury: A Case Report. 击剑刀致眶内穿透性脑损伤1例报告。

Korean Journal of Neurotrauma Pub Date : 2023-09-21 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e48

Sung Jin Kim, In-Ho Jung, Jaewoo Chung

引用次数: 0

Medical Management of Chronic Subdural Hematoma. 慢性硬膜下血肿的医学治疗。

Korean Journal of Neurotrauma Pub Date : 2023-09-19 eCollection Date: 2023-09-01 DOI: 10.13004/kjnt.2023.19.e47

Kyung Hwan Kim, Young Lee

引用次数: 0