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NEWS REVIEW: The Role of EEG in Comatose Patients

By Kyle Hobbs, MD and Sara Stern-Nezer, MD Coma secondary to acute brain injury is extremely common in the neurocritical care unit, but prognosis after coma is challenging. Electroencephalography provides a window into the comatose brain, revealing brain activity even in the absence of...


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Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke

By Ma, H., Campbell, B.C., Parsons, M.W., et al. New England Journal of Medicine , 380 (19), pp.1795-1803. Summary Methods: The recently successful thrombectomy trials (DEFUSE 3 and DAWN) have set a paradigm of reperfusion based on tissue viability assessed by perfusion imaging...


Blog Entry
Can We Better Predict Thromboembolism in Coagulopathic Patients Using Thromboelastography?

By Harahsheh, Y., Duff, O.C., Ho, K.M. “Thromboelastography predicts thromboembolism in critically ill coagulopathic patients.” CCM. 2019;47(6): 826-832. Summary : Thromboembolism is the main cause of preventable hospital-associated death. Coagulopathy is common in the ICU, often resulting in...


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NEWS: Association Between Elevated Mean Arterial Blood Pressure and Neurologic Outcome After Resuscitation From Cardiac Arrest

Authors: Roberts BW, Kilgannon JH, Hunter BR, et al. Association Between Elevated Mean Arterial Blood Pressure and Neurologic Outcome After Resuscitation From Cardiac Arrest: Results From a Multicenter Prospective Cohort Study. CCM. 2019 Jan;47(1):93-100. Reviewed by: Sara Stern-Nezer, MD, MPH...


Blog Entry
NEWS: Postarrest Steroid Use in Cardiac Arrest Survivors

Authors: Tsai MS, Chuang PY, et al. Postarrest steroid use may improve outcomes of cardiac arrest survivors. CCM. 2019 Feb;47(2):167-175. Reviewed by: Sara Stern-Nezer, MD, MPH; and Kyle Hobbs, MD Read the article. * *You will need to log in to US National Library of Medicine National...


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NEWS: DEFUSE 3 Non-DAWN Patients: A Closer Look at Late Window Thrombectomy Selection

Authors: Leslie-Mazwi TM, Hamilton S, et al. DEFUSE 3 Non-DAWN Patients: A Closer Look at Late Window Thrombectomy Selection. Stroke . 2019 Feb 6 :STROKEAHA-118 . Reviewed by: Wazim Mohamed, MD, Assistant Professor of Neurology, Division of Neurotrauma and Critical Care Neurology, Wayne State...


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NEWS: Development and Validation of a Prognostic Model of Swallowing Recovery and Enteral Tube Feeding After Ischemic Stroke

Authors: Galovic M, Stauber AJ, Leisi N, et al. Development and Validation of a Prognostic Model of Swallowing Recovery and Enteral Tube Feeding After Ischemic Stroke. JAMA Neurol . Published online February 11, 2019. doi :10.1001/jamaneurol.2018.4858 Reviewed by: Lara L. Zimmermann, MD, Co...


Blog Entry
Paving the Path to the Future: Curing Coma

By Shraddha Mainali, MD, and Paul M. Vespa, MD, FCCM, FAAN, FANA, FNCS Special thanks to Jose Javier Provencio MD, FCCM, FAAN, FNCS; Susanne Muehlschlegel MD, MPH, FNCS, FCCM; and Daiwai Olson, RN, PhD , CCRN, FNCS It is an exciting time to be in neurocritical care. There has been tremendous...


Blog Entry
Descriptive Case Studies for Clinical Applications of Transcranial Doppler Ultrasound in Neurocritical Care Unit: Cerebral Steal Phenomenon (Reversed Robin Hood Syndrome)

By Tamara T. Barghouthi, MD; Quang Vu, MD; Charles Tegeler, MD; Aarti Sarwal, MD Reversed Robin Hood Syndrome (RRHS) is a condition seen in acute stroke and TIA patients with large vessel occlusions in which there is a paradoxical decrease in flow velocity in the affected vessel, distal to...


Blog Entry
NEWS: Late Awakening in Survivors of Postanoxic Coma: Early Neurophysiologic Predictors and Association With ICU and Long-Term Neurologic Recovery

Authors: Rey A. Rossetti AO, et al. Late Awakening in Survivors of Postanoxic Coma: Early Neurophysiologic Predictors and Association With ICU and Long-Term Neurologic Recovery. Critical Care Medicine. 2019 Jan 1;47(1):85-92. Reviewed by: Wazim Mohamed, MD, Assistant Professor of Neurology,...