Pub Date : 2019-04-22DOI: 10.32587/JNIC.2019.00115
S. You, Jai-Hyuck Han, Young Gyu Kim, Y. Park
{"title":"Central Pontine Myelinolysis After Non-Aneurysmal Perimesencephalic Subarachnoid Hemorrhage: Case Report and Review of the Literature","authors":"S. You, Jai-Hyuck Han, Young Gyu Kim, Y. Park","doi":"10.32587/JNIC.2019.00115","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00115","url":null,"abstract":"","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130084427","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}
Pub Date : 2019-04-22DOI: 10.32587/JNIC.2019.00122
Sang Hoon Lee, Kyung-Jae Park, Dong-Hyuk Park, Shin-Hyuk Kang, Yong-Gu Jung, J. Park
Acute ischemic stroke is one of leading causes of disability worldwide. Current therapeutic modalities have very narrow time window, therefore adequate diagnosis and therapeutic modality choice is very important. This article highlights the issues regarding current recommendation of early in-hospital management of acute ischemic stroke. By understanding current recommendation of treatment, we can better access and treat patients with acute ischemic stroke.
{"title":"Early In-hospital Management of Acute Ischemic Stroke","authors":"Sang Hoon Lee, Kyung-Jae Park, Dong-Hyuk Park, Shin-Hyuk Kang, Yong-Gu Jung, J. Park","doi":"10.32587/JNIC.2019.00122","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00122","url":null,"abstract":"Acute ischemic stroke is one of leading causes of disability worldwide. Current therapeutic modalities have very narrow time window, therefore adequate diagnosis and therapeutic modality choice is very important. This article highlights the issues regarding current recommendation of early in-hospital management of acute ischemic stroke. By understanding current recommendation of treatment, we can better access and treat patients with acute ischemic stroke.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130076831","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}
Pub Date : 2019-04-17DOI: 10.32587/JNIC.2019.00087
Seong-woo Lee, Kyung-Jae Park, Shin-Hyuk Kang, Dong-Hyuk Park
We report a case of blood blister-like aneurysm treated with coil embolization without stent assistance. A 34-year-old man with a medical history of hypertension presented with subarachnoid hemorrhage. Initial digital subtraction and computed tomography angiography did not demonstrate definite vascular pathologies. Two weeks later, follow-up angiography showed a wide neck aneurysm on the dorsal wall of left distal internal carotid artery, which was not found on the first angiograms. This blood blister-like aneurysm was successfully treated with coil embolization without stent assistance, and the regrowth or recanalization has not been identified for 6 months. While both surgical and endovascular procedures are quite challenging, endovascular coiling with stent assistance for this aneurysm is generally recommended. But endovascular coiling without stent assistance may be attempted for instances such as relatively narrow neck and young age.
{"title":"Blood Blister-like Aneurysm Treated with Coil Embolization without Stent Assistance","authors":"Seong-woo Lee, Kyung-Jae Park, Shin-Hyuk Kang, Dong-Hyuk Park","doi":"10.32587/JNIC.2019.00087","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00087","url":null,"abstract":"We report a case of blood blister-like aneurysm treated with coil embolization without stent assistance. A 34-year-old man with a medical history of hypertension presented with subarachnoid hemorrhage. Initial digital subtraction and computed tomography angiography did not demonstrate definite vascular pathologies. Two weeks later, follow-up angiography showed a wide neck aneurysm on the dorsal wall of left distal internal carotid artery, which was not found on the first angiograms. This blood blister-like aneurysm was successfully treated with coil embolization without stent assistance, and the regrowth or recanalization has not been identified for 6 months. While both surgical and endovascular procedures are quite challenging, endovascular coiling with stent assistance for this aneurysm is generally recommended. But endovascular coiling without stent assistance may be attempted for instances such as relatively narrow neck and young age.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132959648","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}
Pub Date : 2019-04-17DOI: 10.32587/JNIC.2019.00094
Y. Cho, Keuntae Kim
The classification of epilepsy is revised in 2017, of which framework supports detailed semiology of seizure as well as etiology of epilepsy. Accordingly, there are terms used previously have changed, and new terms that did not exist before. Electroencephalography is indispensable in the diagnosis of epilepsy, and it is also an important way to investigate cerebral activity. In this review, we summarize the classification of epilepsy and discuss the clinical significance of electroencephalography.
{"title":"The Latest Classification of Epilepsy and Clinical Significance of Electroencephalography","authors":"Y. Cho, Keuntae Kim","doi":"10.32587/JNIC.2019.00094","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00094","url":null,"abstract":"The classification of epilepsy is revised in 2017, of which framework supports detailed semiology of seizure as well as etiology of epilepsy. Accordingly, there are terms used previously have changed, and new terms that did not exist before. Electroencephalography is indispensable in the diagnosis of epilepsy, and it is also an important way to investigate cerebral activity. In this review, we summarize the classification of epilepsy and discuss the clinical significance of electroencephalography.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130778926","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}
Pub Date : 2019-04-17DOI: 10.32587/JNIC.2019.00101
J. Park, K. Jo, Hoon Kim
Objectives The effect of statins on venous thromboembolism (VTE) especially pulmonary embolism (PE) is debatable. This study investigated whether statin medication can decrease the occurrence of VTE in patients with hemorrhagic stroke during the acute period. Methods This is a retrospective study of patients with hemorrhagic stroke between March 2011 and December 2013. Patients with newly diagnosed hemorrhagic stroke were observed during 6 weeks of hospitalisation. Occurrence determined using Doppler ultrasound and computed angiography was used to assess risk factors of VTE in patients with hemorrhagic stroke during the acute period. The difference and incidence of the VTE among acute hemorrhagic stroke was analysed in patients who did not receive no statin medication, who received statin medication after the current hemorrhagic stroke, and who received statin medication after previous hemorrhagic stroke. Results Among 98 patients, 9 (9.2%) patients representing 3 from each group had VTE (6 for deep vein thrombosis and 3 for PE) during the follow-up. Each incidence of VTE was 6.4%, 13.6%, and 10.3% in patients who did not receive statins, who received statin medication after the current hemorrhagic stroke, and who received statin medication after previous hemorrhagic stroke, respectively (p>0.05). Conclusions Moderate instensity dose of statin use was not associated with a reduced risk of VTE in patients with hemorrhagic stroke, especially in the acute period. Randomized, placebo-controlled trials are needed to evaluate the potential benefits of lipid-lowering statin in the prevention of venous thromboembolisn in patients with heamorrhagic stroke.
{"title":"Do Statins Help Prevent VTE After Hemorrhagic Stroke During the Acute Period?","authors":"J. Park, K. Jo, Hoon Kim","doi":"10.32587/JNIC.2019.00101","DOIUrl":"https://doi.org/10.32587/JNIC.2019.00101","url":null,"abstract":"Objectives The effect of statins on venous thromboembolism (VTE) especially pulmonary embolism (PE) is debatable. This study investigated whether statin medication can decrease the occurrence of VTE in patients with hemorrhagic stroke during the acute period. Methods This is a retrospective study of patients with hemorrhagic stroke between March 2011 and December 2013. Patients with newly diagnosed hemorrhagic stroke were observed during 6 weeks of hospitalisation. Occurrence determined using Doppler ultrasound and computed angiography was used to assess risk factors of VTE in patients with hemorrhagic stroke during the acute period. The difference and incidence of the VTE among acute hemorrhagic stroke was analysed in patients who did not receive no statin medication, who received statin medication after the current hemorrhagic stroke, and who received statin medication after previous hemorrhagic stroke. Results Among 98 patients, 9 (9.2%) patients representing 3 from each group had VTE (6 for deep vein thrombosis and 3 for PE) during the follow-up. Each incidence of VTE was 6.4%, 13.6%, and 10.3% in patients who did not receive statins, who received statin medication after the current hemorrhagic stroke, and who received statin medication after previous hemorrhagic stroke, respectively (p>0.05). Conclusions Moderate instensity dose of statin use was not associated with a reduced risk of VTE in patients with hemorrhagic stroke, especially in the acute period. Randomized, placebo-controlled trials are needed to evaluate the potential benefits of lipid-lowering statin in the prevention of venous thromboembolisn in patients with heamorrhagic stroke.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132511592","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}
Pub Date : 2018-10-10DOI: 10.32587/JNIC.2018.00038
W. Cho, E. Ha, S. Ko, Seungman Yang, Hyunchul Kim, J. Kim
Won-Sang Cho, Eun Jin Ha , Sang Bae Ko , Seungman Yang , Hee Chan Kim, Jeong Eun Kim Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Biomedical Engineering, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Critical Care Center, Seoul National University Hospital, Seoul, Korea Interdisciplinary Program in Bioengineering, Seoul National University, Seoul, Korea
{"title":"New Parameters for Evaluating Cerebral Autoregulation and Pressure-Volume Compensatory Reserve in Neurocritial Patients","authors":"W. Cho, E. Ha, S. Ko, Seungman Yang, Hyunchul Kim, J. Kim","doi":"10.32587/JNIC.2018.00038","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00038","url":null,"abstract":"Won-Sang Cho, Eun Jin Ha , Sang Bae Ko , Seungman Yang , Hee Chan Kim, Jeong Eun Kim Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Biomedical Engineering, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Critical Care Center, Seoul National University Hospital, Seoul, Korea Interdisciplinary Program in Bioengineering, Seoul National University, Seoul, Korea","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129423418","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}
Pub Date : 2018-10-10DOI: 10.32587/JNIC.2018.00059
Seong-woo Lee, Jin-woo Park, Kyung-Jae Park, Shin-Hyuk Kang, Yong-Gu Jung, J. Park, Dong-Hyuk Park
Between January 2006 and December 2016, a total of 279 patients treated UIAs with surgical clipping or coil embolization have been included in this study. In the same period, 100 patients did undergo transfemoral cerebral angiograms and were initially managed with observation. Aneurysmal characteristics and patinets were compared between the treated and the observed group. The association between these factors and the decision of treatment was performed using a multivariate logistic regression analysis.
{"title":"Analysis of Predisposing Factors of the Treatment of Patients with Unruptured Intracranial Aneurysms","authors":"Seong-woo Lee, Jin-woo Park, Kyung-Jae Park, Shin-Hyuk Kang, Yong-Gu Jung, J. Park, Dong-Hyuk Park","doi":"10.32587/JNIC.2018.00059","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00059","url":null,"abstract":"Between January 2006 and December 2016, a total of 279 patients treated UIAs with surgical clipping or coil embolization have been included in this study. In the same period, 100 patients did undergo transfemoral cerebral angiograms and were initially managed with observation. Aneurysmal characteristics and patinets were compared between the treated and the observed group. The association between these factors and the decision of treatment was performed using a multivariate logistic regression analysis.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130294997","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}
Pub Date : 2018-10-10DOI: 10.32587/JNIC.2018.00010
H. Shin, Geun Young Yang, Young Zoon Kim
License: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Clinical Advantage of Propofol Compared with Barbiturate for the Coma Therapy in the Patients with Severe Traumatic Brain Injury
{"title":"Clinical Advantage of Propofol Compared with Barbiturate for the Coma Therapy in the Patients with Severe Traumatic Brain Injury","authors":"H. Shin, Geun Young Yang, Young Zoon Kim","doi":"10.32587/JNIC.2018.00010","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00010","url":null,"abstract":"License: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Clinical Advantage of Propofol Compared with Barbiturate for the Coma Therapy in the Patients with Severe Traumatic Brain Injury","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114700803","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}
Pub Date : 2018-10-10DOI: 10.32587/JNIC.2018.00073
Kun-Hee Han, Kyu-Sun Choi, Y. Ko, H. Yi, D. H. Song
License: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. J Neurointensive Care 2018;1(1):51-54 https://doi.org/10.32587/jnic.2018.00073 Case Report eISSN 2635-5280
{"title":"Concurrent Isolated Cortical Vein Thrombosis and Pulmonary Thromboembolism as An Initial Presentation of Protein S Deficiency","authors":"Kun-Hee Han, Kyu-Sun Choi, Y. Ko, H. Yi, D. H. Song","doi":"10.32587/JNIC.2018.00073","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00073","url":null,"abstract":"License: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. J Neurointensive Care 2018;1(1):51-54 https://doi.org/10.32587/jnic.2018.00073 Case Report eISSN 2635-5280","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"371 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124648936","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}
Pub Date : 2018-10-10DOI: 10.32587/JNIC.2018.00045
Junseok W. Hur, Dong-Hyuk Park, Jang-Bo Lee, Tai-Hyoung Cho, J. Park
Corresponding Author: Junseok W Hur, M.D., Ph.D. Department of Neurosurgery, College of Medicine, Korea University, 73 Inchon-ro, Seongbuk-gu, Seoul 02841, Korea Tel: +82-2-920-5729 Fax: +82-2-929-0629 E-mail: hurjune@gmail.com The spinal cord injury (SCI) patients suffer various medical conditions at early period after injury. Methylprednisolone could be administrated for neurologic recovery but the potential side effects could be carefully considered. Besides limb motor and sensory deficits, SCI could affect various respiratory muscles as diaphragm, chest wall, and abdomen which leads to respiratory failure and mechanical ventilation. Sympathetic nerve denervation could lead hypotension and bradycardia. Volume supplement and cardiovascular constrictor could be considered. Prevention and treatment of pressure sore are essential and active pain control should be started from the intensive care unit.
通讯作者:Junseok W Hur, M.D, Ph.D.高丽大学医学院神经外科，首尔城北区仁川路73号，韩国电话:+82-2-920-5729传真:+82-2-929-0629 E-mail: hurjune@gmail.com脊髓损伤(SCI)患者在损伤后的早期会出现各种各样的疾病。甲强的松龙可用于神经系统恢复，但应仔细考虑潜在的副作用。除了肢体运动和感觉障碍外，脊髓损伤还可影响膈肌、胸壁、腹部等多种呼吸肌，导致呼吸衰竭和机械通气。交感神经去支配可导致低血压和心动过缓。可考虑体积补充和心血管收缩。预防和治疗压疮是必不可少的，积极的疼痛控制应从重症监护病房开始。
{"title":"Neurological Intensive Care for Acute Spinal Cord Injury Patients","authors":"Junseok W. Hur, Dong-Hyuk Park, Jang-Bo Lee, Tai-Hyoung Cho, J. Park","doi":"10.32587/JNIC.2018.00045","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00045","url":null,"abstract":"Corresponding Author: Junseok W Hur, M.D., Ph.D. Department of Neurosurgery, College of Medicine, Korea University, 73 Inchon-ro, Seongbuk-gu, Seoul 02841, Korea Tel: +82-2-920-5729 Fax: +82-2-929-0629 E-mail: hurjune@gmail.com The spinal cord injury (SCI) patients suffer various medical conditions at early period after injury. Methylprednisolone could be administrated for neurologic recovery but the potential side effects could be carefully considered. Besides limb motor and sensory deficits, SCI could affect various respiratory muscles as diaphragm, chest wall, and abdomen which leads to respiratory failure and mechanical ventilation. Sympathetic nerve denervation could lead hypotension and bradycardia. Volume supplement and cardiovascular constrictor could be considered. Prevention and treatment of pressure sore are essential and active pain control should be started from the intensive care unit.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134298522","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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