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Journal of Neurocritical Care
ISSN 2005-0348 · The Korean Neurocritical Care Society · 288 artikel di indeks
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Concurrent serotonin syndrome and malignant hyperthermia: a rare postoperative challenge
Background Serotonin syndrome (SS) and malignant hyperthermia (MH) are potentially life-threatening hypermetabolic syndromes that may develop perioperatively. Although both conditions manifest as hyperthermic crises, they have distinct underlying causes and require different management strategies…
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Artificial intelligence-quantified total hemorrhagic burden on susceptibility-weighted imaging in acute ischemic stroke: a multicenter cohort analysis
Background Susceptibility-weighted imaging (SWI) reveals three forms of cerebral hemorrhagic burden: cerebral microbleeds (CMB), chronic parenchymal hemorrhage, and cortical superficial siderosis (cSS). Prior work has focused on CMB counts, whereas the other two are rarely quantified at scale…
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Retrograde cerebral venous reflux from a hemodialysis fistula without central venous occlusive disease: a case report
Background Intracranial venous hypertension resulting from hemodialysis arteriovenous fistulas (AVFs) is rare and typically linked to central venous occlusive disease (CVOD). Here, we report a case of dural AVF-like cerebral venous reflux without CVOD, caused by a moderate-flow dialysis AVF. Case…
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Evaluation of admission-level clinical, laboratory, and vascular imaging predictors of prolonged length of stay in acute ischemic stroke
Background Prolonged hospital length of stay (LOS) in patients with acute ischemic stroke (AIS) adversely affects patient outcomes and strains healthcare resources. Previous studies have focused on clinical determinants but have rarely integrated admission-level laboratory and vascular imaging data…
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Screening for intracranial hypertension using ambient-light-corrected computational pupillometry: a prospective pilot study
Background Intracranial hypertension is a life-threatening condition. Invasive intracranial pressure (ICP) monitoring remains the reference standard; however, catheter-based monitoring is not available for all at-risk intensive care unit patients. We evaluated whether ambient-light-corrected…
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Effect of persistent cholinesterase inhibitor administration on survival and respiratory function during myasthenic crisis: a retrospective cohort study
Background Cholinesterase inhibitors (CI) have been associated with prolonged intubation and the occurrence of cholinergic crisis in patients with myasthenic crisis (MC). Thus, recent myasthenia gravis guidelines have tended to recommend the avoidance of this medication. Methods To determine…
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Complement C5 inhibitor: revolutionizing treatment for refractory anti-acetylcholine receptor antibody positive generalized myasthenia gravis
Background Recently, increasing evidence has demonstrated the rapid beneficial effect of monoclonal antibodies blocking the terminal complement protein C5 in refractory generalized myasthenia gravis (gMG); therefore, they have emerged as a promising option for fast-acting therapy (FT). Case Report…
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Current trends in neurocritical care: a comprehensive review
Neurocritical care has evolved significantly by integrating technological advances, therapeutic innovations, and multidisciplinary approaches to enhance outcomes in patients with severe neurological conditions. Continuous neuromonitoring using tools like electroencephalogram and intracranial…
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Effect of hydroxocobalamin on nimodipine-induced refractory vasoplegia in a patient with liver cirrhosis: a case report
Background We report a case of severe vasoplegia that was unresponsive to triple vasopressor therapy but showed marked hemodynamic improvement following intravenous hydroxocobalamin administration in a patient with underlying cirrhosis. Case Report A 63-year-old Asian woman with no remarkable…
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Contrast-induced encephalopathy mimicking subarachnoid hemorrhage in the intensive care unit
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Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report
Background Managing subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysms requires vigilant monitoring of vasospasm and careful assessment of treatment efficacy. Digital subtraction angiography is the gold standard for evaluating vasospasm and therapeutic outcomes; however, transcranial…
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Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study
Background Few studies have explored the intensive care unit (ICU) requirements of patients after craniotomy. Identifying the factors that contribute to extended ICU stay can enhance ICU efficiency and reduce costs. This study investigated the predictors of prolonged ICU stay after craniotomy for…
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Validation of the Extubation Predictive Score (ExPreS) and Visual pursuit, Swallowing attempt, Age, and Glasgow Coma Scale (VISAGE) score as predictors of extubation success in neurocritical patients
Background Extubation failure in neurocritical patients is strongly associated with poor outcomes; thus as physicians, identifying the neurocritical conditions prior to extubation is important. This increases the need for instruments that can accurately identify patients who are likely to undergo…
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Reversible cortical lesions and status myoclonus in hepatic encephalopathy: caution in prognostication
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Use of quantitative pupillometry in the neuro intensive care unit setting
Since the early second century, the pupillary light response (PLR) has been utilized in neurological examinations to gain insight into patient conditions and neuroprognostication. Traditionally, manual pupillometry has been employed to evaluate PLRs. However, this method is subjective and exhibits…
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Life-threatening arrhythmias in children with elevated intracranial pressure: a case series and literature review
Background Life-threatening arrhythmias, such as ventricular and supraventricular tachycardia, are rare but serious complications of increased intracranial pressure (ICP) in children. These arrhythmias are thought to result from brainstem-mediated autonomic dysfunction. Case Report We describe five…
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Effect of a nurse-led sedation protocol on sedation quality in patients with traumatic brain injury: a randomized trial
Background Traumatic brain injury (TBI) presents specific challenges for sedation management, especially in intensive care units (ICUs) in resource-limited or conflict-affected settings. Nurses play a central role in sedation; however, standardized tools such as the Richmond Agitation-Sedation…
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Epidural pressure is a major driver of elevated intraspinal pressure after traumatic spinal cord injury and laminectomy in pigs
Background Elevated intraspinal pressure (ISP) driven by cord swelling is hypothesized to cause secondary injuries following trauma. We previously observed comparable ISP elevations in pigs undergoing traumatic spinal cord injury (TSCI) and sham operations (standalone laminectomy), suggesting the…
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Brain multimonitoring in a patient affected by severe cerebral malaria from : a case report
Background Cerebral malaria (CM) is the most severe complication of Plasmodium falciparum infection, associated with cerebral edema, seizures, and high mortality. Optimizing cerebral hemodynamics is essential to improve outcomes. Case Report We describe a 28-year-old man returning from Côte…
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Trajectories of 24-hour heart rate and hemorrhagic transformation in patients receiving intravenous thrombolysis for acute ischemic stroke
Background Hemorrhagic transformation (HT) is a major complication of intravenous thrombolysis in acute ischemic stroke (AIS). While an elevated heart rate (HR) at admission is linked to poor outcomes, the heart rate trajectory (HRT) may offer a better prognostic value. This study investigated the…