{"title":"Letter to the Editor: Is the Glucose/Potassium Ratio Reliable to Predict Patient Outcomes for Traumatic Brain Injury?","authors":"Kyung Hwan Kim","doi":"10.13004/kjnt.2023.19.e46","DOIUrl":"10.13004/kjnt.2023.19.e46","url":null,"abstract":"","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"403-404"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/f2/kjn-19-403.PMC10567533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239431","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}
Ghassen Gader, Ala Belhaj, Mohamed Badri, Kamel Bahri, Ihsèn Zammel
{"title":"Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases.","authors":"Ghassen Gader, Ala Belhaj, Mohamed Badri, Kamel Bahri, Ihsèn Zammel","doi":"10.13004/kjnt.2023.19.e45","DOIUrl":"10.13004/kjnt.2023.19.e45","url":null,"abstract":"<p><p>Vertex epidural hematomas are very uncommon complications of traumatic head injury. Besides the volume of the epidural bleeding, compression of the superior sagittal sinus may be source for added elevated intracranial pressure. Clinical presentation of such lesions is heterogenous and symptoms can develop in an acute to a chronic frame. Radiological diagnosis can sometimes be challenging. Due to its rarity, such lesions have been only reported on case reports and small series and the management remain controversial. Hereby we report 3 cases of surgically managed post traumatic acute epidural hematomas of the vertex. Wen also went through a literature-based discussion of clinical, radiological and therapeutic features related to this condition.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 4","pages":"480-486"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466936","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}
Jonghyun Sung, Jongwook Choi, Kum Whang, Sung Min Cho, Jongyeon Kim, Seung Jin Lee, Yeon Gyu Jang
{"title":"Comparison of Clinical Characteristics of Traumatic Brain Injury Patients According to the Mechanism Before and After COVID-19.","authors":"Jonghyun Sung, Jongwook Choi, Kum Whang, Sung Min Cho, Jongyeon Kim, Seung Jin Lee, Yeon Gyu Jang","doi":"10.13004/kjnt.2023.19.e44","DOIUrl":"10.13004/kjnt.2023.19.e44","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the change in the number of patients with head trauma according to the trauma mechanism among severely injured patients transferred to the emergency department of Wonju Severance Christian Hospital before and during the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Methods: </strong>Medical records (sex, age, diagnosis, trauma mechanism, and injury severity score) of patients referred to the emergency room between January 2018 and December 2019 and January 2020 and December 2021 were retrospectively reviewed, verified, and compared.</p><p><strong>Results: </strong>Between 2020 and 2021, the number of patients with traumatic brain injury decreased by 251 (32%). No significant differences were observed in sex, age, or time of accident. From 2020 to 2021, among the trauma mechanisms, the number of cases involving rolling down slightly reduced compared with those involving other mechanisms. Furthermore, cerebral contusions among intracranial lesions significantly increased during the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>Partial restrictions on social activities owing to COVID-19 are ongoing. Further investigation of the clinical characteristics of trauma patients over a longer period is required.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"307-313"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/2e/kjn-19-307.PMC10567520.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239425","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}
In-Ho Jung, Jung-Ho Yun, Sung Jin Kim, Jaewoo Chung, Sang Koo Lee
{"title":"Anticoagulation and Antiplatelet Agent Resumption Timing following Traumatic Brain Injury.","authors":"In-Ho Jung, Jung-Ho Yun, Sung Jin Kim, Jaewoo Chung, Sang Koo Lee","doi":"10.13004/kjnt.2023.19.e42","DOIUrl":"10.13004/kjnt.2023.19.e42","url":null,"abstract":"<p><p>Traumatic brain injury (TBI) is a major global health concern. Due to the increase in TBI incidence and the aging population, an increasing number of patients with TBI are taking antithrombotic agents for their underlying disease. When TBI occurs in patients with these diseases, there is a conflict between the disease, which requires an antithrombotic effect, and the neurosurgeon, who must minimize intracranial hemorrhage. Nevertheless, there are no clear guidelines for the reversal or resumption of antithrombotic agents when TBI occurs in patients taking antithrombotic agents. In this review article, we intend to classify antithrombotic agents and provide information on them. We also share previous studies on the reversal and resumption of antithrombotic agents in patients with TBI to help neurosurgeons in this dilemma.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"298-306"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/5b/kjn-19-298.PMC10567523.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239423","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}
{"title":"Functional Anatomy of the Spinal Tracts Based on Evolutionary Perspectives.","authors":"Jung Hoon Kang, Soobin Im","doi":"10.13004/kjnt.2023.19.e43","DOIUrl":"10.13004/kjnt.2023.19.e43","url":null,"abstract":"<p><p>The development of spinal cord represents evolutionary progression. The primitive tract is responsible for functions related to basic survival such as locomotion. In contrast, the developed tracts are involved in perceiving the external environment and controlling conscious movements. There are also differences in the arrangement of spinal tracts between the 2 categories. Tracts serving developed functions are located in the deep layer of the lateral funiculus, whereas primitive tracts occupy other areas. Decussation correlates with tract pathways, with primitive tracts projecting ipsilaterally and developing tracts decussating early. Understanding these principles provides insights into spinal tract organization.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"275-287"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/7f/kjn-19-275.PMC10567534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239429","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}
Kang Hee Ahn, Han Seung Ryu, Moon-Soo Han, Yoo Duk Choi, Sung-Pil Joo
{"title":"Spontaneous Acute Epidural Hematoma Associated With Metastatic Hepatocellular Carcinoma: A Case Report.","authors":"Kang Hee Ahn, Han Seung Ryu, Moon-Soo Han, Yoo Duk Choi, Sung-Pil Joo","doi":"10.13004/kjnt.2023.19.e40","DOIUrl":"10.13004/kjnt.2023.19.e40","url":null,"abstract":"<p><p>Spontaneous acute epidural hematoma (AEDH) co-occurring with metastatic hepatocellular carcinoma (HCC) of the skull is rare, with only 7 documented cases in existing literature. This report describes the case of a 42-year-old man who presented with decreased consciousness following intermittent headaches following minor head trauma. Computed tomography imaging revealed an AEDH, prompting surgical intervention. Despite preliminary assumptions linking the causes of the trauma, surgical exploration revealed no evidence of traumatic injury. Instead, an infiltrative soft-tissue mass within the skull was identified. Histopathological examination confirmed that the mass was a metastatic HCC. Despite the successful hematoma evacuation, the patient's neurological status did not improve. This case underscores the importance of considering metastatic disease in the differential diagnosis of AEDH, particularly in patients with a history of malignant tumors, irrespective of prior indications of bone metastasis. Furthermore, it emphasizes the need to enhance diagnostic and therapeutic strategies for such complex cases.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"384-392"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/37/kjn-19-384.PMC10567519.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239534","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}
Jae Hoon Choi, Won Ki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun
{"title":"Predictor of the Postoperative Swelling After Craniotomy for Spontaneous Intracerebral Hemorrhage: Sphericity Index as a Novel Parameter.","authors":"Jae Hoon Choi, Won Ki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun","doi":"10.13004/kjnt.2023.19.e41","DOIUrl":"10.13004/kjnt.2023.19.e41","url":null,"abstract":"<p><strong>Objective: </strong>Spontaneous intracerebral hemorrhage is a serious type of stroke with high mortality and disability rates. Surgical treatment options vary; however, predicting edema aggravation is crucial when choosing the optimal approach. We propose using the sphericity index, a measure of roundness, to predict the aggravation of edema and guide surgical decisions.</p><p><strong>Methods: </strong>We analyzed 56 cases of craniotomy and hematoma evacuation to investigate the correlation between the sphericity index and patient outcomes, including the need for salvage decompressive craniectomy (DC).</p><p><strong>Results: </strong>The patients included 35 (62.5%) men and 21 (37.5%) women, with a median age of 62.5 years. The basal ganglia was the most common location of hemorrhage (50.0%). The mean hematoma volume was 86.3 cc, with 10 (17.9%) instances of hematoma expansion. Cerebral herniation was observed in 44 (78.6%) patients, intraventricular hemorrhage in 34 (60.7%), and spot signs in 9 (16.1%). Salvage DC was performed in 13 (23.6%) patients to relieve intracranial pressure. The median follow-up duration was 6 months, with a mortality rate of 12.5%. The sphericity index was significantly correlated with delayed swelling and hematoma expansion but not salvage DC.</p><p><strong>Conclusions: </strong>The sphericity index is a promising predictor of delayed swelling and hematoma expansion that may aid in the development of surgical guidelines and medication strategies. Further large-scale studies are required to explore these aspects and establish comprehensive guidelines.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"333-347"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/dc/kjn-19-333.PMC10567521.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239533","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}
{"title":"Erratum: A Novel Acute Discogenic Myelopathy Model Using Merocel<sup>®</sup> Sponge: Comparison With Clip Compression Model in Rats.","authors":"Do-Hyung Kim, Ki-Bum Sim","doi":"10.13004/kjnt.2023.19.e38","DOIUrl":"10.13004/kjnt.2023.19.e38","url":null,"abstract":"<p><p>[This corrects the article on p. 204 in vol. 19, PMID: 37431382.].</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"405"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/45/kjn-19-405.PMC10567525.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239426","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}
Jung Woo Hyung, Jung Jae Lee, Eunhye Lee, Min Ho Lee
{"title":"Penetrating Orbitocranial Injuries in the Republic of Korea.","authors":"Jung Woo Hyung, Jung Jae Lee, Eunhye Lee, Min Ho Lee","doi":"10.13004/kjnt.2023.19.e37","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e37","url":null,"abstract":"<p><strong>Objective: </strong>Penetrating brain injury occurs when an object enters the skull and pierces the brain. These injuries can damage small or large parts of the brain, are life-threatening, and require emergency care. This study is a summary of penetrating head injuries at our hospital and an analysis of their treatments and prognoses.</p><p><strong>Methods: </strong>Patients with penetrating brain involving the orbit and/or cranial region were recruited among patients with trauma who visited our regional trauma center between 2019 and 2022.</p><p><strong>Results: </strong>Eight patients with penetrating brain injuries were enrolled. One patient was female; the median age was 53 years (range, 24-72 years). Five patients with Glasgow Coma Scale (GCS) scores of 14 or 15 showed no major vessel injury or midline intracranial involvement on imaging and were discharged safely. The other three patients with suspected major vessel injuries and midline involvement did not survive.</p><p><strong>Conclusion: </strong>The greatest influences on patient prognosis were the area of damage and level of consciousness, along with the GCS score at the time of the visit. The probability of survival is extremely low if the midline structure is damaged.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"314-323"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/79/kjn-19-314.PMC10567535.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239532","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}
{"title":"Acute Onset of Syndrome of the Trephined After Lumboperitoneal Shunt Placement: A Case Report.","authors":"Min Je Jeon, Sung-Tae Kim","doi":"10.13004/kjnt.2023.19.e36","DOIUrl":"10.13004/kjnt.2023.19.e36","url":null,"abstract":"<p><p>Decompressive craniectomy is widely recognized as a life-saving emergency operation for the treatment of increased intracranial pressure; however, it can lead to severe complications, such as \"syndrome of the trephined.\" Cerebrospinal fluid diversion, particularly after lumboperitoneal shunting, can affect the occurrence of this disease and worsen the symptoms. We report an acute case of this syndrome after lumboperitoneal shunting in a patient who had previously undergone decompressive craniectomy. The patient rapidly fell from a Glasgow Coma Scale (GCS) of 14 to a comatose state and a GCS of 4 only in 2 days. After cranioplasty, the patient recovered fully; however, this took a prolonged period.</p>","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 3","pages":"376-383"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/7b/kjn-19-376.PMC10567524.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239421","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}