Neurocritical Care

In Endovascular Therapy for Stroke, Monitored Anesthesia Is Safe, Effective

In Endovascular Therapy for Stroke, Monitored Anesthesia Is Safe, Effective

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Monitored anesthesia was found to be as safe and effective as general anesthesia in patients undergoing endovascular therapy for stroke.

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

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Neurologists need to engage their emergency medicine colleagues to identify protocols and pathways for when to trigger appropriate neurological consultation or initiate acute stroke therapies.

Mobile Stroke Unit Tied to Decreased Time to Imaging, Treatment

Mobile Stroke Unit Tied to Decreased Time to Imaging, Treatment

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Use of mobile stroke units is associated with reduced time to imaging and thrombolysis compared with traditional care.

In Refractory Status Epilepticus, Lacosamide May Be a Good Option

In Refractory Status Epilepticus, Lacosamide May Be a Good Option

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In patients with lorazepam-resistant status epilepticus, treatment with lacosamide had comparable efficacy and safety as sodium valproate.

Movement Disorder After Foreign Body Ingestion

Movement Disorder After Foreign Body Ingestion

A 10-month-old girl admitted to PICU with sudden onset of movement disorder was found to have ingested a foreign body.

Time to Alteplase Treatment Affected by Hospital Delays, Medical Conditions

Time to Alteplase Treatment Affected by Hospital Delays, Medical Conditions

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Delays related to the determination of treatment eligibility increased door-to-needle times by more than 30 minutes compared with patients with no delays.

In Stroke, No Clear Benefit for Head Positioning

In Stroke, No Clear Benefit for Head Positioning

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Neither lying flat nor sitting up appears to alter outcomes in patients presenting with acute stroke.

Therapeutic Hypothermia Beneficial in Adult Traumatic Brain Injury

Therapeutic Hypothermia Beneficial in Adult Traumatic Brain Injury

Children with TBI who underwent therapeutic hypothermia, however, experienced increased mortality and worse outcomes.

FDA Issues Warning for Children, Pregnant Women With Extended Exposure to Anesthetics

FDA Issues Warning for Children, Pregnant Women With Extended Exposure to Anesthetics

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The US FDA is requiring that label changes be made to reflect the risks involved with extended exposure to anesthetics and sedatives in children and pregnant women.

First-Line Treatment With Carbamazepine in Neonatal Epilepsy

First-Line Treatment With Carbamazepine in Neonatal Epilepsy

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The results confirm the effectiveness and safety of low-dose CBZ as a first-line agent for the treatment of neonatal seizures.

Advanced Neuroimaging Can Guide Interventions in Traumatic Brain Injury

Advanced Neuroimaging Can Guide Interventions in Traumatic Brain Injury

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SPECT imaging can be more accurate in the diagnosis of traumatic brain injury and post-traumatic stress disorder than CT or MRI.

Smoking Linked to Dose-Dependent Risk for Subarachnoid Hemorrhage

Smoking Linked to Dose-Dependent Risk for Subarachnoid Hemorrhage

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Overall, men had smoked longer, more daily, and their total exposure in pack-years was greater than women.

Digital Technology and Improving Cardiovascular Care, Outcomes

Digital Technology and Improving Cardiovascular Care, Outcomes

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It's important that these strategies be vetted much the same as other medical interventions.

Nurse-Activated Stroke Codes Improve Process, Clinical Outcomes

Nurse-Activated Stroke Codes Improve Process, Clinical Outcomes

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A nurse-driven stroke evaluation algorithm improved patient triage and treatment utilization.

Inhaled Xenon Plus Hypothermia Curbs White Matter Damage in Cardiac Arrest

Inhaled Xenon Plus Hypothermia Curbs White Matter Damage in Cardiac Arrest

The combined treatment prevents more damage than hypothermia alone.

Mobile Stroke Unit Effectively Provides Acute Stroke Care

Mobile Stroke Unit Effectively Provides Acute Stroke Care

The mobile unit allows for significantly shorter times to treatment with IV-tPA.

Loss of Consciousness During Hemorrhage a Marker of Early Brain Injury

Loss of Consciousness During Hemorrhage a Marker of Early Brain Injury

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Loss of consciousness during subarachnoid hemorrhage is associated with a 2.8-fold increase in death and poor functional outcome at 1 year.

D-Dimer Levels Predict Deep Vein Thrombosis in Spinal Cord Injury

D-Dimer Levels Predict Deep Vein Thrombosis in Spinal Cord Injury

D-dimer level at 2 weeks after injury accurately predicts deep vein thrombosis formation.

Thalamocortical Damage Prevents Motor Function in Covertly Aware Vegetative Patients

Thalamocortical Damage Prevents Motor Function in Covertly Aware Vegetative Patients

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A selective structural disruption in fibers connecting the thalamus and primary motor cortex may be behind the absence of overt motor function in vegetative patients who are covertly aware.

FDA Approves Reversal Agent for Anticoagulant Pradaxa

FDA Approves Reversal Agent for Anticoagulant Pradaxa

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The drug is meant to reverse the effects of the anticoagulant in emergency situations where uncontrolled bleeding is a risk.

Causes, Treatment of Cryptogenic Stroke Still Uncertain, Survey Finds

Causes, Treatment of Cryptogenic Stroke Still Uncertain, Survey Finds

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Nearly 60% of health care professionals felt uncertain that their treatment would prevent another stroke.

Death at Home Brings More Peace Than In-Hospital

Death at Home Brings More Peace Than In-Hospital

The benefits for both the patient and caregiver were evident.

Time is Brain: Variations in Acute Stroke Care are Harmful

Time is Brain: Variations in Acute Stroke Care are Harmful

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New recommendations for the treatment of acute stroke put emergency physicians and neurology stroke specialists at odds.

Neurologist rtPA Experience Influences Stroke Outcomes

Neurologist rtPA Experience Influences Stroke Outcomes

Stroke patients treated by more experienced neurologists have slightly better outcomes.

Spinal Cord Injuries On the Rise Among Elderly

Spinal Cord Injuries On the Rise Among Elderly

The number of spinal cord injury in older adults increased from 28% in 1997-2000 to 66% in 2010-2012

Hospitals Unprepared for Surge in Subdural Hemorrhages

Hospitals Unprepared for Surge in Subdural Hemorrhages

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By 2030, chronic subdural hemorrhage rates will increase drastically, and hospitals may be unprepared.

Determination and Associated Controversies of Brain Death

Determination and Associated Controversies of Brain Death

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Determinations of brain death are becoming increasingly clouded by special circumstances, religious beliefs, and inconsistencies across state lines.

Patient, Institutional Factors Influence Central Cord Syndrome Management, Mortality

Patient, Institutional Factors Influence Central Cord Syndrome Management, Mortality

Patient, surgical, and institutional factors influence surgical management and mortality in central cord syndrome.

Bionic Hand Successfully Restores Function to Amputees

Bionic Hand Successfully Restores Function to Amputees

The devices work via a "mind over muscle" method that sends signals through nerve pathways.

Folic Acid Fortification Effectively Reduces Neural Tube Defects

Folic Acid Fortification Effectively Reduces Neural Tube Defects

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Since being instated in 1998, there has been a near 30% drop in NTD occurrences.

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