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Bypassing the intensive care unit for patients with acute ischemic stroke secondary to large-vessel occlusion
CONCLUSIONS: A recanalization grade lower than mTICI 2B, ASPECTS < 8, and postprocedure hyperdensity on cone-beam CT were shown to be independent predictors of requiring ICU-level care. Routine admission to ICU-level care can be costly and confer increased risk for hospital-acquired conditions. Safely and reliably identifying low-risk patients has the potential for cost savings, value-based care, and decreasing hospital-acquired conditions.PMID:34653995 | DOI:10.3171/2021.6.JNS21308
Source: Journal of Neurosurgery - October 15, 2021 Category: Neurosurgery Authors: Yifei Duan Berje Shammassian Shaarada Srivatsa Kerrin Sunshine Arunit Chugh Jonathan Pace Amanda Opaskar Nicholas C Bambakidis Source Type: research

Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke.
Abstract The authors report a case of an intracranial extravasation during the withdrawal of a Trevo ProVue stent retriever device in a patient being treated for acute ischemic stroke. An 82-year-old woman developed sudden left hemiparesis and aphasia during an urgent cardiac catheterization procedure for a non-ST elevation myocardial infarction. She had a baseline National Institutes of Health Stroke Scale (NIHSS) score of at least 10 and no improvement with intravenous administration of tissue plasminogen activator (tPA). Cerebral angiography was performed with conscious sedation, confirming an occlusion of the ...
Source: Journal of Neurosurgery - June 13, 2014 Category: Neurosurgery Authors: Leishangthem L, Satti SR Tags: J Neurosurg Source Type: research

A simple score to predict atherosclerotic or embolic intracranial large-vessel occlusion stroke before endovascular treatment
CONCLUSIONS: The atrial fibrillation-blood pressure-clinical neurological deficit-computed tomography hyperdense sign-diabetes mellitus (ABC2D) score can be used to identify atherosclerotic or embolic etiology of patients with ILVOS who require emergency endovascular treatment.PMID:35303701 | DOI:10.3171/2022.1.JNS212924
Source: Journal of Neurosurgery - March 18, 2022 Category: Neurosurgery Authors: Geng Liao Zhenyu Zhang Tao-Hsin Tung Yuemei He Linhui Hu Xiong Zhang Hai Chen Jinbo Huang Weijie Du Chaomao Li Zhi Yang Yong Cai Hanxiang Liang Source Type: research

The Kempe incision for decompressive craniectomy, craniotomy, and cranioplasty in traumatic brain injury and stroke
CONCLUSIONS: The Kempe incision for craniectomy or craniotomy is a safe, feasible, and effective alternative to the RQM. The authors advocate the Kempe incision in cases in which contralateral operative pathology or subsequent craniofacial/skull base repair is anticipated.PMID:34020415 | DOI:10.3171/2020.11.JNS203567
Source: Journal of Neurosurgery - May 21, 2021 Category: Neurosurgery Authors: Isaac Josh Abecassis Christopher C Young David J Caldwell Abdullah H Feroze John R Williams R Michael Meyer Ryan T Kellogg Robert H Bonow Randall M Chesnut Source Type: research

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