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Shweta Goswami, MD, University of Florida Sasha Yakhkind, MD, University of Pennsylvania Every year, neurology residents combine the wisdom of their mentors, their experience, their passion, and their personalities to guide them in the decision of sub-specialization. In 2017, 90% of neurology residents planned to complete fellowship before going into practice (1), and the process of application into subspecialty training is nuanced and evolving. Neurocritical care fellowship is part of the United Council for Neurologic Specialties (UCNS), and the match process has been completed through the San Francisco Match (SFMatch) since 2009 (2), a year after the first ...
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Luis Rafael Moscote-Salazar, MD Critical Care Unit, Bogotá, Colombia Centro Policlínico del Olaya I ván David Lozada-Martínez, MS University of Cartagena Cartagena, Colombia View Blog in English Las enfermedades neurológicas y neuroquirúrgicas son una de las principales causas de morbilidad y mortalidad en todo el mundo, y América Latina no es una excepción [1-3]. La incorporación de la atención neurocrítica ha representado un cambio de paradigma en el manejo de estas enfermedades [4]. Sin embargo, el advenimiento de la reciente pandemia ha representado  una serie de desafíos para la atención neurocrítica en países de ingresos bajos y medianos ...
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Luis Rafael Moscote-Salazar, MD Critical Care Unit, Bogotá, Colombia Centro Policlínico del Olaya I ván David Lozada-Martínez, MS University of Cartagena Cartagena, Colombia Blog en Español Neurological and neurosurgical diseases are a major cause of morbidity and mortality worldwide, and Latin America is no exception [1-3]. The incorporation of neurocritical care has represented a paradigm shift in the management of these diseases [4]. However, the advent of the recent pandemic represented a series of challenges for neurocritical care in low- and middle-income countries [5] such as those in Latin America, and in turn has led to the development ...
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By Wade Smith, MD, PhD, FNCS The Value of Volunteer Leadership Dear NCS Members, A foundation of NCS is its volunteers. As a member, if you have not yet volunteered for a role in NCS, please consider doing so. Serving as your NCS President in a year when we are emerging from the COVID-19 pandemic was challenging but an honor. It is so gratifying to witness the members of our society working on the frontlines of healthcare at all times, especially over the past 16 months. I have served as an NCS volunteer leader for several years, and my term as president has been the most rewarding yet. I am thankful to each one of you for sharing your stories, ...
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Shivani Ghoshal, MD Currents is excited to launch a new Arts Corner to recognize visual, performing, and creative artworks pertaining to neurocritical care, as well as makers within our own community. The practice of neurocritical care is as humbling as it is rewarding, and requires mindfulness both of oneself and one’s peers. We hope this corner will be a step toward recognizing creative outlets for NCS members and bringing our community closer together even while we are apart.  For its debut, we’d like to introduce Shivani Ghoshal, a neuro-intensivist and burgeoning artist who will be leading this new section. Outside of hospital and research work, Shivani ...
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JAMA Neurology (05/03/21) DOI: 10.1001/jamaneurol.2021.0925 Murthy, Santosh B.; Zhang, Cenai; Diaz, Ivan; et al. https://jamanetwork.com/journals/jamaneurology/article-abstract/2779594 Intracerebral hemorrhage correlated with a greater risk of ischemic stroke and myocardial infarction, according to data from four population-based cohort studies. "These findings suggest that intracerebral hemorrhage may be a novel risk marker for arterial ischemic events," the researchers wrote. For the study, the team analyzed pooled data from four population-based, U.S. studies: the Atherosclerosis Risk in Communities (ARIC) study, the Cardiovascular Health Study (CHS), ...
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JAMA Network Open (05/11/21) DOI: 10.1001/jamanetworkopen.2021.12131 Chou, Sherry H.-Y.; Beghi, Ettore; Helbok, Raimund; et al. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2779759 Neurological manifestations are common among patients hospitalized with COVID-19, according to new research, and are associated with an increased risk for in-hospital mortality. The cohort study — which involved 3,744 patients hospitalized with COVID-19 in 13 countries on four continents — sought to determine the neurological incidence of neurological manifestations of COVID-19 and investigate their relationship with in-hospital mortality. Patients were divided ...
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Title: Neurointensivist Company: Wayne State University School of Medicine Department: Neurology Position: Assistant Professor Expertise: Neurocritical Care Region: Detroit, MI Description: Neurointensive Care Specialist, Assistant Professor (Clinician-Educator) in the Department of Neurology at Wayne State University School of Medicine Department of Neurology at Wayne State University seeks a physician who is subspecialized in Neurointensive Care. Our NICU is located in Detroit Receiving Hospital, a Level I trauma center and primary stroke center in Detroit. The NICU team provides high quality of care to a large number of patients with ...
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Title: Neuro CC Faculty Position, Texas, San Antonio Company: University of Texas Department: Neurosurgery- Neuro Critical Care Position: Faculty Assitant, associate, professor Expertise: Neuro Critical Care Fellowship trained Region: Texas Salary Range: competitive Description: The Department of Neurosurgery at the Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio is seeking a full-time faculty member at the Assistant Professor, Associate Professor, or Professor level with a strong commitment to an academic career in teaching and research. This Neuro ICU is a state-of-the-art 18-bed academic Neuro ICU with fellows, ...
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By Justin H. Granstein, Kate Kerpen, Alexandra S. Reynolds & Spyridoula Tsetsou First Online: 18 May 2021 Comatose survivors of out-of-hospital cardiac arrest in the intensive care unit are increasing as a result of advancements in prehospital resuscitation [1]. Timely, accurate neuroprognostication in this population remains challenging, and so we read with great interest the recent article “Cerebrospinal Fluid Lactate Levels, Brain Lactate Metabolism and Neurologic Outcome in Patients With Out-of-Hospital Cardiac Arrest” by Son et al. [2]. The authors conclude that elevated cerebrospinal fluid (CSF) lactate levels demonstrate superior sensitivity for ...
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By Prateek Kumar Panda, Anju Mehra & Indar Kumar Sharawat First Online: 12 May 2021 We read with great interest the recently published article titled “Amantadine and Modafinil as Neurostimulants Following Acute Stroke: A Retrospective Study of Intensive Care Unit Patients” by Leclerc et al. [1]. The authors concluded that neurostimulant administration during acute stroke care may improve wakefulness. We would like to congratulate the authors for this article; however, we wish to add certain points. Read the full article here. #LetterToTheEditor ​
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By Jaana Humaloja, Erik Litonius & Markus B. Skrifvars First Online: 17 May 2021 Correction to: Neurocrit Care https://doi.org/10.1007/s12028-021-01213-4 This article was originally published electronically on the publisher’s internet portal (currently SpringerLink) on March 22, 2021 with open access. The copyright of the article changed on April 2021 to © 2021 Springer Science + Business Media, LLC, part of Springer Nature and Neurocritical Care Society and the article is forthwith distributed under the terms of copyright. Read the full article here. #Correction ​
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By Jeong Jin Park, Youngmi Kim, Chung Liang Chai & Jin Pyeong Jeon First Online: 07 May 2021 Background The objective of this study was to investigate the clinical feasibility of near-infrared spectroscopy (NIRS) for the detection of delayed cerebral ischemia (DCI) in patients with poor-grade subarachnoid hemorrhage (SAH) treated with coil embolization. Methods Cerebral regional oxygen saturation (rSO2) was continuously monitored via two-channel NIRS for 14 days following SAH. The rSO2 levels according to DCI were analyzed by using the Mann–Whitney U-test. A receiver operating characteristic curve was generated on the basis of changes in rSO2 by ...
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By Yu-Lun Li, Xin-Ni Lv, Xiao Wei, Wen-Song Yang, Rui Li, Lan Deng, Miao Wei, Qi Li & Fa-Jin Lv First Online: 03 May 2021 Objectives Perihemorrhagic edema (PHE) growth has been gradually considered as predictor for outcome of Intracerebral hemorrhage (ICH) patients. The aim of our study was to investigate correlation between non-contrast computed tomography (CT) markers and early PHE growth. Methods ICH patients between July 2011 and March 2017 were included in this retrospective analysis. ICH and PHE volumes were measured by using a validated semiautomatic volumetric algorithm. Nonparametric test was used for comparing PHE volume at different time ...
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By Anthony Figaji First Online: 30 April 2021 Do complex systems improve our care of patients with brain injury? It is easy to argue that they do, at least in concept. The brain is the most complex organ of the human body and even more so when injured. A multitude of pathophysiological changes evolve from primary traumatic brain injury (TBI) and many more from secondary insults, developing a vicious cycle of injury that begets more injury. Moreover, all of our well-meaning attempts to avoid or treat secondary injury can create more trouble, sometimes inadvertently causing further injury. For example, raising blood pressure may reduce the risk of ischemia, ...
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Title: APP Neurosciences Nocturnist Company: Piedmont Healthcare Position: Neurosciences Consult Nocturnist Region: Georgia Description: Piedmont Healthcare is recruiting for a Physician Assistant or Nurse Practitioner to join our neurocritical care and neurovascular team on our Piedmont Atlanta campus. Will apply specialized skills and knowledge to consult on Neuro ICU and Neurovascular patients in the ICU, ED, and Floor inpatient services. Contributes to excellence in patient care, research, teaching, and consulting. This is an excellent opportunity to be part of building a comprehensive stroke center ...
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The Department of Neurology at The Ohio State University Wexner Medical Center is recruiting a Neurocritical Care Physician for a faculty position to complement our established neurocritical care unit and neurology department. The Neurocritical Care Physician will perform management of inpatients with neurological disorders including those in the neurocritical care units, and consultation on those patients with neurological injury across a wide range of services within our medical center. Academic rank and salary will be based on professional experience & qualifications. Qualifications Neurology Residency Neurocritical Care Fellowship OSUWMC ...
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By Yingying Su, MD, Neuro ICU Professor, Xuanwu Hospital, Capital Medical University In 1998, when the neuro ICU of Xuanwu Hospital of Capital Medical University was established, we initiated a research project with the Beijing Municipal Science and Technology Commission—a study of bedside brain injury monitoring, evaluation, and brain protection treatment. Since then, with the support of nine scientific research projects, we have carried out studies of neuro-electrophysiology (EEG, EPs and ERPs), neuro-biochemical markers (S-100 and NSE), cerebral blood flow and cerebral perfusion (TCD, ICP and CPP), brain tissue oxygen technology (SjvO2, AVDO 2 and OEF), ...
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Reviewed by Sanjeev Sivakumar, MD Read the Article* *Article access requires subscription/login  Impact of Statins on Hematoma, Edema, Seizures, Vascular Events, and Functional Recovery After Intracerebral Hemorrhage. Maximilian I. Sprügel, Joji B. Kuramatsu et al. Stroke 2021 Mar;52(3):975-984. doi: 10.1161/STROKEAHA.120.029345  Background : Statins play an important role in the treatment and prevention of ischemic cerebrovascular and cardiovascular disease. The debate on statin therapy and ICH risk is one that is ongoing, ever since the Stroke prevention by aggressive reduction in cholesterol levels (SPARCL) study published in 2006 showed ...
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Reviewed by Shannon Hextrum, MD Read the Article Ammar AA, Ammar MA, Owusu KA, et al. Andexanet Alfa Versus 4-Factor Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitors in Intracranial Hemorrhage [published online ahead of print, 2021 Jan 6].  Neurocrit Care . 2021;10.1007/s12028-020-01161-5. doi:10.1007/s12028-020-01161-5 Background: Andexanet alfa is FDA-approved for reversal of life-threatening bleeding related to oral factor Xa inhibitors (FXi). Trial data from ANNEXA-4 has shown that andexanet administration in life-threatening bleeds is associated with decreased anti-factor Xa activity and a high rate of good or excellent ...
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