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By Tamara T. Barghouthi, MD; Quang Vu, MD; Charles Tegeler, MD; Aarti Sarwal, MD Reversed Robin Hood Syndrome (RRHS) is a condition seen in acute stroke and TIA patients with large vessel occlusions in which there is a paradoxical decrease in flow velocity in the affected vessel, distal to occlusion of the vessel, which can occur spontaneously or in response to vasodilatory stimuli (such as breath holding) and result in worsening or recurrence of stroke symptoms. This cerebral steal phenomenon was first described by Alexandrov et al in 2007. It is thought to be due to maximally dilated vessels in the ischemic territory that have impaired vasomotor reactivity. ...
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Date Begin: 3/21/19 Title: Neurointensivist Company: Sutter Health’s Neuroscience Institute Department: Neuroscience Position: Neurointensivist Expertise: Board Certified Region: Greater Sacramento Description: Sutter Medical Group is seeking a motivated and personable BE/BC Neurointensivist to join Sutter Health’s Neuroscience Institute Sacramento, CA.  Sutter Neuroscience Institute is an integrated comprehensive network for neuroscience care in northern California offering subspecialized clinical assessments by nationally recognized physicians, using cutting-edge neuroimaging and neurodiagnostic instruments, providing best practices and multidisciplinary ...
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By Lauren Koffman, DO, MS   This is the second installment in a Currents series featuring neurocritical researchers who have been awarded K awards. Each person was asked to describe their research background, experience with the application process and a bit about their research project. The recurrent advice of these successful researchers is to establish a supportive network of mentorship, and collaborate within and outside of your department/institutions. Thank you again for your insight and participation in this series. Susanne Muehlschlegel, MD, MPH  Susanne Muehlschlegel, MD, MPH, is an associate professor at the University of Massachusetts ...
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Authors: Rey A. Rossetti AO, et al. Late Awakening in Survivors of Postanoxic Coma: Early Neurophysiologic Predictors and Association With ICU and Long-Term Neurologic Recovery. Critical Care Medicine. 2019 Jan 1;47(1):85-92. Reviewed by: Wazim Mohamed, MD, Assistant Professor of Neurology, Division of Neurotrauma and Critical Care Neurology, Wayne State University Methods Over the last decade, survival from coma after cardiac arrest (CA) has approached 50% and up to 1/3 of survivors may experience late awakening, defined as time to awakening >48 hours after temperature management (TTM) and initial sedation interruption. Characteristics of arrest, ...
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By Brian Gilbert, PharmD, BCPS, BCCCP, Emergency Medicine Clinical Pharmacy Specialist, Wesley Medical Center, Wichita KS Coagulopathies in neurocritical illness is common. Traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH), and acute ischemic stroke (AIS) each pose unique practice dilemmas for identifying optimal regimens for neuroresuscitation. Thromboelastography (TEG), first introduced approximately 70 years ago, is a method to test viscoelastic properties of whole blood and associated coagulopathies. 1 The two commercially available products widely accessible today are TEG® and ROTEM® with the majority of ...
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Date Begin: July 2019 Title: Neuroanesthesiology/Neurocritical Care Faculty Company: Oregon Health & Science University OHSU Department: Anesthesiology & Perioperative Medicine Position: Assistant Professor/Associate Professor/Professor Expertise: Anesthesiology and Neurocritical Care (BC/BE) Region: Pacific Northwest Salary Range: Based on Experience Description: Come and join our Neurocritical Care and Neuroanesthesia teams providing tertiary care to neurologically injured patients at OHSU (a 550-bed Magnet hospital and Comprehensive Stroke Center with Level-1 Trauma designation, and the only academic hospital in Oregon). OHSU has a ...
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Date Begin: 03/18/2019 Title: NeuroCritical Care Hospitalist Company: Pioneer Medical Group, PL Department: Neurology Description: Neuro-Critical Care Physician Tampa Bay Area  Pioneer Medical Group, PL   An established and growing group is looking for Neuro-Intensivist with critical care experience to take this rapidly growing service line to the next level!   Neuro team runs a combined Med-Surgical Neuro Trauma CV ICU  Role includes stroke call, tele stroke call, acute neurology Shifts are blocked 7 days on/7 days off 22 bed designated neuro ICU Competitive starting salary with full benefits ...
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Date Begin: 07/01/2019 Title: Assistant/Associate Professor Company: Washington University School of Medicine Department: Neurology Position: Stroke Faculty Expertise: Stroke/Telestroke Region: Midwest Description: The Department of Neurology at Washington University School of Medicine in St. Louis, is seeking a BC/BE Vascular Neurologist with interest in telestroke, for a position at the Assistant Professor level in the Cerebrovascular Disease Section. Washington University/ Barnes-Jewish Hospital is a Joint-Commission certified Comprehensive Stroke ...
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Date Begin: 7/1/2019 Title: Neurocritical Care Fellow Company: University of Florida Department: Neurology Position: Fellow Region: Florida Description: July 2019 start month/non ACGME-accredited (UCNS Accredited) Program specialty: Neurocritical Care Fellowship (UCNS Accredited)  Start date: July 1, 2019 Application deadline: Continuous Institution name: Neurocritical care fellowship program (Department of Neurology) at the University of Florida The University of Florida Health and Shands Hospital Neurocritical Care Fellowship program offers a one or two year training program accredited ...
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Date Begin: 3/13/2019 Title: Neuro Critical Care: Registered Nurse RN Company: Lifespan Department: Neuro Critical Care Position: Registered Nurse Region: Providence, RI Description: As Rhode Island's largest health system and private employer, Lifespan is dedicated to improving the way clinical care, medical research and education and community services are delivered. The Neuro Critical Care department at Rhode Island Hospital is undergoing rapid growth and development. We are looking for a highly motivated, team-oriented and compassionate RN to work alongside an exceptional ...
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Title: Faculty Position in Anesthesiology and Critical Care Medicine (Neurocritical Care) Company: The George Washington University Department: Critical Care Medicine Position: Assistant Professor, Associate Professor, Professor Region: Washington, DC Description: The George Washington University Medical Faculty Associates, an independent, non-profit clinical practice group affiliated with the George Washington University, is seeking applicants for a regular, full-time faculty position in the Department of Anesthesiology and Critical Care Medicine. Intensivists at GW work closely with intensivist ...
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Stories of Hope: Danny

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By Hannah Breit, MD, Neurology Resident, Rush University Medical Center, and Lauren Koffman, DO, MS, Assistant Professor of Neurological Sciences, Rush University Medical Center; Section Editor: Michael Reznik, MD, Assistant Professor of Neurology & Neurosurgery, Brown University, Alpert Medical School/Rhode Island Hospital April 20, 2018: It was a brisk and sunny day in Chicago. Danny and his wife Lexie woke up to the sounds of their three rambunctious children — a 7-year-old, a 2-year-old and an 8-month-old — and a house full of laughter and love. Danny was the picture of health: not just a fit 31-year-old family man, but a professional baseball ...
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Authors: Roberts BW, Kilgannon JH, Hunter BR, et al. Association Between Elevated Mean Arterial Blood Pressure and Neurologic Outcome After Resuscitation From Cardiac Arrest: Results From a Multicenter Prospective Cohort Study. Critical Care Medicine. 47(1):93–100. Reviewed by: Lara L. Zimmermann, MD, Co-Director, Neurocritical Care Service, Assistant Professor of Neurological Surgery and Neurology, UC Davis School of Medicine Read the article .* *You will need to log in to US National Library of Medicine National Institutes of Health to read this article. Methods Targeted temperature management (TTM) to 32-36 degrees Celsius is recommended in ...
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Authors: Oppong MD, Gembruch O, Pierscianek D, et al. Post-treatment antiplatelet therapy reduces risk for delayed cerebral ischemia due to aneurysmal subarachnoid hemorrhage. Neurosurgery 2018; 0: 1-7. Reviewed by: Kyle Hobbs, MD, Director, Neurocritical Care Fellowship, Assistant Professor of Neurology, Wake Forest School of Medicine Read the article .* *You will need to log in to US National Library of Medicine National Institutes of Health to read this article. Methods Delayed cerebral ischemia (DCI) occurs in approximately 30 percent of patients after aneurysmal subarachnoid hemorrhage (SAH). Activation of platelets and thromboxane A2 has ...
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By Michael L. “Luke” James, MD Since 2007, the United Council for Neurologic Subspecialties (UCNS) has been the recognized certification and accreditation body for Neurocritical Care (NCC). UCNS now accredits 69 NCC training programs and certifies 1,337 diplomates. The measures of expertise for certification of the diplomates and the standards for training program excellence have been established by respected representatives nominated by the sponsoring organizations: the Neurocritical Care Society and the American Academy of Neurology’s Critical Care & Emergency Neurology (CCEN) section. The NCC sponsoring organizations also have a voice on the UCNS ...
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Title: Assistant Professor Company: University of Rochester Medical Center/Strong Memorial Hospital Department: Neurology Region: Rochester, NY Description: The NeuroMedical ICU at University of Rochester Medical Center/Strong Memorial Hospital in Rochester, NY is seeking a NeuroIntensivist. Qualified candidates will be BC/BE in Anesthesiology, Neurology, Neurosurgery, Internal Medicine or Emergency Medicine. They must also have with fellowship training in NeuroCritical Care and be BC/BE in NeuroCritical care. The candidate will join an active clinical practice in a collegial environment with ample opportunities ...
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Date Begin: 07/01/2019 Title: Epileptologist/Neurointensivist Company: Washington University in Saint Louis Department: Neurology Region: Midwest Description: The Department of Neurology at Washington University in St. Louis seeks an Academic Epileptologist (MD or MD/PhD) for a position at the early or mid-career level in the Adult Epilepsy Section. The Washington University and Barnes-Jewish Epilepsy Center is a level 4 regional epilepsy center (National Association of Epilepsy Centers guidelines). The program is involved in all aspects of epilepsy care, including an active inpatient epilepsy-monitoring ...
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Date Begin: 3/4/2019 Title: Neurointensivist Company: The Permanente Medical Group, Inc. (Kaiser Permanente) Department: Neurology Position: Neurointensivist Region: Redwood City, California Description: Leading the future of health care. The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 9,000 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and a 70-year tradition of providing quality medical care. NEUROINTENSIVIST Redwood City, California  This is an exceptional opportunity to join our ...
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By Adrian A. Jarquin-Valdivia,  Neurosciences, Neurocritical CareTriStar Centennial Medical Center, Nashville, USA Robbie Franklin,  Neurosciences, Neurocritical CareTriStar Centennial Medical Center, Nashville, USA Neurocritical Care , February 2019, Volume 30, Issue 1, pp 232–233 A 25-year-old Mexican immigrant acutely became unconscious. The initial head computed tomography scan demonstrated hydrocephalus, with a mass lesion in posterior third ventricle. The brain magnetic resonance imaging (MRI) (Fig.  1 a, T2 axial, and T1 sagittal) showed a single cystic lesion in the posterior third ventricle. A lateral ventriculostomy was placed. Two days later, ...
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By Brian Y. Hwang , Department of Neurological Surgery, Columbia University College of Physicians and Surgeons, Neurological Institute of New York, New York, USA Geoffrey Appelboom,  Department of Neurological Surgery, Columbia University College of Physicians and Surgeons, Neurological Institute of New York, New York, USA Christopher P. Kellner , Department of Neurological Surgery, Columbia University College of Physicians and Surgeons, Neurological Institute of New York, New York, USA E. Sander Connolly Jr. , Department of Neurological Surgery, Columbia University College of Physicians and Surgeons, Neurological Institute of New York, New York, USA ...
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