{"title":"Accessory posterior cerebral artery (PCA): a rare variant of PCA","authors":"Youngchan Jung, Sang Won Han, Hyun-jeung Yu","doi":"10.18700/jnc.240002","DOIUrl":"https://doi.org/10.18700/jnc.240002","url":null,"abstract":"","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229060","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}
Soo Jeong, HongKeun Yoo, Young Seo Kim, Hyun Young Kim
{"title":"Basilar artery hypoplasia with persistent fetal circulations misinterpreted as basilar artery occlusion in a non-invasive angiography","authors":"Soo Jeong, HongKeun Yoo, Young Seo Kim, Hyun Young Kim","doi":"10.18700/jnc.230042","DOIUrl":"https://doi.org/10.18700/jnc.230042","url":null,"abstract":"","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"7 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231830","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}
S. Park, Yerim Kim, Y. Kim, Jong Seok Bae, Ju-Hun Lee
barrier
壁垒
{"title":"A case report of pitfall of fever and altered mental status: cerebral malaria due to Plasmodium falciparum in an adult traveler returning from Congo","authors":"S. Park, Yerim Kim, Y. Kim, Jong Seok Bae, Ju-Hun Lee","doi":"10.18700/jnc.230034","DOIUrl":"https://doi.org/10.18700/jnc.230034","url":null,"abstract":"barrier","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"11 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138955437","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}
Jin Kim, Youngchan Jung, Jinyoung Oh, Sang Won Han, Hyun-jeung Yu
In general, blood coagulation tests are not necessary in patients using non-vitamin K-dependent oral anticoagulants (NOACs) [1,2]. If the patient follows the prescribed indications for NOACs, adjusting the dosage or administration interval of the medication according to the changes in coagulation tests is not necessary [3]. Here, we present the case of a patient with nonvalvular atrial fibrillation (NVAF) who was taking dabigatran and showed an extremely elevated prothrombin time-international normalized ratio (PT-INR). Background: We present the case of a patient who was administered dabigatran and showed an extremely elevated prothrombin time-international normalized ratio (PT-INR). Case Report: A 79-year-old man was referred due to PT-INR 12.6. The patient was taking 110 mg of dabigatran twice daily in capsule form. On admission, blood urea nitrogen level was 23 mg/dL, creatinine was 1.51 mg/dL, and the estimated glomerular filtration rate was 44.8 mL/min/1.73 m 2 . Coagulation tests revealed PT 96.8 seconds, PT-INR 12.46, and activated partial thromboplastin time 125.5 seconds. Dabigatran was discontinued, PT-INR on the day after admission was 8.96. PT-INR recovered to 1.61 on the fourth day without any treatment. Conclusion: The PT-INR was not directly correlated with dabigatran activity. Regular monitoring of coagulation was not necessary in all patients taking dabigatran. However, it may be useful to regularly perform coagulation tests in patients with renal impairment or in those at a high risk of bleeding.
{"title":"Extremely elevated international normalized ratio in a patient using dabigatran etexilate: a case report","authors":"Jin Kim, Youngchan Jung, Jinyoung Oh, Sang Won Han, Hyun-jeung Yu","doi":"10.18700/jnc.230032","DOIUrl":"https://doi.org/10.18700/jnc.230032","url":null,"abstract":"In general, blood coagulation tests are not necessary in patients using non-vitamin K-dependent oral anticoagulants (NOACs) [1,2]. If the patient follows the prescribed indications for NOACs, adjusting the dosage or administration interval of the medication according to the changes in coagulation tests is not necessary [3]. Here, we present the case of a patient with nonvalvular atrial fibrillation (NVAF) who was taking dabigatran and showed an extremely elevated prothrombin time-international normalized ratio (PT-INR). Background: We present the case of a patient who was administered dabigatran and showed an extremely elevated prothrombin time-international normalized ratio (PT-INR). Case Report: A 79-year-old man was referred due to PT-INR 12.6. The patient was taking 110 mg of dabigatran twice daily in capsule form. On admission, blood urea nitrogen level was 23 mg/dL, creatinine was 1.51 mg/dL, and the estimated glomerular filtration rate was 44.8 mL/min/1.73 m 2 . Coagulation tests revealed PT 96.8 seconds, PT-INR 12.46, and activated partial thromboplastin time 125.5 seconds. Dabigatran was discontinued, PT-INR on the day after admission was 8.96. PT-INR recovered to 1.61 on the fourth day without any treatment. Conclusion: The PT-INR was not directly correlated with dabigatran activity. Regular monitoring of coagulation was not necessary in all patients taking dabigatran. However, it may be useful to regularly perform coagulation tests in patients with renal impairment or in those at a high risk of bleeding.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"1 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959817","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}
{"title":"Management strategies for refractory status epilepticus","authors":"Jung-Won Shin","doi":"10.18700/jnc.230037","DOIUrl":"https://doi.org/10.18700/jnc.230037","url":null,"abstract":"provided","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138960708","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}
T. J. Kim, Ji Sung Lee, Soo-Hyun Park, Sang-Bae Ko
parameters were within normal ranges.
各项参数均在正常范围内。
{"title":"Diurnal variation in quantitative pupillary reactivity in large hemispheric stroke","authors":"T. J. Kim, Ji Sung Lee, Soo-Hyun Park, Sang-Bae Ko","doi":"10.18700/jnc.230030","DOIUrl":"https://doi.org/10.18700/jnc.230030","url":null,"abstract":"parameters were within normal ranges.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138961319","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}
T. J. Kim, Soo-Hyun Park, Youngjoon Kim, Sang-Bae Ko
associated with smaller infarct volume in patients with ischemic stroke and nonvalvular AF.
与缺血性中风和非瓣膜性房颤患者较小的梗死体积有关。
{"title":"Effects of sufficient anticoagulation on ischemic stroke outcomes in patients with nonvalvular atrial fibrillation","authors":"T. J. Kim, Soo-Hyun Park, Youngjoon Kim, Sang-Bae Ko","doi":"10.18700/jnc.230031","DOIUrl":"https://doi.org/10.18700/jnc.230031","url":null,"abstract":"associated with smaller infarct volume in patients with ischemic stroke and nonvalvular AF.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"27 105","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138998995","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}
Hortense Le Bourhis, Michel Djibré, Leo Razakamanantsoa, N. D. Montmollin
{"title":"Cerebral fat embolism in sickle cell disease","authors":"Hortense Le Bourhis, Michel Djibré, Leo Razakamanantsoa, N. D. Montmollin","doi":"10.18700/jnc.230024","DOIUrl":"https://doi.org/10.18700/jnc.230024","url":null,"abstract":"","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"110 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138997552","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}
Baeseoup Song, Dong Youn Kim, Young Jin Kim, Ho Geol Woo
, with male predominance,
男性居多、
{"title":"Disseminated nocardiosis including cerebral nocardiosis caused by Nocardia farcinica: a case report","authors":"Baeseoup Song, Dong Youn Kim, Young Jin Kim, Ho Geol Woo","doi":"10.18700/jnc.230035","DOIUrl":"https://doi.org/10.18700/jnc.230035","url":null,"abstract":", with male predominance,","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"5 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000970","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}
Seonjeong Kim, Hyein Chung, Yoonkyung Lee, Byeol-A Yoon, D. Kim, Jin-Heon Jeong, Jae-Kwan Cha
Background: Cardiocerebral infarction (CCI) is the simultaneous occurrence of acute ischemic stroke (AIS) and myocardial infarction (MI) at the same time (synchronous), or one after another (metachronous). This study aimed to investigate the differences in the underlying mechanisms between synchronous and metachronous CCI. Methods: This study analyzed patients with AIS registered in the Clinical Research Collaboration for Stroke in Korea Prospective Registry at a single Stroke Center from January 2019 to December 2022. Patients with synchronous and metachronous CCI (MI within 72 hours after AIS) were included. Severity at admission and modified Rankin Scale scores 3 months after treatment were assessed. Results: Among 3,319 AIS patients, 12 (0.36%) were diagnosed with acute CCI (male, 8; mean age, 69.6±14.0 years). Of these, six (0.18%) had synchronous CCI, while the other six had metachronous CCI. The synchronous CCI group exhibited lower neurological severity at admission than the metachronous CCI group (median National Institutes of Health Stroke Scale, 3.5 vs. 12.5). Among the 12 patients, seven (58%) had ST-elevation myocardial infarction (STEMI), with five (83%) of the synchronous CCI cases presenting as STEMI. Two cases of new-onset atrial fibrillation occurred exclusively in patients with synchronous CCI. Also, one case with synchronous CCI had a thrombus in the left ventricle. Conclusion: Acute CCI is rare and manifests with varying degrees of severity. Our study suggests that AIS in synchronous CCI may be secondary to embolism caused by a preceding MI. In contrast, metachronous CCI exhibits diverse mechanisms, including secondary myocardial injury resulting from a preceding severe AIS.
{"title":"Is the mechanism of synchronous cardiocerebral infarction (CCI) different from that of metachronous CCI?","authors":"Seonjeong Kim, Hyein Chung, Yoonkyung Lee, Byeol-A Yoon, D. Kim, Jin-Heon Jeong, Jae-Kwan Cha","doi":"10.18700/jnc.230029","DOIUrl":"https://doi.org/10.18700/jnc.230029","url":null,"abstract":"Background: Cardiocerebral infarction (CCI) is the simultaneous occurrence of acute ischemic stroke (AIS) and myocardial infarction (MI) at the same time (synchronous), or one after another (metachronous). This study aimed to investigate the differences in the underlying mechanisms between synchronous and metachronous CCI. Methods: This study analyzed patients with AIS registered in the Clinical Research Collaboration for Stroke in Korea Prospective Registry at a single Stroke Center from January 2019 to December 2022. Patients with synchronous and metachronous CCI (MI within 72 hours after AIS) were included. Severity at admission and modified Rankin Scale scores 3 months after treatment were assessed. Results: Among 3,319 AIS patients, 12 (0.36%) were diagnosed with acute CCI (male, 8; mean age, 69.6±14.0 years). Of these, six (0.18%) had synchronous CCI, while the other six had metachronous CCI. The synchronous CCI group exhibited lower neurological severity at admission than the metachronous CCI group (median National Institutes of Health Stroke Scale, 3.5 vs. 12.5). Among the 12 patients, seven (58%) had ST-elevation myocardial infarction (STEMI), with five (83%) of the synchronous CCI cases presenting as STEMI. Two cases of new-onset atrial fibrillation occurred exclusively in patients with synchronous CCI. Also, one case with synchronous CCI had a thrombus in the left ventricle. Conclusion: Acute CCI is rare and manifests with varying degrees of severity. Our study suggests that AIS in synchronous CCI may be secondary to embolism caused by a preceding MI. In contrast, metachronous CCI exhibits diverse mechanisms, including secondary myocardial injury resulting from a preceding severe AIS.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":"58 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597432","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}
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