Y. Park, B. Yoo, Seonghun Jeong, Won Gu Lee, M. Kim, S. Huh, Jin-Hyung Lee
Vestibular schwannoma (VS) is a benign tumor that grows in Schwann cells of the eighth cranial nerve, and it can be treated by surgical removal or stereotactic radiosurgery including gamma knife surgery. Stereotactic radiosurgery for VS was first attempted in 1969 and has been one of the most active treatments in the last 40 years. The main side effects include facial paralysis, hearing loss, trigeminal neuralgia, and hemifacial spasm [1]. In addition, hydrocephalus is a potential concomitant disease [2-4]. In this article, we report a case of normal pressure hydrocephalus (NPH) Normal pressure hydrocephalus after gamma knife radiosurgery in a patient with vestibular schwannoma
{"title":"Normal pressure hydrocephalus after gamma knife radiosurgery in a patient with vestibular schwannoma","authors":"Y. Park, B. Yoo, Seonghun Jeong, Won Gu Lee, M. Kim, S. Huh, Jin-Hyung Lee","doi":"10.18700/jnc.200014","DOIUrl":"https://doi.org/10.18700/jnc.200014","url":null,"abstract":"Vestibular schwannoma (VS) is a benign tumor that grows in Schwann cells of the eighth cranial nerve, and it can be treated by surgical removal or stereotactic radiosurgery including gamma knife surgery. Stereotactic radiosurgery for VS was first attempted in 1969 and has been one of the most active treatments in the last 40 years. The main side effects include facial paralysis, hearing loss, trigeminal neuralgia, and hemifacial spasm [1]. In addition, hydrocephalus is a potential concomitant disease [2-4]. In this article, we report a case of normal pressure hydrocephalus (NPH) Normal pressure hydrocephalus after gamma knife radiosurgery in a patient with vestibular schwannoma","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42584131","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}
Accurate neurological prognostication after brain injury can be exceedingly challenging. In the setting of numerous confounders, such as multi-drug intoxication or overdose, predicting neurological outcomes becomes even more difficult. We describe a case of an intentional overdose of multiple medications, specifically involving bupropion, complicated by cardiopulmonary arrest, renal Bupropion overdose as a clinically significant confounder of the neurological examination
{"title":"Bupropion overdose as a clinically significant confounder of the neurological examination","authors":"Ranier Reyes, S. Figueroa","doi":"10.18700/jnc.200021","DOIUrl":"https://doi.org/10.18700/jnc.200021","url":null,"abstract":"Accurate neurological prognostication after brain injury can be exceedingly challenging. In the setting of numerous confounders, such as multi-drug intoxication or overdose, predicting neurological outcomes becomes even more difficult. We describe a case of an intentional overdose of multiple medications, specifically involving bupropion, complicated by cardiopulmonary arrest, renal Bupropion overdose as a clinically significant confounder of the neurological examination","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45165524","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}
E. Compton, Benjamin Smallheer, N. R. Thomason, M. Norris, Mina F. Nordness, Melissa D. Smith, Mayur B. Patel
Corresponding Author: Mayur Bipin Patel, MD, MPH Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Department of Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA Tel: +1-615-936-0189 Fax: +1-615-936-0185 E-mail: mayur.b.patel@vumc.org Minimal-risk traumatic brain injury management without neurosurgical consultation Elizabeth Starbuck Compton, DNP, AGACNP-BC; Benjamin Allan Smallheer, PhD, ACNP-BC; Nicholas Russell Thomason, MSN, AGACNP-BC; Michael S. Norris, RN; Mina Faye Nordness, MD, MPH (c); Melissa D. Smith, MSN, RN; Mayur Bipin Patel, MD, MPH Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Department of Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN, USA School of Nursing, Adult-Gerontology Acute Care Program, Duke University, Durham, NC, USA Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt Brain Institute, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN, USA Departments of Neurosurgery and Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA Nashville Veterans Affairs (VA) Medical Center, Geriatric Research Education and Clinical Center, Tennessee Valley Healthcare System, United States Department of Veterans Affairs, Nashville, TN, USA
通讯作者:Mayur Bipin Patel，医学博士，公共卫生硕士创伤、急诊普通外科和外科重症护理科，范德比尔特大学医学中心外科科学部，1211 21大道南，404医学艺术大楼，纳什维尔，田纳西州37212，美国电话:+1-615-936-0189传真:+1-615-936-0185 E-mail: mayur.b.patel@vumc.org无神经外科会诊的最小风险创伤性脑损伤管理Elizabeth Starbuck Compton, DNP, AGACNP-BC;Benjamin Allan Smallheer博士，ACNP-BC;尼古拉斯·拉塞尔·托马森，MSN, AGACNP-BC;Michael S. Norris，注册会计师;Mina Faye nornd，医学博士，公共卫生硕士(c);Melissa D. Smith, MSN，注册会计师;Mayur Bipin Patel，医学博士，公共卫生硕士，创伤、急诊普通外科和外科重症监护科，外科科学部，田纳西州纳什维尔范德比尔特大学医学中心，美国护理学院，成人-老年急性护理项目，杜克大学，北卡罗来纳州达勒姆，美国，田纳西州纳什维尔范德比尔特大学医学中心，范德比尔特脑研究所，健康服务研究中心，美国重症、脑功能障碍和生存(CIBS)中心，纳什维尔退伍军人事务(VA)医疗中心，老年医学研究教育和临床中心，田纳西河谷医疗系统，美国退伍军人事务部，纳什维尔，田纳西州，美国
{"title":"Minimal-risk traumatic brain injury management without neurosurgical consultation","authors":"E. Compton, Benjamin Smallheer, N. R. Thomason, M. Norris, Mina F. Nordness, Melissa D. Smith, Mayur B. Patel","doi":"10.18700/jnc.200011","DOIUrl":"https://doi.org/10.18700/jnc.200011","url":null,"abstract":"Corresponding Author: Mayur Bipin Patel, MD, MPH Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Department of Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA Tel: +1-615-936-0189 Fax: +1-615-936-0185 E-mail: mayur.b.patel@vumc.org Minimal-risk traumatic brain injury management without neurosurgical consultation Elizabeth Starbuck Compton, DNP, AGACNP-BC; Benjamin Allan Smallheer, PhD, ACNP-BC; Nicholas Russell Thomason, MSN, AGACNP-BC; Michael S. Norris, RN; Mina Faye Nordness, MD, MPH (c); Melissa D. Smith, MSN, RN; Mayur Bipin Patel, MD, MPH Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Department of Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN, USA School of Nursing, Adult-Gerontology Acute Care Program, Duke University, Durham, NC, USA Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt Brain Institute, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN, USA Departments of Neurosurgery and Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA Nashville Veterans Affairs (VA) Medical Center, Geriatric Research Education and Clinical Center, Tennessee Valley Healthcare System, United States Department of Veterans Affairs, Nashville, TN, USA","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46226796","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}
Shooka Esmaeeli, Courtney M. Hrdlicka, Andres Brenes Bastos, Jeffrey Wang, S. Gomez-Paz, Khalid A. Hanafy, V. Lioutas, C. Ogilvy, A. Thomas, S. Shaefi, C. Fehnel, A. Nozari
Corresponding Author: Shooka Esmaeeli, MD Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, Rosenberg 470, Boston, MA 02215, USA Tel: +1-217-722-9510 Fax: +1-617-754-2735 E-mail: sesmaeel@bidmc.harvard.edu Robotically assisted transcranial Doppler with artificial intelligence for assessment of cerebral vasospasm after subarachnoid hemorrhage Shooka Esmaeeli, MD; Courtney M. Hrdlicka, MD; Andres Brenes Bastos, MD; Jeffrey Wang, MDCM; Santiago Gomez-Paz, MD; Khalid A. Hanafy, MD, PhD; Vasileios-Arsenios Lioutas, MD; Christopher S. Ogilvy, MD; Ajith J. Thomas, MD; Shahzad Shaefi, MD, MPH; Corey R. Fehnel, MD, MPH; Ala Nozari, MD, PhD Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA Neurosurgical Service, Beth Israel Deaconess Medical center, Harvard Medical School, Boston, MA, USA Department of Anesthesiology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA J Neurocrit Care [Epub ahead of print] https://doi.org/10.18700/jnc.200002
{"title":"Robotically assisted transcranial Doppler with artificial intelligence for assessment of cerebral vasospasm after subarachnoid hemorrhage","authors":"Shooka Esmaeeli, Courtney M. Hrdlicka, Andres Brenes Bastos, Jeffrey Wang, S. Gomez-Paz, Khalid A. Hanafy, V. Lioutas, C. Ogilvy, A. Thomas, S. Shaefi, C. Fehnel, A. Nozari","doi":"10.18700/jnc.200002","DOIUrl":"https://doi.org/10.18700/jnc.200002","url":null,"abstract":"Corresponding Author: Shooka Esmaeeli, MD Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, Rosenberg 470, Boston, MA 02215, USA Tel: +1-217-722-9510 Fax: +1-617-754-2735 E-mail: sesmaeel@bidmc.harvard.edu Robotically assisted transcranial Doppler with artificial intelligence for assessment of cerebral vasospasm after subarachnoid hemorrhage Shooka Esmaeeli, MD; Courtney M. Hrdlicka, MD; Andres Brenes Bastos, MD; Jeffrey Wang, MDCM; Santiago Gomez-Paz, MD; Khalid A. Hanafy, MD, PhD; Vasileios-Arsenios Lioutas, MD; Christopher S. Ogilvy, MD; Ajith J. Thomas, MD; Shahzad Shaefi, MD, MPH; Corey R. Fehnel, MD, MPH; Ala Nozari, MD, PhD Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA Neurosurgical Service, Beth Israel Deaconess Medical center, Harvard Medical School, Boston, MA, USA Department of Anesthesiology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA J Neurocrit Care [Epub ahead of print] https://doi.org/10.18700/jnc.200002","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47934122","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}
Fever is probably the most frequent symptom observed in the neurointensive care unit (NICU) by healthcare providers. An oral temperature greater than 37.5°C is considered a fever [1,2]. Hyperpyrexia is usually a diagnosis of exclusion, with temperatures exceeding 41°C and nonresponsiveness to antipyretic treatment [3,4]. Fever is seen in almost 70% of neurocritically ill patients [5-10]. Fever of central origin was first described by in the journal Brain by Erickson [11] in 1939. A significant number of these patients have fever from noninfectious causes (47% in Kilpatrick et al. [6] and 25% in Commichau et al. [7]), but this is ofCentral fever: a challenging clinical entity in neurocritical care Keshav Goyal, MD, DM; Neha Garg, MD; Parmod Bithal, MD Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Institute of Liver and Biliary Science, Delhi, India Department of Anesthesiology, King Fahd Medical City, Riyadh, Saudi Arabia Review Article
{"title":"Central fever: a challenging clinical entity in neurocritical care","authors":"K. Goyal, Neha Garg, P. Bithal","doi":"10.18700/jnc.190090","DOIUrl":"https://doi.org/10.18700/jnc.190090","url":null,"abstract":"Fever is probably the most frequent symptom observed in the neurointensive care unit (NICU) by healthcare providers. An oral temperature greater than 37.5°C is considered a fever [1,2]. Hyperpyrexia is usually a diagnosis of exclusion, with temperatures exceeding 41°C and nonresponsiveness to antipyretic treatment [3,4]. Fever is seen in almost 70% of neurocritically ill patients [5-10]. Fever of central origin was first described by in the journal Brain by Erickson [11] in 1939. A significant number of these patients have fever from noninfectious causes (47% in Kilpatrick et al. [6] and 25% in Commichau et al. [7]), but this is ofCentral fever: a challenging clinical entity in neurocritical care Keshav Goyal, MD, DM; Neha Garg, MD; Parmod Bithal, MD Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Institute of Liver and Biliary Science, Delhi, India Department of Anesthesiology, King Fahd Medical City, Riyadh, Saudi Arabia Review Article","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44616763","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}
Cefepime, a fourth-generation cephalosporin antibiotic, was approved for use in 1996. It is widely used to treat severe bacterial infections because it acts against both gram-negative and gram-positive bacterial strains, and has antipseudomonal activity. Safety data of cefepime in clinical trials were relatively favorable when initially approved. Approximately 3% of 2,032 patients treated with cefepime experienced adverse central nervous system (CNS) effects including headache (2.4%), dizziness (0.7%), and Cefepime-induced neurotoxicity
{"title":"Cefepime-induced neurotoxicity","authors":"Se-Jin Lee","doi":"10.18700/jnc.190109","DOIUrl":"https://doi.org/10.18700/jnc.190109","url":null,"abstract":"Cefepime, a fourth-generation cephalosporin antibiotic, was approved for use in 1996. It is widely used to treat severe bacterial infections because it acts against both gram-negative and gram-positive bacterial strains, and has antipseudomonal activity. Safety data of cefepime in clinical trials were relatively favorable when initially approved. Approximately 3% of 2,032 patients treated with cefepime experienced adverse central nervous system (CNS) effects including headache (2.4%), dizziness (0.7%), and Cefepime-induced neurotoxicity","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44693432","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}
Vertebrobasilar dolichoectasia (VBD) is an arteriopathy resulting in pathological elongation, twisting, and dilatation of the vertebrobasilar artery. Dolichoectasia mostly occurs in the posterior cerebral circulation, but it can also occur in the anterior cerebral circulation; the basilar artery is involved in >80% of cases. As the basilar artery gives off several branches at large angles, and the shearing forces are greater at the branching points, VBD can occur [1,2]. CASE REPORT
{"title":"Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia","authors":"Jun-Yop Kim, J. W. Kim, M. Yoon, S. Suk","doi":"10.18700/JNC.190081","DOIUrl":"https://doi.org/10.18700/JNC.190081","url":null,"abstract":"Vertebrobasilar dolichoectasia (VBD) is an arteriopathy resulting in pathological elongation, twisting, and dilatation of the vertebrobasilar artery. Dolichoectasia mostly occurs in the posterior cerebral circulation, but it can also occur in the anterior cerebral circulation; the basilar artery is involved in >80% of cases. As the basilar artery gives off several branches at large angles, and the shearing forces are greater at the branching points, VBD can occur [1,2]. CASE REPORT","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44286136","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}
J. Park, Jeong Yeon Kim, J. Baik, Jae Hyeon Park, H. Nam, S. Han
Prior antithrombotic use is significantly associated with decreased blood viscosity within 24 hours of symptom onset in patients with acute ischemic stroke Joong Hyun Park, MD; Jeong Yeon Kim, MD, PhD; Jong Sam Baik, MD, PhD; Jae Hyeon Park, MD, PhD; Hyo Suk Nam, MD, PhD; Sang Won Han, MD Department of Neurology, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea Department of Neurology, Yonsei University College of Medicine, Seoul, Republic of Korea ORIGINAL ARTICLE J Neurocrit Care [Epub ahead of print] https://doi.org/10.18700/jnc.190092
在急性缺血性中风患者中，既往使用抗血栓药物与症状出现后24小时内血液粘度下降显著相关；Jeong Yeon Kim，医学博士、博士；Jong Sam Baik，医学博士、博士；Jae Hyeon Park，医学博士、博士；Hyo Suk Nam，医学博士、博士；Sang Won Han，医学博士，仁杰大学Sangye Paik医院，仁杰医学院，韩国首尔，延世大学医学院，神经内科，韩国首尔https://doi.org/10.18700/jnc.190092
{"title":"Prior antithrombotic use is significantly associated with decreased blood viscosity within 24 hours of symptom onset in patients with acute ischemic stroke","authors":"J. Park, Jeong Yeon Kim, J. Baik, Jae Hyeon Park, H. Nam, S. Han","doi":"10.18700/jnc.190092","DOIUrl":"https://doi.org/10.18700/jnc.190092","url":null,"abstract":"Prior antithrombotic use is significantly associated with decreased blood viscosity within 24 hours of symptom onset in patients with acute ischemic stroke Joong Hyun Park, MD; Jeong Yeon Kim, MD, PhD; Jong Sam Baik, MD, PhD; Jae Hyeon Park, MD, PhD; Hyo Suk Nam, MD, PhD; Sang Won Han, MD Department of Neurology, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea Department of Neurology, Yonsei University College of Medicine, Seoul, Republic of Korea ORIGINAL ARTICLE J Neurocrit Care [Epub ahead of print] https://doi.org/10.18700/jnc.190092","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49421441","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}
Chul-Hoo Kang, J. Roh, J. Yeom, Sang Won Lee, S. Baik
located within or near the walls of the CS. Transvenous embolization is considered to be an effective treatment for CS DAVF. We describe a novel technique for the use of transvenous Onyx embolization in the treatment of CS DAVF, which uses a temporary balloon to occlude the arterial side for flow control. Case Report: A 63-year-old woman presented with ocular pain and ptosis of the left eye. Cerebral angiography showed a left CS DAVF fed by multiple branches of the left external carotid artery. We successfully treated the CS DAVF using transvenous Onyx embolization with temporary balloon occlusion of the proximal feeding artery to decrease the shunted flow. Conclusion: Transvenous Onyx embolization with flow control via temporary balloon occlusion may be a useful technique for the embolization of CS DAVFs with multiple arterial feeders.
{"title":"Transvenous Onyx embolization of cavernous sinus dural arteriovenous fistula using a balloon catheter in the arterial side for flow control","authors":"Chul-Hoo Kang, J. Roh, J. Yeom, Sang Won Lee, S. Baik","doi":"10.18700/jnc.190089","DOIUrl":"https://doi.org/10.18700/jnc.190089","url":null,"abstract":"located within or near the walls of the CS. Transvenous embolization is considered to be an effective treatment for CS DAVF. We describe a novel technique for the use of transvenous Onyx embolization in the treatment of CS DAVF, which uses a temporary balloon to occlude the arterial side for flow control. Case Report: A 63-year-old woman presented with ocular pain and ptosis of the left eye. Cerebral angiography showed a left CS DAVF fed by multiple branches of the left external carotid artery. We successfully treated the CS DAVF using transvenous Onyx embolization with temporary balloon occlusion of the proximal feeding artery to decrease the shunted flow. Conclusion: Transvenous Onyx embolization with flow control via temporary balloon occlusion may be a useful technique for the embolization of CS DAVFs with multiple arterial feeders.","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46265502","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}
A. Salem, D. Roh, Ryan S. Kitagawa, HUIMAHN A. Choi, Tiffany Chang
{"title":"Assessment and management of coagulopathy in neurocritical care","authors":"A. Salem, D. Roh, Ryan S. Kitagawa, HUIMAHN A. Choi, Tiffany Chang","doi":"10.18700/JNC.190086","DOIUrl":"https://doi.org/10.18700/JNC.190086","url":null,"abstract":"","PeriodicalId":33246,"journal":{"name":"Journal of Neurocritical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44329667","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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