Neurocritical Care

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.

Novel Spinal Implant Restores Movement in Paralyzed Rats

Novel Spinal Implant Restores Movement in Paralyzed Rats

A new spinal implant that mimics the dura mater restored movement in paralyzed rats without damaging tissue.

Cobalamin Defects May Explain Neurologic Regression in Children

Cobalamin Defects May Explain Neurologic Regression in Children

Case study describes neurologic regression in otherwise healthy 8-year-old.

Monitoring Children for Seizures in the ICU

Monitoring Children for Seizures in the ICU

Children with severe brain injuries who are aged 2 or younger, have bleeding in the brain, or are victims of abuse should be monitored for seizures.

New Drug Relieves Paralysis in Rat Model

New Drug Relieves Paralysis in Rat Model

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A new drug tested in a rat model of spinal cord injury showed improved movement and bladder function.

'Golden Hour' Thrombolysis Improves with Mobile Stroke Units

'Golden Hour' Thrombolysis Improves with Mobile Stroke Units

Stroke emergency mobile units increase the percentage of stroke patients who receive thrombolysis within an hour of symptom onset.

Bariatric Surgery Raises Risk of Spontaneous Intracranial Hypotension

Bariatric Surgery Raises Risk of Spontaneous Intracranial Hypotension

Weight-loss surgery may increase the risk of spontaneous intracranial hypotension.

Bed Positioning is a Critical Care Decision After Ischemic Stroke

Bed Positioning is a Critical Care Decision After Ischemic Stroke

While lying flat is optimal for blood flow to the brain post-ischemic stroke, it can also cause brain swelling.

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