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Subarachnoid haemorrhage

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https://www.readbyqxmd.com/read/27903205/predicting-neurological-deficit-severity-due-to-subarachnoid-haemorrhage-soluble-cd40-ligand-and-platelet-derived-growth-factor-bb
#1
Yoshitaka Kubo, Takahiro Koji, Jun Yoshida, Akira Ogawa, Kuniaki Ogasawara
BACKGROUND: Several biological markers can predict outcomes in patients with subarachnoid haemorrhage (SAH), but markers to predict neurological deficit severity in patients with SAH and poor neurological condition have not yet been established. Soluble CD40 ligand (sCD40L) and platelet-derived growth factor (PDGF) are related to the systemic inflammatory response. OBJECTIVE: In a prospective study, to investigate the relationship between clinical outcomes and blood test results in patients with SAH and severe neurological deficits...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27895358/paediatric-traumatic-brain-injury-presentation-prognostic-indicators-and-outcome-analysis-from-a-tertiary-care-center-in-a-developing-country
#2
Badar Ujjan, Muhammad Waqas, Muhammad Babar Khan, Saqib Kamran Bakhshi, Muhammad Ehsan Bari
Traumatic brain injury (TBI) is the leading cause of morbidity and mortality in children worldwide. This study was conducted to report the presentation, management, outcomes and prognostic indicators in a large series of patients from a tertiary care centre in a developing country. It is a review of prospectively collected data of paediatric patients with TBI admitted at our centre between July 2010 and December 2013. A total of 291 patients with a mean age of 7.2±5.0 years were dichotomised into survivors and non-survivors, and variables were compared between the two groups...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27895241/secular-pattern-of-aneurismal-rupture-with-the-lunar-cycle-and-season
#3
Jillian C Banfield, Mohamed Abdolell, Jai S Shankar
BACKGROUND: The lunar cycle and seasons may be associated with rates of rupture of intracranial aneurysms, but the literature is mixed. Studies of the association between the lunar cycle and rates of aneurysm rupture used the eight qualitative moon phases. The purpose of this study was to assess any association of aneurysm rupture with the lunar cycle and with the season. MATERIALS AND METHODS: We retrospectively reviewed all cases of subarachnoid haemorrhage secondary to ruptured intracranial aneurysm treated with endovascular coiling in our institution over a 10-year period...
November 28, 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27891632/randomised-clinical-trial-efficacy-and-safety-of-vonoprazan-vs-lansoprazole-in-patients-with-gastric-or-duodenal-ulcers-results-from-two-phase-3-non-inferiority-randomised-controlled-trials
#4
H Miwa, N Uedo, J Watari, Y Mori, Y Sakurai, Y Takanami, A Nishimura, T Tatsumi, N Sakaki
BACKGROUND: Vonoprazan is a new potassium-competitive acid blocker for treatment of acid-related diseases. AIM: To conduct two randomised-controlled trials, to evaluate the non-inferiority of vonoprazan vs. lansoprazole, a proton pump inhibitor, for treatment of gastric ulcer (GU) or duodenal ulcer (DU). METHODS: Patients aged ≥20 years with ≥1 endoscopically-confirmed GU or DU (≥5 mm white coating) were randomised 1:1 using double-dummy blinding to receive lansoprazole (30 mg) or vonoprazan (20 mg) for 8 (GU study) or 6 (DU study) weeks...
November 27, 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27880060/neurogenic-pulmonary-oedema-complicating-traumatic-posterior-fossa-extradural-haematoma-case-report-and-review
#5
Ajay Hegde, G Lakshmi Prasad, Priyanka Kini
INTRODUCTION: Pulmonary oedema is accumulation of fluid in the lung air spaces and interstitia. Neurogenic pulmonary oedema (NPE) is a potentially life-threatening condition which has been noted in head injury, subarachnoid haemorrhage (SAH), intracerebral haemorrhage (ICH) and others. Timely management is crucial to achieve good outcome; however, no specific guidelines have been defined. METHODS: A 33-year female involved in a motor vehicular accident had a GCS of 14/15 and CT scan showed a moderate-sized unilateral posterior fossa extradural haematoma (PFEDH)...
November 23, 2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27847145/short-and-long-term-neurobehavioral-effects-of-lumbar-puncture-and-shunting-in-patients-with-malabsorptive-hydrocephalus-after-subarachnoid-haemorrhage-an-explorative-case-study
#6
Bernd-Otto Hütter, Joachim-Michael Gilsbach
BACKGROUND: The neuropsychological effects of lumbar puncture and shunting in terms of cognitive functioning and quality of life were analyzed prospectively in four patients with malabsorptive hydrocephalus who became symptomatic in the chronic state after aneurysmal subarachnoid haemorrhage (SAH). METHODS: A comprehensive battery of neuropsychological tests was applied to four patients before and shortly after lumbar puncture and six months later. In three of them a shunt has been inserted, one patient was treated by repeated lumbar punctures...
November 12, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27832575/intraoperative-subarachnoid-haemorrhage-associated-with-a-reduction-in-bispectral-index-during-cardiopulmonary-bypass
#7
J W Lee, J H Choi, Y Kim, M K Kim
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27802250/effects-of-hyperventilation-on-cerebral-oxygen-saturation-estimated-using-near-infrared-spectroscopy-a-randomised-comparison-between-propofol-and-sevoflurane-anaesthesia
#8
Tadahiko Ishiyama, Masakazu Kotoda, Nobumasa Asano, Kodai Ikemoto, Noriyuki Shintani, Toru Matsuoka, Takashi Matsukawa
BACKGROUND: Near-infrared spectroscopy estimates cerebral regional tissue oxygen saturation (rSO2), which may decrease under hyperventilation. Propofol and sevoflurane act differently on cerebral blood vessels. Consequently, cerebral blood flow during hyperventilation with propofol and sevoflurane anaesthesia may differ. OBJECTIVES: The first aim of this study was to compare the changes in rSO2 between propofol and sevoflurane anaesthesia during hyperventilation...
December 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27801540/management-of-poor-grade-subarachnoid-haemorrhage-a-self-fulfilling-prophecy-of-good-outcome
#9
EDITORIAL
Y Z Al-Tamimi
No abstract text is available yet for this article.
November 1, 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/27798274/placing-intracerebral-probes-to-optimise-detection-of-delayed-cerebral-ischemia-and-allow-for-the-prediction-of-patient-outcome-in-aneurysmal-subarachnoid-haemorrhage
#10
Yannick Tholance, Gleicy K Barcelos, Armand Perret-Liaudet, Edris Omar, Romain Carrillon, Sébastien Grousson, Thomas Lieutaud, Frédéric Dailler, Stéphane Marinesco
Cerebral microdialysis could be useful to detect delayed cerebral ischemia in aneurysmal subarachnoid haemorrhage patients. The optimal location of the probes, however, remains controversial. Here, we determined the vascular territories with the highest infarct risk in relation to aneurysm location to define probe implantation guidelines. These guidelines were retrospectively validated by studying the likelihood of probe to fall in a secondary infarct area, and by analysing their influence to predict patient outcome...
October 21, 2016: Journal of Cerebral Blood Flow and Metabolism
https://www.readbyqxmd.com/read/27786555/seasonality-of-stroke-in-finland
#11
Jussi Sipilä, Jori O Ruuskanen, Tommi Kauko, Päivi Rautava, Ville Kytö
INTRODUCTION: The burden of stroke is increasing globally. Reports on seasonal variations in stroke occurrence are conflicting and long-term data is absent. METHODS: A retrospective cohort study using discharge registry data of all acute stroke admissions in Finland in 2004-2014 for patients ≥18 years age. 97018 admissions for ischemic stroke (IS) were included, 18252 admissions for intracerebral haemorrhage (ICH) and 11271 admissions for subarachnoid haemorrhage (SAH)...
October 27, 2016: Annals of Medicine
https://www.readbyqxmd.com/read/27773191/subarachnoid-haemorrhage-due-to-aneurysmal-rupture-secondary-to-fibromuscular-dysplasia
#12
J M Dyke, D M Moss, V A Fabian
No abstract text is available yet for this article.
February 2016: Pathology
https://www.readbyqxmd.com/read/27760482/clot-behind-the-blood-cerebral-vein-thrombosis-presenting-with-subarachnoid-haemorrhage-in-a-28-week-pregnant-woman
#13
Hasan Turan, Atay Vural, Ozden Caliskan Kamisli, Nedim Tokgozoglu, Veysel Sal, Ilker Kahramanoglu
No abstract text is available yet for this article.
October 19, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27742511/sedation-of-patients-with-acute-aneurysmal-subarachnoid-haemorrhage-with-ketamine-is-safe-and-might-influence-the-occurrence-of-cerebral-infarctions-associated-with-delayed-cerebral-ischemia
#14
Christian Vonderbrelie, Michael Seifert, Sergej Rot, Anja Tittel, Carsten Sanft, Ullrich Meier, Johannes Lemcke
No abstract text is available yet for this article.
October 11, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27709507/cerebral-venous-sinus-thrombosis-presenting-as-subarachnoid-haemorrhage
#15
Ravi Uniyal, Neeraj Kumar, Hardeep Singh Malhotra, Ravindra Kumar Garg
No abstract text is available yet for this article.
October 5, 2016: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/27695539/factors-affecting-outcome-in-poor-grade-subarachnoid-haemorrhage-an-institutional-study
#16
Sannepaneni Kranthi, Barada P Sahu, Purohit Aniruddh
CONTEXT: Poor grade subarachnoid hemorrhage (SAH) is usually associated with unfavorable outcomes and optimal management is deemed complicated. Most centres follow an expectant management strategy or a less aggressive approach till patients improve to good clinical grades. This approach has been associated with higher mortality and morbidity. However, not all patients with poor clinical condition fare badly. Identification and early aggressive management of this select group of patients may lead to favorable outcomes...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27694497/unruptured-intracranial-aneurysm-follow-up-and-treatment-after-morphological-change-is-safe-observational-study-and-systematic-review
#17
Renato Gondar, Oliver Pascal Gautschi, Johanna Cuony, Fabienne Perren, Max Jägersberg, Marco-Vincenzo Corniola, Bawarjan Schatlo, Granit Molliqaj, Sandrine Morel, Zsolt Kulcsár, Vitor Mendes Pereira, Daniel Rüfenacht, Karl Schaller, Philippe Bijlenga
BACKGROUND: The management of small unruptured incidentally discovered intracranial aneurysms (SUIAs) is still controversial. The aim of this study is to assess the safety of a management protocol of SUIAs, where selected cases with SUIAs are observed and secured only if signs of instability (growth) are documented. METHODS: A prospective consecutive cohort of 292 patients (2006-2014) and 368 SUIAs (anterior circulation aneurysms (ACs) smaller than 7 mm and posterior circulation aneurysms smaller than 4 mm without previous subarachnoid haemorrhage) was observed (mean follow-up time of 3...
September 30, 2016: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/27671168/pituitary-function-within-the-first-year-after-traumatic-brain-injury-or-subarachnoid-haemorrhage
#18
A Tölli, J Borg, B-M Bellander, F Johansson, C Höybye
PURPOSE: Reports on long-term variations in pituitary function after traumatic brain injury (TBI) and subarachnoid haemorrhage (SAH) diverge. The aim of the current study was to evaluate the prevalence and changes in pituitary function during the first year after moderate and severe TBI and SAH and to explore the relation between pituitary function and injury variables. METHODS: Adults with moderate and severe TBI or SAH were evaluated at 10 days, 3, 6 and 12 months post-injury/illness...
September 26, 2016: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/27670264/a-strategy-to-expeditious-invasive-treatment-improves-clinical-outcome-in-comatose-patients-with-aneurysmal-subarachnoid-haemorrhage
#19
J Hoogmoed, R van den Berg, B A Coert, G J E Rinkel, W P Vandertop, D Verbaan
BACKGROUND: In patients with poor clinical condition after aneurysmal subarachnoid haemorrhage (aSAH), treatment is often deferred until patients show signs of improvement. Early external ventricular drainage and aneurysm occlusion may improve prognosis also in poor grade patients. The clinical outcome of an expeditious approach was compared with that of a conservative approach. METHODS: In all, 285 consecutive World Federation of Neurological Surgeons (WFNS) grade V aSAH patients admitted to three university hospitals between January 2000 and June 2007 were included...
September 26, 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/27669342/traumatic-basal-subarachnoid-haemorrhage-or-ruptured-brain-aneurysm-in-16-year-old-boy-case-report
#20
R Skowronek, M Kobek, Z Jankowski, E Zielińska-Pająk, A Pałasz, J Pilch-Kowalczyk, R Kwarta, K Rygol, M Szczepański, C Chowaniec
Traumatic basal subarachnoid haemorrhage (TBSAH) represents only 1.8% of all subarachnoid haemorrhage cases diagnosed during autopsy. This report presents such a case from the current practice of the authors. Sixteen-year-old boy was beaten by the aggressors. Suddenly he lost his consciousness and fall after he received a single blow in the neck. He was resuscitated immediately, but died at the scene. During the external examination we did not find any significant external injuries. Autopsy revealed large contusion of right sternocleidomastoid muscle...
2016: Archiwum Medycyny Sa̧dowej i Kryminologii
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