OBJECTIVE An effective intervention has not yet been established for patients with acute occlusion of the internal carotid artery (ICA). The aim of our study was to investigate the feasibility, safety, and efficacy of emergent stent placement of carotid artery to improve neurologic symptoms and clinical outcome. METHODS Of 84 consecutive patients with severe ICA stenosis who were admitted to ...

BACKGROUND Civilian gunshot wounds to the brain are relatively rare, and a much-neglected subject in Taiwan. We present our experience with 16 patients who sustained gunshot wounds to the brain, and then identify factors determining the respective outcomes. METHODS From 1988-2002, data from 16 patients with civilian gunshot wounds to the brain, who were treated at Taichung Veterans General Ho...

Background and purposeDelayed cerebral ischemia (DCI) complicates the recovery of approximately 30% patients with aneurysmal subarachnoid hemorrhage (aSAH). The definition DCI widely varies, even though a consensus has been recommended since 2010. This study aimed to evaluate prognostic value 2010 in cohort aSAH.MethodsWe conducted single-center, retrospective, observational that included conse...

Results 25 patients. Mean age 57 years. 22 (80%) males. 17 (68%) of the cases between October and Mars. Most frequent mechanisms of injury were: syncope 11 (44%), own height falling 9 (3%), high height falling 2 (8%). In 13 (52%) of the patients, intoxication signs were found, especially ethanol. 13 (52%) were picked up on the streets. The mean GCS (Glasgow Coma Scale) at pick up was 13.8, neur...

BACKGROUND AND PURPOSE Mechanical ventilation after stroke is associated with high mortality. However, little is known about survivors who require prolonged ventilatory assistance and tracheostomy. Our goal was to assess the rate of pulmonary complication, effect of early tracheostomy and prognosis of patients with stroke requiring prolonged ventilatory support. METHODS Retrospective review o...

INTRODUCTION Cerebral vasospasm is a well-documented complication of aneurismal subarachnoid hemorrhage but has not been extensively studied in brain arteriovenous malformations (BAVMs). Here, our purpose was to identify risk factors for cerebral vasospasm after BAVM rupture in patients requiring intensive care unit (ICU) admission. METHODS Patients admitted to our ICU from January 2003 to Ma...

BACKGROUND The authors are aware of only one article investigating amino acid concentrations in cerebrospinal fluid (CSF) in patients with ruptured intracranial aneurysms, and this was published 31 years ago. Since then, both management of subarachnoid haemorrhage (SAH) and amino acid assay techniques have seen radical alterations, yet the pathophysiology of SAH remains unclear. OBJECTIVE To ...

BACKGROUND Neurotrauma centers have developed management protocols on the basis of evidence obtained from literature analysis and institutional experience. This article reviews our institutional experience in the management of severe traumatic brain injury (TBI) at Simòn Bolivar Hospital, the district trauma center for Bogotá's north zone. METHODS This is a case control study comparing a grou...

BACKGROUND Our aim was to analyze prognostic factors and their association with outcome among children with severe head injury. METHODS We conducted a retrospective study among children (n=55) with severe head injury [Glasgow Coma Score (GCS) ?8] who were admitted to our Neurosurgical Intensive Care Unit (ICU) from January 1996 to September 2003. The patients were immediately evaluated with c...

Background and Aim: Most good grade (WFNS I II) patients who undergo microsurgical clipping achieve a favorable outcome. However, some independent before surgery face unfavorable outcomes after the operation, signifying impact of clipping. This study aimed to identify risk developing dependency in without previous neurological deficits. Methods Materials/Patients: We reviewed 50 consecutive wit...