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Comeback of ketamine: resurfacing facts and dispelling myths

Kumar A, Kohli A

Initially known as CI-581, ketamine was first synthesized in 1962 as a replacement from phencyclidine. It has since been used as an anesthetic and analgesic. In addition, it has bronchodilating,...
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Clinical Significance of Decompressive Craniectomy Surface Area and Side

Jo K, Joo WI, Yoo DS, Park HK

Objective : Decompressive craniectomy (DC) can partially remove the unyielding skull vault and make affordable space for the expansion of swelling brain contents. The objective of this study was to...
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Transtentorial Herniation after Lumbar Puncture in a Patient with Clinical Suspicion of Increased Intracranial Pressure

Kim HJ, Jo J, Seong GM, Kang CH, Choi JC, Kim JG

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Real-time change of optic nerve sheath diameter after rebleeding of ruptured intracranial dissecting aneurysm

Koo HW

Ultrasonographic measurement of optic nerve sheath diameter (ONSD) has been validated to detect and monitor the increased intracranial pressure (IICP) in neurosurgical field. Especially, the ONSD has been known to...
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Clinical Characteristics of High-Grade Glioma with Primary Leptomeningeal Seeding at Initial Diagnosis in a Single Center Study

Kwon JE, Hwang K, Go KO, Wee CW, Kim IA, Kim YJ, Choe G, Choi BS, Han JH, Kim CY

Background High-grade glioma (HGG) with primary leptomeningeal seeding (PLS) at initial diagnosis is rare. The purpose of this study was to identify its clinical features and to describe the clinical...
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The comparison of optic nerve sheath diameter measured by computed tomography and ultrasonography in evaluating increased intracranial pressure

Sung BY, Hong DY, Kim SY, Kim JW, Park SO, Lee KR, Baek KJ

OBJECTIVE: While the optic nerve sheath diameter (ONSD) is measured by computed tomography and ultrasonography as an indicator of an elevation in the intracranial pressure (ICP), it is unclear which...
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Pseudo-Subarachnoid Hemorrhage; Chronic Subdural Hematoma with an Unruptured Aneurysm Mistaken for Subarachnoid Hemorrhage

Son D, Kim Y, Kim C, Lee S

Subarachnoid hemorrhage (SAH) usually occurs due to aneurysmal rupture of intracranial arteries and its typical computed tomography (CT) findings are increased attenuation of cisterns and subarachnoid spaces. However, several CT...
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The RAP Index during Intracranial Pressure Monitoring as a Clinical Guiding for Surgically Treated Aneurysmal Subarachnoid Hemorrhage: Consecutive Series of Single Surgeon

Jin SC, Choi BS, Kim JS

BACKGROUND: It is well known that assessing the RAP index along with intracranial pressure (ICP) monitoring in traumatic brain injury patients is helpful. We will discuss the usefulness of this...
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A Novel Implantable Cerebrospinal Fluid Reservoir : A Pilot Study

Byun YH, Gwak HS, Kwon JW, Kim KG, Shin SH, Lee SH, Yoo H

OBJECTIVE: The purpose of this pilot study was to examine the safety and function of the newly developed cerebrospinal fluid (CSF) reservoir called the V-Port. METHODS: The newly developed V-Port consists...
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Causes and Trauma Apportionment Score of Chronic Subdural Hematoma

Lee KS, Yoon SM, Oh JS, Oh HJ, Shim JJ, Doh JW

OBJECTIVE: The pathophysiology of chronic subdural hematoma (CSH) is not yet clear. Trauma alone is not sufficient to result in CSH in young individuals, while a trivial injury can result...
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Compare the Intracranial Pressure Trend after the Decompressive Craniectomy between Massive Intracerebral Hemorrhagic and Major Ischemic Stroke Patients

Huh J, Yang SY, Huh HY, Ahn JK, Cho KW, Kim YW, Kim SL, Kim JT, Yoo DS, Park HK, Ji C

OBJECTIVE: Massive intracerebral hemorrhage (ICH) and major infarction (MI) are devastating cerebral vascular diseases. Decompression craniectomy (DC) is a common treatment approach for these diseases and acceptable clinical results have...
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Availability of the Optic Nerve Sheath Diameter Measured by Using Brain CT in Intracranial Hemorrhage

Yu JK, Kim YW, Kang JH, Yoon YS

PURPOSE: This study was designed to evaluate the applicability of optic nerve sheath diameter (ONSD), as measured by a brain CT, in intracranial hemorrhage patients. We assumed that ONSD can...
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Correlation between Optic Nerve Sheath Diameter Measured by Computed Tomography and Elevated Intracranial Pressure in Patients with Traumatic Brain Injury

Lim TK, Yu BC, Ma DS, Lee GJ, Lee MA, Hyun SY, Jeon YB, Choi KK

PURPOSE: The optic nerve sheath diameter (ONSD) measured by ultrasonography is among the indicators of intracranial pressure (ICP) elevation. However, whether ONSD measurement is useful for initial treatment remains controversial....
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Intraoperative Transcranial Sonography for Detection of Contralateral Hematoma Volume Change in Patients with Traumatic Brain Injury

Kim PS, Yu SH, Lee JH, Choi HJ, Kim BC

The authors present two clinical cases, in which intraoperative transcranial sonography (TCS) was used to detect a change in contralateral hematoma volume. A 51-year-old female and a 5-year-old male underwent...
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The Combined Use of Cardiac Output and Intracranial Pressure Monitoring to Maintain Optimal Cerebral Perfusion Pressure and Minimize Complications for Severe Traumatic Brain Injury

So JS, Yun JH

OBJECTIVE: To show the effect of dual monitoring including cardiac output (CO) and intracranial pressure (ICP) monitoring for severe traumatic brain injury (TBI) patiens. We hypothesized that meticulous treatment using...
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Physiological Changes and Clinical Implications of Syndromic Craniosynostosis

Sakamoto H, Matsusaka , Kunihiro N, Imai K

Syndromic craniosynostosis has severe cranial stenosis and deformity, combined with hypoplastic maxillary bone and other developmental skeletal lesions. Among these various lesions, upper air way obstruction by hypoplastic maxillary bone...
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Early Experience of Automated Intraventricular Type Intracranial Pressure Monitoring (LiquoGuard®) for Severe Traumatic Brain Injury Patients

Kwon YS, Lee YH, Cho JM

OBJECTIVE: The LiquoGuard® system is a new ventricular-type monitoring device that facilitates intracranial pressure (ICP)-controlled or volume-controlled drainage of cerebrospinal fluid (CSF). The purpose of this study is to report...
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The Utility of the Optic Nerve Sheath Diameter in Predicting Post-Thrombolysis Intracranial Hemorrhage

Jeon GH, Kim YW, Yoon YS, Kim TH, Park DH

PURPOSE: We tried to identify the factors associated with intracranial hemorrhage (ICH) in patients with acute brain infarction receiving a tissue plasminogen activator. We assumed that ICH is increased if...
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Continuous Renal Replacement Therapy for Acute Renal Failure in Patients with Traumatic Brain Injury

Park CY, Choi HY, You NK, Roh TH, Seo SJ, Kim SH

OBJECTIVE: The purpose of this study was to investigate the impact of continuous renal replacement therapy (CRRT) on survival and relevant factors in patients who underwent CRRT after traumatic brain...
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Therapeutic Hypothermia for Increased Intracranial Pressure after Decompressive Craniectomy: A Single Center Experience

Rim HT, Ahn JH, Kim JH, Oh JK, Song JH, Chang IB

OBJECTIVE: Therapeutic hypothermia (TH) and decompressive craniectomy are neuroprotective interventions following severe brain swelling. The precise benefits, risks, and clinical outcomes in brain swelling after TH are still being investigated....
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