Cardiovascular Conditions · Haemodynamics · Neurotrauma · Systemic Effects of CNS Pathology · Traumatic Brain Injury

Lancet: Paroxysmal Sympathetic Hyperactivity after TBI – An Underrecognized Clinical Entity

We have probably all struggled with these phenomena in our TBI patients in the neuro ICU: swinging blood pressures, episodic tachycardia and fever, occurring even several weeks after the initial traumatic event. In this article in the Lancet, Meyfroidt and colleagues offer us some insight into the clinical syndrome now known as paroxysmal sympathetic hyperreactivity.… Continue reading Lancet: Paroxysmal Sympathetic Hyperactivity after TBI – An Underrecognized Clinical Entity

Conferences · Neurotrauma · Prognostication · Traumatic Brain Injury

New Article in PLOS: Reevaluating CT Scoring Systems for TBI

In this article Swedish and Finnish colleagues (Thelin et al) look at current scoring systems for CT imaging in TBI patients. Most older systems in use today seem to be increasingly outdated and are limited in their diagnostic and prognostic accuracy. It is the latter the authors seem to focus on in this observational multicenter… Continue reading New Article in PLOS: Reevaluating CT Scoring Systems for TBI

Basic Sciences & Physiology · Neurocritical Care · Neuroprotection · Neurotrauma · Traumatic Brain Injury

Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection

Summer is in its last month so it’s time to get back to the NeuroScand grind. And we do so with this article by Zoerle and colleagues (among whom we can count Dr. Nino Stocchetti), published in July in Frontiers in Neurology. “Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection” starts off by… Continue reading Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection

Cervical Spine Injury · Neurotrauma · Thoracolumbar Spine Injury

SJTREM – Mortality Due to Traumatic SCI in Europe

This article, recently published by Majdan et al in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, provides an important collection of mortality data for traumatic spinal cord injury from all over Europe. Very few earlier studies have managed to offer such a comprehensive overview of the epidemiology of tSCI. This underscores its importance and makes… Continue reading SJTREM – Mortality Due to Traumatic SCI in Europe

Acute Cerebrovascular Conditions · Neuroanaesthesia · Sedation

AnStroke Trial: Anaesthesia vs. Sedation for Endovascular Treatment of Ischemic Stroke

Does choice of anaesthetic approach have an impact on neurological outcomes in stroke patients? This article, recently published in Stroke, examines outcomes in patients undergoing endovascular treatment for acute ischemic stroke, randomised to either conscious sedation or general anaesthesia. Retrospective material till now has suggested poorer outcomes in patients subjected to full anaesthesia when compared… Continue reading AnStroke Trial: Anaesthesia vs. Sedation for Endovascular Treatment of Ischemic Stroke

Coagulopathy and Bleeding · Neurotrauma · Traumatic Brain Injury

Crash-3 has enrolled 9653 patients!

Crash-2 showed that TXA reduced mortality due to bleeding and all-cause mortality in trauma patients with extra cranial bleeding. The Crash-3 trial will provide reliable evidence about the effect of TXA on mortality and disability in patients with TBI. the effect of TXA on the risk of vascular occlusive vents and seizures will also be… Continue reading Crash-3 has enrolled 9653 patients!