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NEWS: Can Antiplatelet Therapy After Aneurysmal Subarachnoid Hemorrhage Reduce Delayed Cerebral Ischemia?

Authors: Oppong MD, Gembruch O, Pierscianek D, et al. Post-treatment antiplatelet therapy reduces risk for delayed cerebral ischemia due to aneurysmal subarachnoid hemorrhage. Neurosurgery 2018; 0: 1-7. Reviewed by: Kyle Hobbs, MD, Director, Neurocritical Care Fellowship, Assistant Professor...


Blog Entry
Literature Review

By Kyle Hobbs, MD, and Sara Stern-Nezer, MD Due to their efficacy and favorable rates of complications when compared to vitamin K antagonist therapy, direct or novel oral anticoagulant (NOAC/DOAC) use is now widespread, and reversal agents exist for many of these medications. The studies...


Blog Entry
NEWS: Autoimmune Encephalitis Is Common After HSV Encephalitis

Authors: Armangue T, Spatola M, Vlagea A, et al. Frequency, symptoms, risk factors, and outcomes of autoimmune encephalitis after herpes simplex encephalitis: a prospective observational study and retrospective analysis. Lancet Neurol 2018; 17:760-72. Reviewed by: Kyle Hobbs, MD, Director,...


Blog Entry
NEWS Review

By Aimee Aysenne, MD (left), MPH, and Kyle Hobbs, MD (right) Kidney injury is common in the neurocritical care unit. It has a significant impact on ICU length of stay and ultimate recovery, and can be aggravated by interventions undertaken for neurologic disease. The reviewed studies below...


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NEWS: Organ Donation After Aneurysmal Subarachnoid Hemorrhage

Authors: Kamarainen O, Huttunen J, Lindgren A, et al. Identification of potential organ donors after aneurysmal subarachnoid hemorrhage in a population-based neurointensive care in Eastern Finland. Acta Neurochirurgica 2018; 160:1507-1514. Reviewed by: Kyle Hobbs, MD, Assistant Professor of...


Blog Entry
NEWS: Rivaroxaban Not Superior to Aspirin to Prevent Recurrent Embolic Stroke of Undetermined Source

Authors: Hart RG, Sharma M, Mundl et al. Rivaroxaban for stroke prevention after embolic stroke of undetermined source. N Engl J Med 2018; 378:2191-201. Reviewed by: Kyle Hobbs, MD, Assistant Professor, Wake Forest School of Medicine Read the article * *You will need to log in or register...


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NEWS: General Anesthesia Is Not Associated With Worse Outcomes than Conscious Sedation in Thrombectomy for Ischemic Stroke

Author: Simonsen CZ, Yoo AJ, Sorenson LH, et al. Effect of general anesthesia and conscious sedation during endovascular therapy on infarct growth and clinical outcomes in acute ischemic stroke: a randomized clinical trial. JAMA Neurol 2018; 75(4): 470-477 Reviewed by: Kyle Hobbs, MD,...


Blog Entry
NEWS Review

By Aimee Aysenne, MD, MPH, (left) and Kyle Hobbs, MD (right) Antihypertensive medications are ubiquitous in ICUs. Still, complete understanding of the effect on the brain in neurologically patients is not well understood. In these reviews, we examine the cerebrovascular consequence of...


Blog Entry
NEWS Review

By Aimee Aysenne, MD, MPH, and Kyle Hobbs, MD Recently, two landmark studies supporting an extended time window for the treatment of large vessel occlusion (LVO) have been published. DAWN, published in November, investigated thrombectomy between six and 24 hours from last known well time (LKW...


Blog Entry
NEWS: Good Outcomes Seen in Poor Grade Subarachnoid Hemorrhage With Aggressive Treatment

Author: Konczalla J, Seifert V, Beck J, et al. Outcome after Hunt and Hess grade V subarachnoid hemorrhage: a comparison of pre-coiling era versus post-ISAT era (2005-2014). J Neurosurg 2018; 128:100-110. Reviewed by: Kyle Hobbs, MD, Assistant Professor, Wake Forest School of Medicine ...