Pub Date : 2018-10-10DOI: 10.32587/JNIC.2018.00009
Dong-Hyuk Park, Sang Gu Lee
{"title":"We Have a Historical Inaugural Issue of JNIC ahead","authors":"Dong-Hyuk Park, Sang Gu Lee","doi":"10.32587/JNIC.2018.00009","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00009","url":null,"abstract":"","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"38 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":"123839310","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.2018.00066
S. Lee, Won Joo Jeong, S. Choi, B. Kwun
Corresponding Author: Sung Ho Lee, M.D., Ph.D. Department of Neurosurgery, School of Medicine, Kyung Hee University, 23 Kyung Hee Dae Ro, Dongdaemoon-gu, Seoul 02447, Korea Tel: +82-2-958-8385 Fax: +82-2-958-8380 Email:nslsh@khu.ac.kr; nooname79@gmail.com Venous thromboembolism (VTE) after stroke is an infrequent but potentially fatal medical complication. The incidence of VTE was shown to be higher in hemorrhagic stroke than in ischemic stroke by several studies; however, no strategy for VTE screening and prophylaxis has been established. Lower extremity ultrasonography (US) is the diagnostic method of choice, but routine application for stroke patients is still debated. For prevention, graduated compression stockings (GCS) have little effect on VTE, and thigh-high GCS should be selected. Early use of intermittent pneumatic compression (IPC) has strong evidence for preventing VTE and is recommended in several clinical guidelines for managing intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). Prophylactic heparin products are still debated for preventing VTE despite the risk of rebleeding or hematoma enlargement. To date, administering low-dose, low-molecular-weight heparin (LMWH) seems the best method to prevent VTE with less risk of hemorrhagic complications. However, the optimal product, dose, and timing are unclear.
通讯作者:Sung Ho Lee, M.D, Ph.D.韩国首尔东大门区庆熙大路23号庆熙大学医学院神经外科电话:+82-2-958-8385传真:+82-2-958-8380电子邮件:nslsh@khu.ac.kr;nooname79@gmail.com中风后静脉血栓栓塞(VTE)是一种罕见但潜在致命的医学并发症。几项研究表明，出血性卒中中静脉血栓栓塞的发生率高于缺血性卒中;然而，静脉血栓栓塞筛查和预防策略尚未建立。下肢超声检查(US)是首选的诊断方法，但对脑卒中患者的常规应用仍有争议。为了预防，分级压缩长筒袜(GCS)对静脉血栓栓塞的影响不大，应选择及腿高的GCS。早期使用间歇气动压缩(IPC)有强有力的证据可以预防静脉血栓栓塞(VTE)，并且在一些治疗脑出血(ICH)和蛛网膜下腔出血(SAH)的临床指南中被推荐。预防性肝素产品在预防静脉血栓栓塞方面仍存在争议，尽管存在再出血或血肿扩大的风险。迄今为止，低剂量、低分子量肝素(LMWH)似乎是预防静脉血栓栓塞的最佳方法，而且出血并发症的风险较小。然而，最佳产品、剂量和时间尚不清楚。
{"title":"Deep Vein Thrombosis and Pulmonary Embolism following Hemorrhagic Stroke","authors":"S. Lee, Won Joo Jeong, S. Choi, B. Kwun","doi":"10.32587/JNIC.2018.00066","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00066","url":null,"abstract":"Corresponding Author: Sung Ho Lee, M.D., Ph.D. Department of Neurosurgery, School of Medicine, Kyung Hee University, 23 Kyung Hee Dae Ro, Dongdaemoon-gu, Seoul 02447, Korea Tel: +82-2-958-8385 Fax: +82-2-958-8380 Email:nslsh@khu.ac.kr; nooname79@gmail.com Venous thromboembolism (VTE) after stroke is an infrequent but potentially fatal medical complication. The incidence of VTE was shown to be higher in hemorrhagic stroke than in ischemic stroke by several studies; however, no strategy for VTE screening and prophylaxis has been established. Lower extremity ultrasonography (US) is the diagnostic method of choice, but routine application for stroke patients is still debated. For prevention, graduated compression stockings (GCS) have little effect on VTE, and thigh-high GCS should be selected. Early use of intermittent pneumatic compression (IPC) has strong evidence for preventing VTE and is recommended in several clinical guidelines for managing intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). Prophylactic heparin products are still debated for preventing VTE despite the risk of rebleeding or hematoma enlargement. To date, administering low-dose, low-molecular-weight heparin (LMWH) seems the best method to prevent VTE with less risk of hemorrhagic complications. However, the optimal product, dose, and timing are unclear.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"12 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":"121286922","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.2018.00052
W. Kwon, Dong-Hyuk Park, HanJu Kim, Woong-Bae Park, Jong-Keon Oh, H. Moon, Joo Han Kim, Youn-Kwan Park
Woo-Keun Kwon , Dong-Hyuk Park, Han Kim, Woong-Bae Park, JongKeon Oh, MD, PhD , Hong Joo Moon, Joo Han Kim, Youn-Kwan Park Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea Focused Training Center for Trauma, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
{"title":"Surgical Treatment in Neurocritical Care for Acute Spinal Cord Injuries","authors":"W. Kwon, Dong-Hyuk Park, HanJu Kim, Woong-Bae Park, Jong-Keon Oh, H. Moon, Joo Han Kim, Youn-Kwan Park","doi":"10.32587/JNIC.2018.00052","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00052","url":null,"abstract":"Woo-Keun Kwon , Dong-Hyuk Park, Han Kim, Woong-Bae Park, JongKeon Oh, MD, PhD , Hong Joo Moon, Joo Han Kim, Youn-Kwan Park Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea Focused Training Center for Trauma, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"64 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":"131496974","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.2018.00031
Dong Ju, J. Ryu, Yong Oh Kim, Sangkil Lee, J. Baek
Dong Gyun Ju, Jeong-Am Ryu , Yong Oh Kim, Sangkil Lee, Ji Sun Baek Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Neurology, ChungBuk National University Hospital, Cheongju, Korea Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea
donggyun Ju, Jeong-Am Ryu, Yong Oh Kim, Sangkil Lee, Ji sunek Baek首尔成均馆大学医学院三星医疗中心神经外科，成均馆大学医学院三星医疗中心韩国重症医学科，清州忠北大学医院韩国神经内科，建阳大学韩国眼科医院，首尔明谷眼科研究所金氏眼科医院
{"title":"The Prognostic Value of Optic Nerve Sheath Diameter in Patients with Poor-Grade Subarachnoid Hemorrhages","authors":"Dong Ju, J. Ryu, Yong Oh Kim, Sangkil Lee, J. Baek","doi":"10.32587/JNIC.2018.00031","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00031","url":null,"abstract":"Dong Gyun Ju, Jeong-Am Ryu , Yong Oh Kim, Sangkil Lee, Ji Sun Baek Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Neurology, ChungBuk National University Hospital, Cheongju, Korea Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"34 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":"124318025","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.2018.00024
Jin Wook Kim, J. Jeong
Corresponding Author: Ju Ho Jeong, M.D., Ph.D. Department of Neurosurgery, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, 87 Dongdaero, Gyeongju 38067, Korea Tel: +82-54-770-8232 Fax: +82-54-770-8378 E-mail: ktokhou@gmail.com Posterior reversible encephalopathy syndrome (PRES), also named reversible posterior leukoencephalopathy, is not a familiar term to neurosurgeon. The PRES is characterized by various kinds of neurologic signs and symptoms that include headache, seizure, altered mental status, lethalgy, visual loss and focal neurological disability. A 63-year-old female visited with upper back pain and both leg weakness. She has been receiving chemotherapy with gemcitabine and cisplatin for lung cancer with multiple bone metastasis. According to the imaging, we diagnosed the patient as T8 pathologic fracture. Five days after surgical decompression, she suddenly complained of visual loss. Magnetic resonance imaging(MRI) of the brain showed bilateral subcortical and cortical edema in the parieto-occipital area. Her MRI finding and symptoms suggested the PRES. Five days after conservative treatment, her visual disturbance was completely recovered. We believe that accurate and early detection of PRES and adequate treatment is very important for the patient having a history of chemotherapy.
通讯作者:Ju Ho Jeong, M.D, Ph.D.韩国庆州38067东大路87号东国大学医学院东国大学庆州医院神经外科电话:+82-54-770-8232传真:+82-54-770-8378 E-mail: ktokhou@gmail.com后部可逆性脑病综合征(PRES)，也称为可逆性后部白质脑病，是神经外科医生不熟悉的术语。PRES的特点是各种神经系统体征和症状，包括头痛、癫痫发作、精神状态改变、嗜睡、视力丧失和局灶性神经功能障碍。一名63岁女性因上背部疼痛和双腿无力就诊。她一直在接受吉西他滨和顺铂化疗肺癌多发性骨转移。根据影像学检查，我们诊断患者为T8病理性骨折。手术减压5天后，她突然抱怨视力下降。脑磁共振成像(MRI)显示双侧皮质下和皮质水肿在顶枕区。经保守治疗5天后，患者视力障碍完全恢复。我们认为，对于有化疗史的患者来说，准确、早期发现PRES和适当的治疗是非常重要的。
{"title":"Posterior Reversible Encephalopathy Syndrome in a Patient with Spinal Metastasis","authors":"Jin Wook Kim, J. Jeong","doi":"10.32587/JNIC.2018.00024","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00024","url":null,"abstract":"Corresponding Author: Ju Ho Jeong, M.D., Ph.D. Department of Neurosurgery, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, 87 Dongdaero, Gyeongju 38067, Korea Tel: +82-54-770-8232 Fax: +82-54-770-8378 E-mail: ktokhou@gmail.com Posterior reversible encephalopathy syndrome (PRES), also named reversible posterior leukoencephalopathy, is not a familiar term to neurosurgeon. The PRES is characterized by various kinds of neurologic signs and symptoms that include headache, seizure, altered mental status, lethalgy, visual loss and focal neurological disability. A 63-year-old female visited with upper back pain and both leg weakness. She has been receiving chemotherapy with gemcitabine and cisplatin for lung cancer with multiple bone metastasis. According to the imaging, we diagnosed the patient as T8 pathologic fracture. Five days after surgical decompression, she suddenly complained of visual loss. Magnetic resonance imaging(MRI) of the brain showed bilateral subcortical and cortical edema in the parieto-occipital area. Her MRI finding and symptoms suggested the PRES. Five days after conservative treatment, her visual disturbance was completely recovered. We believe that accurate and early detection of PRES and adequate treatment is very important for the patient having a history of chemotherapy.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"4 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":"121247272","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.2018.00017
C. Park
Corresponding Author: Cheol Wan Park, M.D., Ph.D. Department of Neurosurgery and Emergency Medicine, Section of Critical Care Medicine, Cancer Center, Gil Medical Center, Gachon University, 1141-8 Guweol-Dong, Namdong-Gu, Incheon 21556, Korea Tel: +82-32-460-3304 Fax: +82-32-460-3899 E-mail: cwpark@gilhospital.com Almost all neurosurgeons have concerned with postoperative uneventful recovery of their patients. However, although rare but endlessly, unexpected postoperative adverse events have occurred. Neurosurgeons, then are embarrassed and they search the causes and/or pathogenesis of such problems. Also rare, a few neurosurgeons may have been forced to litigate because of such unexpected and thus uninformed postoperative events.
通讯作者:Cheol Wan Park, M.D, Ph.D.韩国仁川市南洞区龟月洞1141-8号加川大学吉尔医疗中心肿瘤中心神经外科急诊医学科电话:+82-32-460-3304传真:+82-32-460-3899电子邮件:cwpark@gilhospital.com几乎所有的神经外科医生都关心患者术后的顺利恢复。然而，术后意外不良事件虽少但层出不穷。神经外科医生感到尴尬，他们寻找这些问题的原因和/或发病机制。同样罕见的是，一些神经外科医生可能因为这些意外和不知情的术后事件而被迫提起诉讼。
{"title":"Postoperative Cerebrospinal Fluid Hypovolemia in Neurosurgery","authors":"C. Park","doi":"10.32587/JNIC.2018.00017","DOIUrl":"https://doi.org/10.32587/JNIC.2018.00017","url":null,"abstract":"Corresponding Author: Cheol Wan Park, M.D., Ph.D. Department of Neurosurgery and Emergency Medicine, Section of Critical Care Medicine, Cancer Center, Gil Medical Center, Gachon University, 1141-8 Guweol-Dong, Namdong-Gu, Incheon 21556, Korea Tel: +82-32-460-3304 Fax: +82-32-460-3899 E-mail: cwpark@gilhospital.com Almost all neurosurgeons have concerned with postoperative uneventful recovery of their patients. However, although rare but endlessly, unexpected postoperative adverse events have occurred. Neurosurgeons, then are embarrassed and they search the causes and/or pathogenesis of such problems. Also rare, a few neurosurgeons may have been forced to litigate because of such unexpected and thus uninformed postoperative events.","PeriodicalId":356321,"journal":{"name":"Journal of Neurointensive Care","volume":"12 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":"122149133","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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