eNeurologicalSci最新文献_第6页

The world federation of neurology digital neurology update (WNU) 世界神经病学联合会数字神经病学更新（WNU）

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-05 DOI: 10.1016/j.ensci.2025.100548

Wolfgang Grisold, Stephen L. Lewis

引用次数: 0

Intraoperative neuromonitoring as an independent predictor for postoperative delirium in ICU following aneurysm clipping 术中神经监测作为ICU动脉瘤夹闭术后谵妄的独立预测因子。

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-09 DOI: 10.1016/j.ensci.2025.100549

Abdullah M. Al-Qudah , Pooja S. Tallapaneni , Donald J. Crammond , Jeffrey Balzer , Katherine M. Anetakis , Varun Shandal , Jingyuan Biaesch , Malik Ghannam , Neelesh Nadkarni , Bradley A. Gross , Michael Lang , Kathirvel Subramanium , Senthilkumar Sadhasivam , Parthasarathy D. Thirumala

{"title":"Intraoperative neuromonitoring as an independent predictor for postoperative delirium in ICU following aneurysm clipping","authors":"Abdullah M. Al-Qudah , Pooja S. Tallapaneni , Donald J. Crammond , Jeffrey Balzer , Katherine M. Anetakis , Varun Shandal , Jingyuan Biaesch , Malik Ghannam , Neelesh Nadkarni , Bradley A. Gross , Michael Lang , Kathirvel Subramanium , Senthilkumar Sadhasivam , Parthasarathy D. Thirumala","doi":"10.1016/j.ensci.2025.100549","DOIUrl":"10.1016/j.ensci.2025.100549","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to evaluate the diagnostic accuracy of significant intraoperative neurophysiological monitoring (IONM) changes as an independent predictor of postoperative delirium (POD) in patients undergoing aneurysm clipping.</div></div><div><h3>Methods</h3><div>IONM and clinical data from 273 patients who underwent craniotomy for aneurysm clipping from 2019 until 2021 were retrospectively reviewed. Significant IONM changes and POD were respectively evaluated based on visual review of data and clinical documentation. POD was assessed multiple times in the ICU using the Intensive Care Delirium Screening Checklist (ICDSC).</div></div><div><h3>Results</h3><div>Of the 273 patients undergoing craniotomy with IONM, 83 had POD (30.4 %). Significant IONM changes were noted in 42 patients, of which 19 patients had POD (45.2 %). In contrast, 231 patients had no IONM changes during surgery, of which 64 (27.7 %) patients had POD. Multivariable analysis showed that significant IONM changes were associated with POD, OR: 2.09 (95 % CI 1.01–4.43, <em>p</em>-value: 0.046). Additionally, somatosensory evoked potentials (SSEP) changes were significantly associated with POD (p-value: 0.044).</div></div><div><h3>Conclusion</h3><div>Significant IONM changes are associated with an increased risk of POD in patients undergoing craniotomy for aneurysm clipping. Our findings offer a strong basis for future research and analysis of EEG and SSEP monitoring to detect and possibly prevent POD.</div></div>","PeriodicalId":37974,"journal":{"name":"eNeurologicalSci","volume":"38 ","pages":"Article 100549"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081208","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 regarding missing consent statements in previously published articles 关于先前发表的文章中缺少同意声明的勘误

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1016/j.ensci.2025.100556

引用次数: 0

Early diagnosis of cryptococcal meningoencephalitis in HIV-negative patients: Integration of brain MRI and clinical findings hiv阴性患者隐球菌性脑膜脑炎的早期诊断：脑MRI与临床表现的结合。

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-09 DOI: 10.1016/j.ensci.2025.100552

Kosei Nakamura, Masato Kanazawa, Yuka Koike, Takuya Konno, Osamu Onodera

{"title":"Early diagnosis of cryptococcal meningoencephalitis in HIV-negative patients: Integration of brain MRI and clinical findings","authors":"Kosei Nakamura, Masato Kanazawa, Yuka Koike, Takuya Konno, Osamu Onodera","doi":"10.1016/j.ensci.2025.100552","DOIUrl":"10.1016/j.ensci.2025.100552","url":null,"abstract":"<div><h3>Purpose</h3><div>Cryptococcal meningoencephalitis (CM) in human immunodeficiency virus (HIV)-negative patients are often diagnosed later than in HIV-infected patients, which increases mortality rates concerning the former. Consequently, early diagnosis and treatment are crucial for improving clinical prognosis in HIV-negative patients. This study investigated the utility of magnetic resonance imaging (MRI) in combination with clinical and laboratory findings for early diagnosis of CM in HIV-negative patients.</div></div><div><h3>Methods</h3><div>This retrospective cohort analysis included consecutive patients diagnosed with central nervous system (CNS) infections. Demographic profiles, laboratory findings, admission symptoms, and MRI findings were assessed. A comparative analysis between CM and other CNS infections was performed.</div></div><div><h3>Results</h3><div>Twelve HIV-negative patients were diagnosed with CM, while 38 exhibited other CNS infections (two fungal, 23 bacterial, 12 viral, one parasitic). Pseudocysts on MRI (<em>p</em> = 0.002), absence of fever (<em>p</em> = 0.001), headache (<em>p</em> = 0.005), and normal C-reactive protein (CRP) levels (<em>p</em> = 0.020) were specific findings in CM. By applying a cut-off value of one point in combination of pseudocysts, absence of fever, headache, and normal CRP levels in differentiating CM from other CNS infections, the sensitivity and specificity were calculated as 76.3 % and 91.7 %, respectively.</div></div><div><h3>Conclusion</h3><div>Integrating pseudocysts, absence of fever, headache, and normal CRP levels predicts early CM diagnosis, potentially improving outcomes.</div></div>","PeriodicalId":37974,"journal":{"name":"eNeurologicalSci","volume":"38 ","pages":"Article 100552"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060814","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

Bilateral foot drop as presenting feature of facioscapulohumeral muscular dystrophy type 1 双侧足下垂为1型面肩肱肌营养不良的表现特征。

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2024-12-13 DOI: 10.1016/j.ensci.2024.100546

Martin Krenn , Veronika Vetchy , Gregor Kasprian , Wolfgang Grisold

引用次数: 0

Bilateral optic neuritis as an atypical presentation of juvenile Behcet syndrome: A case report 双侧视神经炎作为一种非典型表现的青少年Behcet综合征：1例报告。

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1016/j.ensci.2025.100554

Armin Adibi , Iman Adibi , Saeed Bahramian , Saba Naghavi , Fatemeh Gholami

引用次数: 0

The role of Neurofilament light (NfL) and glial fibrillary acidic protein (GFAP) in MS and AQP4-NMOSD: Advancing clinical applications. 神经丝光（NfL）和胶质纤维酸性蛋白（GFAP）在MS和AQP4-NMOSD中的作用：推进临床应用

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-06 DOI: 10.1016/j.ensci.2025.100550

Sara Samadzadeh , Roy D. Sleator

引用次数: 0

Erratum regarding missing conflict of interests statements in previously published articles 关于先前发表的文章中缺少利益冲突声明的勘误表

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-21 DOI: 10.1016/j.ensci.2025.100555

引用次数: 0

Recent developments in consensus diagnostic criteria for amyotrophic lateral sclerosis 肌萎缩性侧索硬化症一致诊断标准的最新进展

eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-02-01 DOI: 10.1016/j.ensci.2025.100559

Matthew C. Kiernan

引用次数: 0

Thalamic deep brain stimulation for postural tremor caused by hyperthermia-induced cerebellar dysfunction: A case report 丘脑深部脑刺激治疗高热引起的小脑功能障碍导致的姿势性震颤：病例报告

eNeurologicalSci Pub Date : 2024-12-01 Epub Date: 2024-11-17 DOI: 10.1016/j.ensci.2024.100536

Mitsuyoshi Tamura , Shigeki Hirano , Yoshihisa Kitayama , Marie Morooka , Tomoki Suichi , Kazumoto Shibuya , Yoshinori Higuchi , Satoshi Kuwabara

引用次数: 0