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Hiccups in neurocritical care

Rajagopalan V, Sengupta D, Goyal K, Dube SK, Bindra A, Kedia S

Hiccups are usually self-limiting and benign but can be distressing when they become persistent or intractable and produce significant morbidity. In the intubated patients in neurocritical care, persistent hiccups may...
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Delayed cerebral infarction due to cerebral venous air emboli after cardiac arrest

Lee YK, Jeong JH

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Utility of medical simulation in neurovascular critical care education

Mass-Ramírez S, Vergara-Burgos H, Sierra-Ochoa C, Lozada-Martinez ID, Moscote-Salazar LR, Janjua T, Rahman MM, Rahman S, Picón-Jaimes YA

Simulation has shown good results in medical scenarios in which the patient's problem can be solved by following protocols previously established in clinical practice guidelines. Therefore, the implementation of simulation...
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Role of continuous hypertonic saline in acute ischemic infarcts: a systematic literature review

Chugh AJS, Maynard M, Sunshine K, Shammassian BH, Sauer A, Odetoyinbo K, Hoffer SA

Continuous hypertonic saline for hemispheric ischemic infarcts has been routinely used in neurocritical centers for the management of malignant cerebral edema. However, the data supporting its use are extremely limited....
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Paralytic rabies mimicking Guillain-Barré syndrome: the dilemma still prevails

Surve RM, Pendharkar HS, Bansal S

Background: Paralytic rabies lacks the hallmark signs of rabies at presentation and is often misdiagnosed as Guillain-Barre Syndrome (GBS). Sensitive antemortem diagnostic criteria for rabies is lacking, and the diagnosis...
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Pneumococcal meningitis complicated by otomastoiditis and pneumocephalus confounding an acute ischemic stroke diagnosis

Malinovic M, Peterson J, Lee F

Background: Approximately one-fourth of admissions to stroke centers are diagnosed with non-stroke conditions or stroke mimics. Differentiating between these diagnoses and acute ischemic stroke is an important and time-sensitive task....
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Refractory brainstem encephalitis mimicking progressive cerebral infarction: infliximab and methotrexate as a salvage immunotherapy

Ahn SH, Roh J, Woo KN, Kim HS, Park MG, Park KP, Baik SK, Shin JH

Background: Brainstem encephalitis is a rare, severe, and potentially life-threatening inflammation of the central nervous system, exhibiting various treatment responses and outcomes owing to multiple etiologies. Case Report: We describe...
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Contribution of pupillary light reflex assessment to Glasgow Coma Scale for prognostication in patients with traumatic brain injury

Butt AA, Atem FD, Stutzman SE, Aiyagari V, Venkatachalam AM, Olson DM, Yokobori S

Background: Glasgow Coma Scale (GCS) and the pupillary light reflex (PLR) are important prognostic tools for traumatic brain injury (TBI). This study compared the predictability of GCS, GCS plus manual...
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Treatment of patients with severe traumatic brain injury: a 7-year single institution experience

Marini CP, Petrone P, McNelis J, Lewis E, Liveris A, Stiefel MF

Background: This study was designed to compare the efficacy of multimodality monitoring and goal-directed therapy protocol (MM&GDTP), in patients with Glasgow Coma Scale (GCS) scores ≤8 with the conventional intracranial...
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