Journal of Neurocritical Care最新文献

Differential effects of premorbid functional dependency on mortality in patients with anterior and posterior circulation stroke 前循环和后循环卒中患者病前功能依赖性对死亡率的不同影响

Journal of Neurocritical Care Pub Date : 2024-06-11 DOI: 10.18700/jnc.240013

Min-Surk Kye, D. Y. Kim, Dong-Wan Kang, Baik-Kyun Kim, Jung Hyun Park, Hyung Seok Guk, Nakhoon Kim, Sang-Won Choi, J. Kim, Jihoon Kang, B. Kim, Moon-Ku Han, Hee-Joon Bae

{"title":"Differential effects of premorbid functional dependency on mortality in patients with anterior and posterior circulation stroke","authors":"Min-Surk Kye, D. Y. Kim, Dong-Wan Kang, Baik-Kyun Kim, Jung Hyun Park, Hyung Seok Guk, Nakhoon Kim, Sang-Won Choi, J. Kim, Jihoon Kang, B. Kim, Moon-Ku Han, Hee-Joon Bae","doi":"10.18700/jnc.240013","DOIUrl":"https://doi.org/10.18700/jnc.240013","url":null,"abstract":"Background: This study investigated the impact of premorbid functional dependency on post-stroke mortality in patients with anterior circulation stroke (ACS) and posterior circulation stroke (PCS). Methods: This study enrolled 9,698 patients who experienced ischemic stroke between January 2011 and December 2022. The patients were classified into the ACS and PCS groups. Premorbid functional dependency was defined as modified Rankin Scale of ≥3. The risks of premorbid functional dependency and mortality at 3 months and 1-year post-stroke were assessed. A subgroup analysis was further performed to evaluate the risk of premorbid functional dependency in patients who underwent intravenous thrombolysis and endovascular treatment (EVT). Results: Among 6,358 patients with ACS and 3,340 with PCS, those with premorbid dependency were older, predominantly female, and had a higher proportion of vascular risk factors and stroke severity. Premorbid functional dependency was associated with increased mortality at both 3 months and 1 year in the PCS (odds ratio [OR], 1.79; 95% confidence interval [CI], 1.00–3.13; P =0.04 and OR, 2.87; 95% CI, 1.86–4.38; P <0.001, respectively), but not in the ACS (OR, 1.08; 95% CI, 0.77–1.51; P =0.639 and OR, 1.22; 95% CI, 0.93–1.59; P =0.140, respectively) group. Among patients who underwent EVT, premorbid functional dependency increased the risk of mortality at 1 year in the ACS group (OR, 1.80; 95% CI, 1.04–3.08; P =0.034), but was not associated with the risk in the PCS group (OR, 2.56; 95% CI, 0.64–10.15; P =0.176). Conclusions: Premorbid functional dependency increases the risk of mortality in patients with PCS.","PeriodicalId":502541,"journal":{"name":"Journal of Neurocritical Care","volume":"23 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141356108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Favorable outcome after intra-arterial thrombolysis in a patient with branch retinal artery occlusion: a case report 视网膜分支动脉闭塞患者动脉内溶栓后的良好疗效：病例报告

Journal of Neurocritical Care Pub Date : 2024-05-17 DOI: 10.18700/jnc.240004

Sung Jo Bang, Jeong Eun Yang, Seong Kyung Park, Hyungjong Park, Sung-Il Sohn, Jeong-Ho Hong

引用次数: 0

Rapid versus gradual external ventricular drain weaning: a general review of best practices 快速与渐进心室外引流管断流：最佳实践综述

Journal of Neurocritical Care Pub Date : 2024-04-09 DOI: 10.18700/jnc.240001

Z. Merhavy, Wyatt Ferrelle, Bhavyata Vaddavalli, Samir Ruxmohan

引用次数: 0

Lateral medullary infarction in a patient with Moyamoya disease associated with RNF213 variants: a case report 与 RNF213 变异相关的一名莫亚莫亚病患者的侧髓梗死：一份病例报告

Journal of Neurocritical Care Pub Date : 2023-12-29 DOI: 10.18700/jnc.230043

Yoo Jeong Roh, Kee Ook Lee, Hyun Sook Kim

引用次数: 0

Deep learning for prediction of mechanism in acute ischemic stroke using brain diffusion magnetic resonance image 利用脑弥散磁共振图像的深度学习预测急性缺血性中风的发病机制

Journal of Neurocritical Care Pub Date : 2023-12-26 DOI: 10.18700/jnc.230039

Baik-Kyun Kim, Seung Park, Moon-Ku Han, Jeong-Ho Hong, Dae-In Lee, K. Yum

{"title":"Deep learning for prediction of mechanism in acute ischemic stroke using brain diffusion magnetic resonance image","authors":"Baik-Kyun Kim, Seung Park, Moon-Ku Han, Jeong-Ho Hong, Dae-In Lee, K. Yum","doi":"10.18700/jnc.230039","DOIUrl":"https://doi.org/10.18700/jnc.230039","url":null,"abstract":"Background: Acute ischemic stroke is a disease with multiple etiologies. Therefore, identifying the mechanism of acute ischemic stroke is fundamental to its treatment and secondary prevention. The Trial of Org 10172 in Acute Stroke Treatment classification is currently the most widely used system, but it often has a limitations of classifying unknown causes and inadequate inter-rater reliability. Therefore, we attempted to develop a three-dimensional (3D)-convolutional neural network (CNN)-based algorithm for stroke lesion segmentation and subtype classification using only the diffusion and apparent diffusion coefficient information of patients with acute ischemic stroke. Methods: This study included 2,251 patients with acute ischemic stroke who visited our hospital between February 2013 and July 2019. Results: The segmentation model for lesion segmentation in the training set achieved a Dice score of 0.843±0.009. The subtype classification model achieved an average accuracy of 81.9%, with accuracies of 81.6% for large artery atherosclerosis, 86.8% for cardioembolism, 72.9% for small vessel occlusion, and 86.3% for control.Conclusion: We developed a model to predict the mechanism of cerebral infarction using diffusion magnetic resonance imaging, which has great potential for identifying diffusion lesion segmentation and stroke subtype classification. As deep learning systems are gradually developing, they are becoming useful in clinical practice and applications.","PeriodicalId":502541,"journal":{"name":"Journal of Neurocritical Care","volume":"40 S4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group B Streptococcus meningitis following subarachnoid hemorrhage suspicions: a case report 蛛网膜下腔出血后疑似 B 群链球菌脑膜炎：病例报告

Journal of Neurocritical Care Pub Date : 2023-12-19 DOI: 10.18700/jnc.230028

Daniel Ratushnyak, Vishal Yajnik

引用次数: 0

Detection of neck hematoma after carotid endarterectomy by chest X-ray 通过胸部 X 光检查颈动脉内膜剥脱术后的颈部血肿

Journal of Neurocritical Care Pub Date : 2023-10-31 DOI: 10.18700/jnc.230027

Min Joon Seo, Jin-Heon Jeong

引用次数: 0