Brain Circulation最新文献_第6页

Pupillometry: A loupe to mirror intracranial status during recovery after neurosurgery. 瞳孔测定仪：一种反映神经外科术后恢复期间颅内状态的放大镜。

IF 4.8 4区医学

Brain Circulation Pub Date : 2025-06-09 eCollection Date: 2025-07-01 DOI: 10.4103/bc.bc_19_25

Sangeetha R Palaniswamy, Rajeeb Mishra, Abhay Sikaria, Shivakeshava Murthy

引用次数: 0

A narrative review of reperfusion therapy in acute ischemic stroke: Emerging advances, current challenges, and future directions. 急性缺血性卒中再灌注治疗的叙述性回顾：新进展、当前挑战和未来方向。

IF 4.8 4区医学

Brain Circulation Pub Date : 2025-06-09 eCollection Date: 2025-07-01 DOI: 10.4103/bc.bc_161_24

Qiuting Wang, Na Liu, Leticia Simo, Qingfeng Ma, Chuanhui Li

{"title":"A narrative review of reperfusion therapy in acute ischemic stroke: Emerging advances, current challenges, and future directions.","authors":"Qiuting Wang, Na Liu, Leticia Simo, Qingfeng Ma, Chuanhui Li","doi":"10.4103/bc.bc_161_24","DOIUrl":"10.4103/bc.bc_161_24","url":null,"abstract":"Significant advancements over the past decade have transformed reperfusion therapy for acute ischemic stroke. Standard treatments, including intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT), offer distinct benefits, with recent innovations expanding their efficacy and applicability. IVT, previously limited by a narrow therapeutic window, has seen enhancement with alternative agents such as tenecteplase, which may deliver comparable or superior outcomes to alteplase in selected cases. Expanding indications for EVT, particularly for large vessel occlusions and in extended time windows, have demonstrated promising results, underscoring its effectiveness beyond conventional time constraints. Recent trials further support the use of EVT for patients with large infarct cores in the anterior circulations, although mortality outcomes remain sensitive to treatment timing. In addition, mobile stroke units (MSUs) and prehospital management strategies have emerged as critical components for minimizing delays and improving clinical outcomes. Future research should focus on optimizing reperfusion therapies to individual patient profiles, investigating neuroprotective adjuncts, and expanding the global availability of MSUs to facilitate timely, accessible stroke care.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"11 3","pages":"187-199"},"PeriodicalIF":4.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ruptured basilar artery perforator aneurysm: A two-case correspondence of this rare phenomenon. 基底动脉穿支动脉瘤破裂：此罕见现象的两例对应。

IF 4.8 4区医学

Brain Circulation Pub Date : 2025-06-09 eCollection Date: 2025-10-01 DOI: 10.4103/bc.bc_127_24

Samuel Luís Scaravonatto Baldo Cunha, Artur Eduardo Martio, Luciano Bambini Manzato, Felipe Perini, José Ricardo Vanzin

引用次数: 0

A narrative review of neuroprotective effects of albumin: The underlying mechanisms and therapeutic prospects in ischemic stroke. 白蛋白神经保护作用的叙述性综述：缺血性卒中的潜在机制和治疗前景。

IF 5.2 4区医学

Brain Circulation Pub Date : 2025-06-09 eCollection Date: 2026-04-01 DOI: 10.4103/bc.bc_181_24

Zhihong Xu, Yuchao Dou, Sihu Pan, Ming Wei

引用次数: 0

Development of central pontine myelinolysis from hepatic injury and liver transplantation: A narrative review. 肝损伤和肝移植引起的桥脑桥中央髓鞘溶解的发展：一个叙述性的回顾。

IF 5.2 4区医学

Brain Circulation Pub Date : 2025-06-05 eCollection Date: 2026-01-01 DOI: 10.4103/bc.bc_135_24

Tariq Kermalli, Marta Haireek, Keshav Sharma, Sana Soman, Alejandro Damian, Hussan Ali, Ahmed Alzubaidi, Yuchuan Ding

{"title":"Development of central pontine myelinolysis from hepatic injury and liver transplantation: A narrative review.","authors":"Tariq Kermalli, Marta Haireek, Keshav Sharma, Sana Soman, Alejandro Damian, Hussan Ali, Ahmed Alzubaidi, Yuchuan Ding","doi":"10.4103/bc.bc_135_24","DOIUrl":"10.4103/bc.bc_135_24","url":null,"abstract":"Controlling serum osmolarity levels is a homeostatic mechanism that allows the body to manage sudden changes in water and electrolyte concentrations. Rapid correction of hyponatremia is an example of how such an imbalance might be addressed; however, this may give rise to serious consequences. Among these is a neurological condition called central pontine myelinolysis (CPM), which often develops from a swift correction of hyponatremia. Patients who present with a liver injury (LI), such as cirrhosis and alcoholic liver disease, may suffer from hyponatremia, thus making them susceptible to CPM. Individuals who receive a liver transplant (LT) often experience a similar risk. It is for this reason that physicians must actively devise innovative ways of performing these surgical operations without jeopardizing the neurological state of their patients. Administering liquid solutions to maintain proper serum osmolarity is a technique that is often used to prevent the development of CPM, but albumin infusions also appear to have a protective effect. Early interventions, however, are at the forefront of ongoing research regarding CPM management in LT patients. Examples include the integration of machine learning models to help determine the best correction rates for hyponatremia, as well as the use of biomarkers to help detect CPM before extensive electrolyte imbalances. These techniques present groundbreaking opportunities for physicians who wish to optimize LT procedures by minimizing neurological effects such as CPM. This paper discusses the literature on CPM onset in LI patients with electrolyte imbalance. Results established a clear connection between liver pathology and CPM occurrence.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"12 1","pages":"7-12"},"PeriodicalIF":5.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vestibular rehabilitation in patients with stroke: A comprehensive review of past and current evidence. 卒中患者的前庭康复：对过去和当前证据的全面回顾。

IF 2.3 4区医学

Brain Circulation Pub Date : 2025-05-31 eCollection Date: 2025-04-01 DOI: 10.4103/bc.bc_16_23

Huimin Fan, Yuchuan Ding, Ahmed Elmadhoun, Ruchi Mangal, Jing Feng, Xiaokun Geng

{"title":"Vestibular rehabilitation in patients with stroke: A comprehensive review of past and current evidence.","authors":"Huimin Fan, Yuchuan Ding, Ahmed Elmadhoun, Ruchi Mangal, Jing Feng, Xiaokun Geng","doi":"10.4103/bc.bc_16_23","DOIUrl":"10.4103/bc.bc_16_23","url":null,"abstract":"In 2016, the American Physical Therapy Association Neurology Section published clinical practice guidelines titled \"Vestibular Rehabilitation (VR) for Peripheral Vestibular Hypofunction.\" These guidelines recommend that physicians should provide VR to individuals with peripheral vestibular hypofunction, emphasizing its importance in managing dysfunctions of the vestibular system. Previous systematic reviews or studies on vestibular function have concluded that VR has positive effects on central vestibular disorders. More recently, a systematic review has found that there are positive effects of VR on ambulatory performance in stroke patients. Evidence is consistently being added regarding the positive impact of VR in patients with a history of stroke who are currently living with dizziness, balance, and gait impairments. However, there are still many unanswered questions in this area. Most studies lack complementary quantitative vestibular function testing and uniform standards for the timing and frequency of the VR. Furthermore, the methods of VR are carried out in a general fashion without catering to the individual, resulting in a lack of understanding of the mechanisms of various VR approaches. In future, much work needs to be done to solve these questions. The objective of this review is to investigate and validate the impact of VR on stroke patients while assessing the associated methodologies for determining its effectiveness. In particular, this review aims to offer a thorough evaluation of the advantages and drawbacks of employing VR in stroke rehabilitation.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"11 2","pages":"107-112"},"PeriodicalIF":2.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Migraine treatment amid intravenous fluid shortages. 在静脉输液短缺的情况下治疗偏头痛。

IF 2.3 4区医学

Brain Circulation Pub Date : 2025-05-31 eCollection Date: 2025-04-01 DOI: 10.4103/bc.bc_6_25

Wayne Zhong, Adeel Zubair

引用次数: 0

Cerebral arteritis in bacterial meningitis: Structural adaptations of the vascular wall in response to an infectious nidus - A narrative review. 细菌性脑膜炎中的脑动脉炎：血管壁对感染性病灶的结构适应-一篇叙述性综述。

IF 2.3 4区医学

Brain Circulation Pub Date : 2025-05-31 eCollection Date: 2025-04-01 DOI: 10.4103/bc.bc_4_23

Vivig Shantha Kumar, Vignarth Shantha Kumar

{"title":"Cerebral arteritis in bacterial meningitis: Structural adaptations of the vascular wall in response to an infectious nidus - A narrative review.","authors":"Vivig Shantha Kumar, Vignarth Shantha Kumar","doi":"10.4103/bc.bc_4_23","DOIUrl":"10.4103/bc.bc_4_23","url":null,"abstract":"Despite dramatic improvements in diagnosis and antimicrobial treatment of bacterial meningitis over the last few decades, adverse postinfective sequelae and mortality remain exceedingly high in adults. Of note, the unfavorable clinical outcome is usually attributable to the presence of intracranial complications during the acute phase of infection, such as cerebral edema and increases in intracranial pressure and cerebral blood flow disturbances. Involvement of the cerebral vasculature during bacterial meningitis is overwhelmingly clear from clinical and laboratory evidence highlighting cerebral blood flow alterations with the use of Doppler blood flow analysis, angiographic studies of cerebral vessel wall structural irregularities and computed tomography/magnetic resonance imaging recording of cerebral infarctions. With the widespread agreement of cerebrovascular involvement in bacterial meningitis, very few studies have documented histopathological observations of cerebral vessel irregularities affecting the various layers of the vascular wall. In an attempt to understand the arterial wall changes that take place before the occurrence of cerebral ischemic consequences in bacterial meningitis, we have investigated the sequential changes affecting the arterial vasculature, beginning with early reflexive modifications of the adventitia and culminating in late proliferative lesions of the intima.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"11 2","pages":"97-106"},"PeriodicalIF":2.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant M1 segment aneurysm: Illustration of the importance of cross-sectional ratio of aneurysmal neck and the parent artery. 巨大M1段动脉瘤：说明瘤颈与载瘤动脉横切面比值的重要性。

IF 2.3 4区医学

Brain Circulation Pub Date : 2025-05-31 eCollection Date: 2025-04-01 DOI: 10.4103/bc.bc_85_24

Soumen Kanjilal, Preetham S Dange, Kuntal Kanti Das, Kamlesh Singh Bhaisora, Awadhesh Kumar Jaiswal

引用次数: 0

A retrospective analysis comparing AIDoc and RAPIDAI in the detection of large vessel occlusions. AIDoc与RAPIDAI在大血管闭塞检测中的回顾性分析。

IF 5.2 4区医学

Brain Circulation Pub Date : 2025-05-31 eCollection Date: 2025-04-01 DOI: 10.4103/bc.bc_5_25

Mary Bankston, Christopher Stevens, Muhammad Abubakar Ayub, Joshua Strobel, Octavio Arevalo, Hugo Cuellar, Himanshu Chokhawala

引用次数: 0