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Neurocysticercus on the Run

By Adrian A. Jarquin-Valdivia, Robbie Franklin A 25-year-old Mexican immigrant acutely became unconscious. The initial head computed tomography scan demonstrated hydrocephalus, with a mass lesion in posterior third ventricle. The brain magnetic resonance imaging (MRI) (Fig. 1 a, T2 axial,...


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Response to the Letter to the Editor from Gustavo Cartaxo Patriota, M.D., M.Sc., on “Clinical Grading Scales in Intracerebral Hemorrhage”

By Brian Y. Hwang, Geoffrey Appelboom, Christopher P. Kellner, E. Sander Connolly Jr. Dear Editor, The original intracerebral hemorrhage (oICH) score is one of the most commonly used intracerebral hemorrhage (ICH) clinical grading scales [ 1 ]. The score has been shown to be a good...


Blog Entry
Response to Letter to the Editor by Dr. Schulz-Stubner et al.

By Paul T. Akins Dear Editor: Dr. Shulz-Stubner makes an excellent point that desmopressin can quickly reverse platelet dysfunction, through its action to release von Willebrand factor. Since the desmopressin effect is short-acting and neurosurgical re-bleeding carries such adverse...


Blog Entry
Poisoning with Ethanol and 2-Propanol-Based Hand Rubs: Give Caesar What Belongs to Caesar!

By Bruno Mégarbane, Antoine Villa To the Editor, We read with great interest the practical pearl report by Henry-Lagarrigue and colleagues [ 1 ] and would like to comment on their interpretation of their poisoned patient’s features. The authors reported a massive ingestion of alcohol hand...


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Ventriculostomy-Associated Infection (VAI): In Search of a Definition

By William D. Freeman, Wendy C. Ziai, Daniel Hanley We read with great interest the article by Gozal et al. on ventriculostomy-associated infection (VAI) [ 1 ]. The authors propose that a standardized definition for VAI should be a CSF microbiological culture that is positive for...


Blog Entry
The Impact of Intrahospital Transports on Brain Tissue Metabolism in Patients with Acute Brain Injury

By Jan Küchler, Franziska Tronnier, Emma Smith, Jan Gliemroth, Volker M. Tronnier, Claudia Ditz Background Patients with severe acute brain injury (ABI) often require intrahospital transports (IHTs) for repeated computed tomography (CT) scans. IHTs are associated with serious adverse events ...


Blog Entry
Electrographic Seizures in Patients with Acute Encephalitis

By Tanuwong Viarasilpa, Nicha Panyavachiraporn, Gamaleldin Osman, Christopher Parres, Panayiotis Varelas, Meredith Van Harn, Stephan A. Mayer Introduction Clinical seizures and status epilepticus are frequent complications of encephalitis, can lead to depressed level of consciousness, and...


Blog Entry
Noninvasive Monitoring of Dynamic Cerebrovascular Autoregulation and ‘Optimal Blood Pressure’ in Normal Adult Subjects

By Paul Pham, Jessica Bindra, Anders Aneman, Alwin Chuan, John M. Worthington, Matthias Jaeger Background Cerebrovascular autoregulation can be continuously monitored from slow fluctuations of arterial blood pressure (ABP) and regional cerebral oxygen saturation (rSO 2 ). The purpose of this...


Blog Entry
Enteral Nutrition Initiation in Children Admitted to Pediatric Intensive Care Units After Traumatic Brain Injury

By Binod Balakrishnan, Katherine T. Flynn-O’Brien, Pippa M. Simpson, Mahua Dasgupta, Sheila J. Hanson Background Traumatic brain injury (TBI) is the leading cause of death and long-term disability among injured children. Early feeding has been shown to improve outcomes in adults, with some...


Blog Entry
Predictors for Tracheostomy with External Validation of the Stroke-Related Early Tracheostomy Score (SETscore)

By Khalid Alsherbini, Nitin Goyal, E. Jeffrey Metter, Abhi Pandhi, Georgios Tsivgoulis, Tracy Huffstatler, Hallie Kelly, Lucas Elijovich, Marc Malkoff, Andrei Alexandrov Background and Purpose Ischemic stroke (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) patients...