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Journal of Neurocritical Care最新文献

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Neuroprotective effects of chloroquine on neurological scores, blood-brain barrier permeability, and brain edema after traumatic brain injury in male rats 氯喹对雄性大鼠颅脑损伤后神经评分、血脑屏障通透性和脑水肿的神经保护作用
Q4 Nursing Pub Date : 2023-01-19 DOI: 10.18700/jnc.220052
M. Karimi, S. Nazari, Faramarz Shirani, Vahid Alivirdiloo, A. Siahposht-Khachaki, Sepehr Edalatkhah, Rama Khanian
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引用次数: 0
Massive microbleeds in posterior circulation territory in an immunocompromised patient with sepsis 免疫功能低下的败血症患者后循环区域出现大量微出血
Q4 Nursing Pub Date : 2022-12-26 DOI: 10.18700/jnc.220082
Wonjae Sung, Young Seo Kim, Hee-Jin Kim
Diffuse microbleeds in cerebral white matter have been
脑白质弥漫性微出血
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引用次数: 1
Management of propofol-related infusion syndrome and discussion of POLG mitochondrial mutation: a case report 异丙酚相关输液综合征的处理及POLG线粒体突变的讨论:1例报告
Q4 Nursing Pub Date : 2022-12-23 DOI: 10.18700/jnc.220071
Brian Nguyen, S. Figueroa
,
,
{"title":"Management of propofol-related infusion syndrome and discussion of POLG mitochondrial mutation: a case report","authors":"Brian Nguyen, S. Figueroa","doi":"10.18700/jnc.220071","DOIUrl":"https://doi.org/10.18700/jnc.220071","url":null,"abstract":",","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44880105","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: 1
Axitinib-induced posterior reversible encephalopathy syndrome in a patient with renal cell carcinoma 肾细胞癌患者阿西替尼诱导的后部可逆性脑病综合征
Q4 Nursing Pub Date : 2022-12-23 DOI: 10.18700/jnc.220080
Euihyun Sung, Hyunkee Kim, Wonjae Sung, Jin-Ju Park
A 51-year-old male patient presented with a generalized tonic-clonic type seizure. He had a history of renal cell carcinoma and had received axitinib 2 weeks before this seizure event due to the unresponsiveness to the previous chemotherapeutics. He did not experience any neurologic symptoms previously. His vital rhythm showed elevated blood pressure and tachycardia. He became deeply drowsy soon after the seizure attack, with no definite later-alizing or localizing signs.
一名51岁男性患者表现为全身强直-阵挛型癫痫。他有肾细胞癌病史,由于对之前的化疗没有反应,在癫痫发作前2周接受了阿西替尼治疗。他之前没有任何神经系统症状。他的生命节律显示血压升高和心动过速。癫痫发作后不久,他就陷入了深深的嗜睡状态,没有明确的后续活动或定位迹象。
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引用次数: 1
Quantitative assessments of pupillary light reflexes in neurocritically ill patients 神经疾病患者瞳孔光反射的定量评估
Q4 Nursing Pub Date : 2022-12-23 DOI: 10.18700/jnc.220085
Tae Jung Kim
The pupillary light reflex is a component of bedside neurological examinations in neurological intensive care units (neuroICUs). A quantitative pupillometer provides a non-invasive and objective pupil reactivity parameter clinically significant for changes in the pupillary light reflex in neuroICUs. This article reviews the physiology and importance of the pupillary light reflex and the parameters of quantitative pupillometers. Moreover, this review discusses the clinical applications of quantitative pupillometers for post-cardiac arrest prognostication and monitoring of elevated intracranial pressure and neurological worsening in stroke, seizures, and other neurological diseases in the neuroICU. Quantitative pupillometry is a routine part of neurological examinations and an important monitoring tool for neurological diseases in neuroICUs.
瞳孔光反射是神经重症监护室(neuroICU)床边神经检查的一个组成部分。定量瞳孔计为神经ICU中瞳孔光反射的变化提供了一个具有临床意义的非侵入性和客观的瞳孔反应性参数。本文综述了瞳孔光反射的生理学和重要性,以及定量瞳孔计的参数。此外,这篇综述讨论了定量瞳孔计在神经ICU中用于心脏骤停后预测和监测脑卒中、癫痫发作和其他神经疾病的颅内压升高和神经恶化的临床应用。定量瞳孔测量是神经系统检查的常规组成部分,也是神经重症监护室神经系统疾病的重要监测工具。
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引用次数: 1
Diffuse cerebral microbleeds in a patient with HIV and disseminated intravascular coagulation HIV患者弥漫性脑微出血和弥漫性血管内凝血
Q4 Nursing Pub Date : 2022-12-23 DOI: 10.18700/jnc.220083
Wonjae Sung, Hyun-Seung Gwak, Young Seo Kim
Hypoxemia and critical illnesses such as sepsis and disseminated intravascular coagulopathy (DIC) are possible causes of massive microbleeds in the brain parenchyma [1]. We report a patient with human immunodeficiency virus (HIV) showing extensive cerebral microbleeds. A 59-year-old man presented with generalized tonic-clonic seizures. After admission, he was diagnosed with HIV infection while evaluating for pneumonia. Ten days after antiretroviral therapy (ART), DIC occurred as a result of pneumo-
低氧血症和危重疾病,如败血症和弥散性血管内凝血病(DIC)是脑实质大量微出血的可能原因。我们报告一例人类免疫缺陷病毒(HIV)患者表现为广泛的脑微出血。59岁男性,表现为全身性强直阵挛发作。入院后,他在检查肺炎时被诊断为HIV感染。抗逆转录病毒治疗(ART) 10天后,DIC因肺炎而发生
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引用次数: 0
Fixed and dilated pupils by pupillometer in lateralized periodic discharges: a case report in the neurocritical care unit 用瞳孔计测量侧化周期性出院患者的固定瞳孔和放大瞳孔:神经危重症监护病房1例报告
Q4 Nursing Pub Date : 2022-12-21 DOI: 10.18700/jnc.220066
C. Primiani, Khalil S. Husari, Rohan Mathur, R. Geocadin
Background: Fixed and dilated pupils (FDPs) have become synonymous with devastating neurological damage and brainstem injury commonly associated with mass effect and herniation. Infrequently, changes in pupillary light response have been described with seizures; however, the loss of pupillary response with documented Neurological Pupil index has not been well established in patients with seizures
背景:瞳孔固定和扩张(FDPs)已成为破坏性神经损伤和脑干损伤的代名词,这些损伤通常与肿块效应和脑疝有关。瞳孔光反应的变化很少被描述为癫痫发作;然而,在癫痫发作的患者中,瞳孔反应的丧失与神经瞳孔指数的记录还没有得到很好的证实
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引用次数: 0
Negative-pressure helmet restores cerebral hemodynamic parameters in sinking skin flap syndrome: a case report 负压头盔恢复下沉型皮瓣综合征患者脑血流动力学参数1例
Q4 Nursing Pub Date : 2022-12-21 DOI: 10.18700/jnc.220072
M. Watchi, H. Quintard, P. Bijlenga, J. Pugin, T. R. Negro
,
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引用次数: 0
Association of chloride-rich fluids and medication diluents on the incidence of hyperchloremia and clinical consequences in aneurysmal subarachnoid hemorrhage 富含氯化物的液体和药物稀释剂对动脉瘤性蛛网膜下腔出血高氯血症发生率和临床后果的影响
Q4 Nursing Pub Date : 2022-12-20 DOI: 10.18700/jnc.220068
Brooke Barlow, Melissa L. Thompson Bastin, Aric Shadler, A. Cook
,
,
{"title":"Association of chloride-rich fluids and medication diluents on the incidence of hyperchloremia and clinical consequences in aneurysmal subarachnoid hemorrhage","authors":"Brooke Barlow, Melissa L. Thompson Bastin, Aric Shadler, A. Cook","doi":"10.18700/jnc.220068","DOIUrl":"https://doi.org/10.18700/jnc.220068","url":null,"abstract":",","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42725943","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: 3
Successful treatment of post–COVID-19 acute disseminated encephalomyelitis with urgent immunotherapy and neurointensive management: a case report 应用紧急免疫疗法和神经强化管理成功治疗新冠肺炎后急性弥漫性脑脊髓炎:一例报告
Q4 Nursing Pub Date : 2022-12-19 DOI: 10.18700/jnc.220078
Jung Seok Lee, H. Kim, Joong-Goo Kim
Background: Acute disseminated encephalomyelitis (ADEM)-like white matter disease, a rare complication of coronavirus disease 2019 (COVID-19), is a potentially life-threatening neurological disorder. The objective of this study was to report the successful treatment of post–COVID-19 ADEM with urgent immunotherapy and neurointensive management. Case Report: A 53-year-old female patient was referred to our hospital with a 2-day history of progressive mental deterioration and was diagnosed with ADEM after COVID-19. The patient's symptoms worsened despite the administration of high-dose steroids, and targeted temperature management was employed to manage brain edema. Additionally, the neurointensivist decided to use intravenous immunoglobulin early for intractable post–COVID-19 ADEM. Her mental status and neuroimaging findings showed rapid im-provement at about 3 months after admission. Conclusion: This case highlights that if the patient's symptoms worsen despite high-dose steroid administration in the acute stage, early use of intravenous immunoglobulin is expected to have a positive effect on the prognosis of patients with post–COVID-19 ADEM. © 2022 The Korean Neurocritical Care Society.
背景:急性播散性脑脊髓炎(ADEM)样白质疾病是2019冠状病毒病(COVID-19)的罕见并发症,是一种可能危及生命的神经系统疾病。本研究的目的是报道通过紧急免疫治疗和神经强化管理成功治疗covid -19后ADEM。病例报告:一名53岁女性患者以2天进行性精神恶化病史转介至我院,在COVID-19后被诊断为ADEM。尽管给予大剂量类固醇,患者的症状仍恶化,并采用靶向温度管理来控制脑水肿。此外,神经强化医师决定早期使用静脉注射免疫球蛋白治疗难治性covid -19后ADEM。入院后约3个月,患者精神状态及神经影像学表现迅速改善。结论:本病例提示,如果患者急性期大剂量类固醇治疗后症状恶化,早期静脉注射免疫球蛋白有望对covid -19后ADEM患者的预后产生积极影响。©2022韩国神经危重症护理协会。
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引用次数: 0
期刊
Journal of Neurocritical Care
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