keyword
https://read.qxmd.com/read/38532147/prediction-of-short-and-long-term-outcomes-using-pre-operative-ventricular-size-in-infants-with-post-hemorrhagic-ventricular-dilation
#1
JOURNAL ARTICLE
Molly Serebin, Jian Zhang, Ke Yan, Erwin Cabacungan, Tejaswini Deshmukh, Mohit Maheshwari, Andrew Foy, Susan Cohen
PURPOSE: Post-hemorrhagic ventricular dilation (PHVD) leads to developmental delays in premature infants, yet the optimal timing of neurosurgical interventions is unknown. Neuroimaging modalities have emerged to delineate injury and follow the progression of PHVD. Fronto-temporal horn ratio (FTHR) is used as a marker of ventricular dilation and can be a standardized tool to direct the timing of neurosurgical intervention. Our study determined a pre-operative FTHR measurement threshold to predict short- and long-term outcomes...
March 27, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38526575/reduced-racial-disparities-among-newborns-with-intraventricular-hemorrhage
#2
JOURNAL ARTICLE
Sumaiya Sayeed, Benjamin C Reeves, Brianna C Theriault, Astrid C Hengartner, Nabihah Ahsan, Sina Sadeghzadeh, Emad A Elsamadicy, Michael DiLuna, Aladine A Elsamadicy
INTRODUCTION: Intraventricular hemorrhage (IVH) can ensue permanent neurologic dysfunction, morbidity, and mortality. While previous reports have identified disparities based on patient gender or weight, no prior study has assessed how race may influence in neonatal or infantile IVH patients. The aim of this study was to investigate the impact of race on adverse event (AE) rates, length of stay (LOS), and total cost of admission among newborns with IVH. METHODS: Using the 2016-2019 National Inpatient Sample database, newborns diagnosed with IVH were identified using ICD-10-CM codes...
March 25, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38522225/risk-factors-for-unfavorable-outcome-after-spontaneous-intracerebral-hemorrhage-in-elderly-patients
#3
JOURNAL ARTICLE
Vitalij Zeiser, Farjad Khalaveh, Anna Cho, Andrea Reinprecht, Johannes Herta, Karl Rössler, Christian Dorfer
BACKGROUND: Spontaneous intracerebral hemorrhage (SICH) of the elderly is a devastating form of stroke with a high morbidity and economic burden. There is still a limited understanding of the risk factors for an unfavorable outcome where a surgical therapy may be less meaningful. Thus, the aim of this study is to identify factors associated with unfavorable outcome and time to death in surgically treated elderly patients with SICH. METHODS: We performed a single-center retrospective study of 70 patients (age > 60 years) with SICH operated between 2008 and 2020...
March 22, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38517007/neurosonographic-findings-in-infants-with-rhesus-hemolytic-disease-of-newborn-a-prospective-observational-study
#4
JOURNAL ARTICLE
Swapna Bayye, Jogender Kumar, Subhas Chandra Saha, Sourabh Dutta, Praveen Kumar
We estimated the incidence of intraventricular hemorrhage (IVH) and/or periventricular leukomalacia/echogenicity (PVL/E) in Rhesus isoimmunized infants. Seventy-one infants underwent cranial ultrasound within the first 3 days of life or discharge, whichever was earlier. Of these, 27(38%) infants had IVH/ PVL/E. On multivariate analysis, lower gestational age (P = 0.035), small for gestational age [aOR (95% CI) 10.6 (1.9, 58.9)], and sepsis [aOR (95% CI) 4.5 (1.1, 18.4)] were ndependently associated with IVH/PVL...
March 19, 2024: Indian Pediatrics
https://read.qxmd.com/read/38513806/concurrent-progestogen-and-cerclage-to-reduce-preterm-birth-a-multicenter-international-retrospective-cohort
#5
JOURNAL ARTICLE
Jorge E Tolosa, Rupsa C Boelig, Joseph Bell, María Martínez-Baladejo, Jill Stoltzfus, Julio Mateus, Joanne N Quiñones, Santiago Galeano-Herrera, Leonardo Pereira, Richard Burwick, Luisa López-Torres, Catalina Valencia, Vincenzo Berghella
OBJECTIVE: We aimed to evaluate whether cerclage with progestogen therapy was superior to cerclage alone in the prevention of spontaneous preterm birth (sPTB) in singleton pregnancies METHODS: : This is an international retrospective cohort study of singleton pregnancies, without major anomaly or aneuploidy, and with cerclage placed at 10 different institutions in the United States and Colombia from June 2016-June 2020. Exclusion criteria were: lack of documentation regarding whether progestogen was or was not prescribed, delivery outcome unavailable, and pregnancy termination (spontaneous or induced) prior to 16 weeks' gestation...
March 19, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38513767/optimal-intraventricular-hemorrhage-volume-cutoff-for-predicting-poor-outcome-in-patients-with-intracerebral-hemorrhage
#6
JOURNAL ARTICLE
Lan Deng, Jiang-Tao Zhang, Xin-Ni Lv, Zuo-Qiao Li, Chu Chen, Xiao Hu, Hao Yin, Tian-Nan Yang, Zhe-Hao Zhang, Qi Li
BACKGROUND AND OBJECTIVES: The prognosis of patients with spontaneous intracerebral hemorrhage (ICH) is often influenced by hematoma volume, a well-established predictor of poor outcome. However, the optimal intraventricular hemorrhage (IVH) volume cutoff for predicting poor outcome remains unknown. METHODS: We analyzed 313 patients with spontaneous ICH not undergoing evacuation, including 7 cases with external ventricular drainage (EVD). These patients underwent a baseline CT scan, followed by a 24-hour CT scan for measurement of both hematoma and IVH volumes...
March 19, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38513690/need-for-gastrostomy-tube-in-periviable-infants
#7
JOURNAL ARTICLE
Erica E ElSeed Peterson, Jared T Roeckner, Taylor W Deall, Michele Karn, Jose R Duncan, Jaime Flores-Torres, Ambuj Kumar, Tara M Randis
OBJECTIVE:  We sought to identify clinical and demographic factors associated with gastrostomy tube (g-tube) placement in periviable infants. STUDY DESIGN:  We conducted a single-center retrospective cohort study of live-born infants between 22 and 25 weeks' gestation. Infants not actively resuscitated and those with congenital anomalies were excluded from analysis. RESULTS:  Of the 243 infants included, 158 survived until discharge...
March 21, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38511823/early-onset-neonatal-sepsis-as-a-risk-factor-for-peri-intraventricular-hemorrhage-in-premature-infants
#8
JOURNAL ARTICLE
Mariana Martins Denicol, Vanessa Bielefeldt Leotti, Cátia Rejane Soares de Soares, Juliana Balbinot Hilgert
OBJECTIVE: To assess early-onset sepsis as a risk factor of peri-intraventricular hemorrhage in premature infants born at less than or equal to 34 weeks' gestation and admitted to a neonatal intensive care unit (NICU). METHODS: This retrospective cohort study included premature patients born at less than or equal to 34 weeks' gestation who were admitted to the NICU of a tertiary hospital in southern Brazil, and born from January 2017 to July 2021. Data were collected from patients' medical records...
2024: Brazilian Journal of Epidemiology
https://read.qxmd.com/read/38510896/survival-rates-of-extremely-low-birth-weight-infants-in-a-tertiary-care-center-in-saudi-arabia
#9
JOURNAL ARTICLE
Mohammad Alhasoon
Introduction Extremely low birth weight (ELBW) refers to the condition in which an infant is born with a weight of less than one thousand grams (2.2 pounds) at birth. ELBW infants face significant challenges and are at increased risk for various medical complications and developmental issues. ELBW poses unique challenges for infants, families, and healthcare providers. Understanding the causes, consequences, and appropriate management strategies for ELBW is crucial for improving the survival rates of these vulnerable infants...
February 2024: Curēus
https://read.qxmd.com/read/38510082/hyperglycemia-in-pregnancy-did-not-worsen-the-short-term-outcomes-of-very-preterm-infants-a-propensity-score-matching-study
#10
JOURNAL ARTICLE
Ying Li, Wei Shen, Rong Zhang, Jian Mao, Ling Liu, Yan-Mei Chang, Xiu-Zhen Ye, Yin-Ping Qiu, Li Ma, Rui Cheng, Hui Wu, Dong-Mei Chen, Ling Chen, Ping Xu, Hua Mei, San-Nan Wang, Fa-Lin Xu, Rong Ju, Xiao-Mei Tong, Xin-Zhu Lin, Fan Wu
BACKGROUND: Hyperglycemia in pregnancy (HGP) has generally been considered a risk factor associated with adverse outcomes in offspring, but its impact on the short-term outcomes of very preterm infants remains unclear. METHODS: A secondary analysis was performed based on clinical data collected prospectively from 28 hospitals in seven regions of China from September 2019 to December 2020. According to maternal HGP, all infants were divided into the HGP group or the non-HGP group...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38507074/predictors-of-early-neurological-deterioration-in-patients-with-intracerebral-hemorrhage-a-systematic-review-and-meta-analysis
#11
REVIEW
Wei Zhu, Jiehong Zhou, Buyun Ma, Chaofeng Fan
BACKGROUND: Early neurological deterioration, a common complication in patients with intracerebral hemorrhage, is associated with poor outcomes. Despite the fact that the prevalence and predictors of early neurological impairment are widely addressed, few studies have consolidated these findings. This study aimed to systematically investigate the prevalence and predictors of early neurological deterioration. METHODS: The PubMed, Embase, Cochrane Library, CIHNAL, and Web of Science databases were systematically searched for relevant studies from the inception to December 2023...
March 20, 2024: Journal of Neurology
https://read.qxmd.com/read/38506972/added-value-of-frequency-of-imaging-markers-for-prediction-of-outcome-after-intracerebral-hemorrhage-a-secondary-analysis-of-existing-data
#12
JOURNAL ARTICLE
Lianghong Kuang, Shinuan Fei, Hang Zhou, Le Huang, Cailian Guo, Jun Cheng, Wenmin Guo, Yu Ye, Rujia Wang, Hui Xiong, Ji Zhang, Dongfang Tang, Liwei Zou, Xiaoming Qiu, Yongqiang Yu, Lei Song
BACKGROUND: Frequency of imaging markers (FIM) has been identified as an independent predictor of hematoma expansion in patients with intracerebral hemorrhage (ICH), but its impact on clinical outcome of ICH is yet to be determined. The aim of the present study was to investigate this association. METHODS: This study was a secondary analysis of our prior research. The data for this study were derived from six retrospective cohorts of ICH from January 2018 to August 2022...
March 20, 2024: Neurocritical Care
https://read.qxmd.com/read/38505607/neutrophil-extracellular-trap-mediated-impairment-of-meningeal-lymphatic-drainage-exacerbates-secondary-hydrocephalus-after-intraventricular-hemorrhage
#13
JOURNAL ARTICLE
Qiang Zhang, Yujie Chen, Yingpei Li, Zhou Feng, Liang Liang, Xiaoke Hao, Wenbo Kang, Zhaoqi Zhang, Xuyang Zhang, Rong Hu, Hua Feng, Zhi Chen
Rationale: Hydrocephalus is a substantial complication after intracerebral hemorrhage (ICH) or intraventricular hemorrhage (IVH) that leads to impaired cerebrospinal fluid (CSF) circulation. Recently, brain meningeal lymphatic vessels (mLVs) were shown to serve as critical drainage pathways for CSF. Our previous studies indicated that the degradation of neutrophil extracellular traps (NETs) after ICH/IVH alleviates hydrocephalus. However, the mechanisms by which NET degradation exerts beneficial effects in hydrocephalus remain unclear...
2024: Theranostics
https://read.qxmd.com/read/38497181/intraventricular-hemorrhage-and-related-hydrocephalus-patients-demographics-in-a-university-hospital-nicu-single-center-data
#14
JOURNAL ARTICLE
Gulden Demirci Otluoglu, Semra Isik, Berkay Paker, Orkun Koban, Teyyub Hasanov, Akin Akakin, Zafer Orkun Toktas, Baran Yilmaz, Ali Haydar Turhan
AIM: To analyze the demographic and clinical data of preterm or low birth weight newborns with periventricular hemorrhage. MATERIAL AND METHODS: This retrospective study analyzed patients admitted to the neonatal intensive care unit of a Bahcesehir University School of Medicine-Affiliated Hospital due to preterm birth or low birth weight between June 1, 2012, and April 30, 2021. Categorical values were evaluated by Pearson chi-square or Fisher's exact test. The Mann-Whitney U test compared continuous values between the groups...
2024: Turkish Neurosurgery
https://read.qxmd.com/read/38496113/pediatric-cerebral-venous-sinus-thrombosis-a-case-report
#15
Pruthvi Patel, Shirley M Gandhi, Philip P Breton, Tetiana Litvinchuk
Cerebral venous sinus thrombosis (CVST) in infants is a rare vascular disorder that presents with nonspecific symptoms leading to a delay in diagnosis and treatment. Thrombus formation in the cerebral sinuses prevents blood from draining out of the brain leading to local and systemic complications. Here, we present an 11-week-old patient who presented to the emergency department (ED) with three days of lethargy, multiple episodes of projectile emesis, increased fussiness, and downward gaze. A CT scan demonstrated intraventricular hemorrhage (IVH) with acute hydrocephalus...
February 2024: Curēus
https://read.qxmd.com/read/38495689/multi-wavelength-multi-distance-diffuse-correlation-spectroscopy-system-for-assessment-of-premature-infants-cerebral-hemodynamics
#16
JOURNAL ARTICLE
Nikola Otic, John Sunwoo, Yujing Huang, Alyssa Martin, Mitchell B Robinson, Bernhard Zimmermann, Stefan Carp, Terrie Inder, Mohamed El-Dib, Maria Angela Franceschini, Marco Renna
Infants born at an extremely low gestational age (ELGA, < 29 weeks) are at an increased risk of intraventricular hemorrhage (IVH), and there is a need for standalone, safe, easy-to-use tools for monitoring cerebral hemodynamics. We have built a multi-wavelength multi-distance diffuse correlation spectroscopy device (MW-MD-DCS), which utilizes time-multiplexed, long-coherence lasers at 785, 808, and 853 nm, to simultaneously quantify the index of cerebral blood flow (CBFi ) and the hemoglobin oxygen saturation (SO2 )...
March 1, 2024: Biomedical Optics Express
https://read.qxmd.com/read/38482078/tissue-plasminogen-activator-in-acute-cardiac-arrest
#17
Indira Acharya, Scott R DeBoer, Christopher J Haas
Tissue plasminogen activator (TPA) is indicated as an empiric therapy for refractory out-of-the-hospital cardiac arrest for suspected pulmonary embolism and myocardial infarction. Intracranial hemorrhage following TPA administration is a rare complication resulting in increased morbidity and mortality. A history of intracranial bleed, oral anticoagulant use prior to hospital admission, low body weight, and unstable hypertension with blood pressure above 180/110 mmHg at the time of presentation are associated with intracranial bleeding following tPA administration...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38469383/efficacy-and-safety-of-local-fibrinolytic-therapy-in-intracranial-hemorrhages-a-systematic-review-and-meta-analysis-of-randomised-controlled-trials
#18
REVIEW
Arun Babu Rajeswaran, Arshad Ali, Saleh Safi, Ahmed Eid Abdulghani Saleh
No abstract text is available yet for this article.
April 2024: World neurosurgery: X
https://read.qxmd.com/read/38468651/single-institution-series-describing-external-ventricular-drain-evd-placement-and-short-and-long-term-complications-related-to-placement-accuracy
#19
JOURNAL ARTICLE
Nikhil Sharma, Jeffery R Head, Arka N Mallela, Regan M Shanahan, Stephen P Canton, Hussam Abou-Al-Shaar, Nicolás Matheo Kass, Fritz Steuer, Lucille Cheng, Michael Raver, Edward G Andrews
BACKGROUND: The placement of an external ventricular drain (EVD) for the treatment of acute hydrocephalus is one of the most common life-saving procedures that neurosurgeons perform worldwide. There are many well-known complications associated with EVD placement, including tract hemorrhages, intra-parenchymal and subdural hemorrhages, infection, and catheter misplacement. Given the variety of complications associated with EVD placement and the inconsistent findings on the relationship of accuracy to complications, the present study reviewed short- and long-term complications related to EVD placement at our institution...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468171/letter-to-the-editor-regarding-treatment-of-intraventricular-hemorrhage-with-external-ventricular-drainage-and-fibrinolysis-a-comprehensive-systematic-review-and-meta-analysis-of-complications-and-outcome
#20
JOURNAL ARTICLE
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