2022
Cerebral hypoperfusion after nimodipine administration is associated with worse functional outcomes in subarachnoid hemorrhage patients (P6-7.001)
Bartolome D, Begunova Y, Prasad A, Soto A, Kobsa J, Top I, Quispe-Orozco D, Farooqui M, Zevallos C, Kim J, Gilmore E, Beekman R, De Havenon A, Matouk C, Sheth K, Ortega-Gutiérrez S, Petersen N. Cerebral hypoperfusion after nimodipine administration is associated with worse functional outcomes in subarachnoid hemorrhage patients (P6-7.001). Neurology 2022, 98 DOI: 10.1212/wnl.98.18_supplement.3609.Peer-Reviewed Original Research
2020
Soluble ST2 Is Associated With New Epileptiform Abnormalities Following Nontraumatic Subarachnoid Hemorrhage
Lissak IA, Zafar SF, Westover MB, Schleicher RL, Kim JA, Leslie-Mazwi T, Stapleton CJ, Patel AB, Kimberly WT, Rosenthal ES. Soluble ST2 Is Associated With New Epileptiform Abnormalities Following Nontraumatic Subarachnoid Hemorrhage. Stroke 2020, 51: 1128-1134. PMID: 32156203, PMCID: PMC7123848, DOI: 10.1161/strokeaha.119.028515.Peer-Reviewed Original ResearchConceptsPlasma sST2 levelsSoluble ST2Epileptiform abnormalitiesNontraumatic subarachnoid hemorrhageSubarachnoid hemorrhageSST2 levelsNeurophysiologic changesCerebral ischemiaIL-6Continuous electroencephalographyMeasures mixed-effects modelsInnate immune response pathwaysAdmission risk factorsPlasma soluble ST2Secondary brain injurySubgroup of patientsSubarachnoid hemorrhage patientsSerial plasma samplesAssociation of biomarkersInnate immune responseWilcoxon rank sum testImmune response pathwaysMixed-effects modelingRank sum testInflammatory biomarkers
2019
Meta-analysis of recent literature on utility of follow-up imaging in isolated perimesencephalic hemorrhage
Geng B, Wu X, Brackett A, Malhotra A. Meta-analysis of recent literature on utility of follow-up imaging in isolated perimesencephalic hemorrhage. Clinical Neurology And Neurosurgery 2019, 180: 111-116. PMID: 30974309, DOI: 10.1016/j.clineuro.2019.03.006.Peer-Reviewed Original ResearchConceptsPerimesencephalic subarachnoid hemorrhageSubarachnoid hemorrhageTomographic angiogramInitial angiographic studyRetrospective institutional analysisUtility of repeatSubarachnoid hemorrhage patientsVascular causesBenign prognosisVascular etiologyAngiographic studiesClinical pictureHemorrhage patientsHemorrhage patternAneurysmal ruptureAdditional imagingHemorrhageUse of repeatPatientsInstitutional reviewAngiogramsDistinct subtypesPerimesencephalic hemorrhageLimited benefitEtiology
2015
Patient Characteristics and Outcomes After Hemorrhagic Stroke in Pregnancy
Leffert LR, Clancy CR, Bateman BT, Cox M, Schulte PJ, Smith EE, Fonarow GC, Schwamm LH, Kuklina EV, George MG. Patient Characteristics and Outcomes After Hemorrhagic Stroke in Pregnancy. Circulation Cardiovascular Quality And Outcomes 2015, 8: s170-8. PMID: 26515206, DOI: 10.1161/circoutcomes.115.002242.Peer-Reviewed Original ResearchConceptsStroke risk factorsSubarachnoid hemorrhage patientsHemorrhagic strokeRisk factorsHS patientsHospital mortalityHemorrhage patientsDiseases-Ninth Revision codesBlood pressure criteriaGuidelines-Stroke registryPregnancy-related strokeAssociation of pregnancyNonpregnant female patientsConditional logistic regressionFisher's exact testWilcoxon rank sum testRank sum testGuidelines-StrokeSevere preeclampsiaHome dischargeIschemic strokeNonpregnant womenPatient characteristicsRisk patientsIndependent ambulation
2014
Treatment of Endocrine Disorders in the Neuroscience Intensive Care Unit
Hwang JJ, Hwang DY. Treatment of Endocrine Disorders in the Neuroscience Intensive Care Unit. Current Treatment Options In Neurology 2014, 16: 271. PMID: 24390813, DOI: 10.1007/s11940-013-0271-4.Peer-Reviewed Original ResearchNeuroscience intensive care unitIntensive care unitDiabetes insipidusCare unitContinuous hypertonic saline infusionAbnormal thyroid function testsTraumatic brain injury patientsAggressive fluid repletionRare clinical diagnosisSerum sodium monitoringStress-dose steroidsHigher urine outputInsulin infusion protocolSubarachnoid hemorrhage patientsThyroid function testsBrain injury patientsPituitary adrenocorticotropic hormoneHypertonic saline infusionOpinion statementThis reviewCerebral saltCosyntropin testingFluid repletionIntravenous levothyroxineNeurological morbidityAdrenal insufficiency
2013
Nonconvulsive seizures after subarachnoid hemorrhage: Multimodal detection and outcomes
Claassen J, Perotte A, Albers D, Kleinberg S, Schmidt JM, Tu B, Badjatia N, Lantigua H, Hirsch LJ, Mayer SA, Connolly ES, Hripcsak G. Nonconvulsive seizures after subarachnoid hemorrhage: Multimodal detection and outcomes. Annals Of Neurology 2013, 74: 53-64. PMID: 23813945, PMCID: PMC3775941, DOI: 10.1002/ana.23859.Peer-Reviewed Original ResearchConceptsRegional cerebral blood flowAcute brain injuryBrain injuryCerebral physiologic effectsCerebral perfusion pressureSecondary brain injuryBrain tissue oxygenationSubarachnoid hemorrhage patientsCerebral blood flowGlobal brain metabolismElevated heart rateComplex physiologic processBlood pressureNonconvulsive seizuresHemorrhage patientsPerfusion pressureSubarachnoid hemorrhageBrain metabolismFunctional outcomeIntracranial pressureSeizure onsetPhysiologic effectsHeart rateOnly seizuresBlood flow
2012
Acute Effects of Nimodipine on Cerebral Vasculature and Brain Metabolism in High Grade Subarachnoid Hemorrhage Patients
Choi HA, Ko SB, Chen H, Gilmore E, Carpenter AM, Lee D, Claassen J, Mayer SA, Schmidt JM, Lee K, Connelly ES, Paik M, Badjatia N. Acute Effects of Nimodipine on Cerebral Vasculature and Brain Metabolism in High Grade Subarachnoid Hemorrhage Patients. Neurocritical Care 2012, 16: 363-367. PMID: 22262041, DOI: 10.1007/s12028-012-9670-8.Peer-Reviewed Original ResearchConceptsPoor-grade subarachnoid hemorrhageOral nimodipineSubarachnoid hemorrhageMmHg decreasePoor-grade SAH patientsDoses of nimodipineAdministration of nimodipineAneurysmal subarachnoid hemorrhageSubarachnoid hemorrhage patientsRoutine clinical careAcute PhysiologicAdequate CBFNimodipine administrationOnly medicationHemorrhage patientsMultimodality monitoringSAH patientsVasopressor medicationsBrain metabolismAcute effectsObservational studyMetabolic effectsCerebral vasculatureClinical careNimodipine
1999
Diffusion- and Perfusion-Weighted Imaging in Vasospasm After Subarachnoid Hemorrhage
Rordorf G, Koroshetz W, Copen W, Gonzalez G, Yamada K, Schaefer P, Schwamm L, Ogilvy C, Sorensen A. Diffusion- and Perfusion-Weighted Imaging in Vasospasm After Subarachnoid Hemorrhage. Stroke 1999, 30: 599-605. PMID: 10066858, DOI: 10.1161/01.str.30.3.599.Peer-Reviewed Original ResearchConceptsRelative cerebral blood flowRelative cerebral blood volumeAngiographic vasospasmIschemic injurySymptomatic vasospasmNeurological deficitsClinical signsSevere angiographic vasospasmCerebral tissue perfusionEarly ischemic injurySubarachnoid hemorrhage patientsCerebral blood flowIntravenous contrast bolusPerfusion-weighted imagingCerebral blood volumeDWI abnormalitiesAsymptomatic patientsHemodynamic abnormalitiesNormal angiogramsAngiographic spasmImaging abnormalitiesIschemic lesionsHemorrhage patientsSubarachnoid hemorrhageClinical management
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