Subarachnoid haemorrhage and traumatic brain injury can cause Terson syndrome, a bleeding in corpus vitreum. Read the study by Narayanan et al: ““Visual Outcomes after Vitrectomy for Terson Syndrome Secondary to Traumatic Brain Injury”. Our neurosurgeons suggest ophthalmoscopy once a week. Look for loss of red reflex.
Here’s a few resources on anaesthesia for awake craniotomies that have recently come to our attention, thanks to some of our colleagues: The first, from UpToDate, was updated this year. The second is part of the British Journal of Anaesthesia’s Continuing Education in Anaesthesia Critical Care & Pain series. It dates back to 2013 but is still… Continue reading Awake Craniotomy: Useful Resources
The world of medical publishing is waking up from its summer slumber and a host of good neurology articles have been released lately. And here’s one on SAH from NEJM’s clinical practice series. A nice and easily read synopsis on the subject. Can be found here.
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
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 Most older systems in use today seem to be increasingly outdated and are limited in their diagnostic and prognostic accuracy.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
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
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
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
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!
The Scandinavian Neurotrauma Committee is arranging their very first Nordic neurotrauma event. It will take place November 13-15th in Lund, Sweden. This multidisciplinary conference features a range of relevant lectures relating to head and spinal injury, suited to clinicians and researchers alike. Expect to meet a nice mix neurosurgeons, anaesthetists and intensivists. We´re going to… Continue reading First Nordic Neurotrauma Conference in Lund – Be There!
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