Neurocritical Care

Neurocritical Care Articles

Neurocritical Care wants to be sure you have the latest peer-reviewed research as soon as possible.  Therefore, it publishes Online First articles ahead of being assigned to a journal issue.  NCS shares these abstracts below.  If you are looking for an older article, please enter the Springer site through the NCS private journal access page.

  • Blog Entry

    By Eelco F. M. Wijdicks MD, PhD First Online: 28 January 2020 References 1. Tyler KL. A history of bacterial meningitis. In: Finger S, Boller F, Tyler KL, editors. Handbook of clinical neurology. Amsterdam: Elsevier; 2010. p. 417–33. 2. Abercrombie J. Pathological and practical researches on ...

  • By Eelco F. M. Wijdicks MD, PhD First Online: 27 January 2020 Decapitation—and what it means for the brain—was back in the news. Vrselja and his coworkers from Yale use a decapitated pig brain and, after connecting to extracorporeal perfusion system, were able to postpone biochemical decline and ...

  • By Eelco F. M. Wijdicks MD, PhD First Online: 24 January 2020 Cerebral hemorrhage had been recognized since Johann Jakob Wepfer in 1658 reported it as a cause of apoplexy ( Schlaganfall ). At autopsy, he would find sanguineous fluid within cavities of the brain [ 1 , 2 , 3 ]. Hemorrhage ...

  • By Eelco F. M. Wijdicks First Online: 24 January 2020 In 1972, North and Jennett stated in the  Lancet : “Abnormal breathing is often regarded as an incidental feature of brain damage, and little clinical attention is paid to it” [ 1 ]. It is very true: the changes in respiratory rate and ...

  • Breaking Down Myasthenic Crisis

    Blog Entry

    By Eelco F. M. Wijdicks MD, PhD Myasthenia gravis may not be known to the patient before fulminant worsening of swallowing and breathing occurs. Respiratory weakness has reportedly appeared without prior diagnosis, but the absence of some prior signs is improbable. Myasthenia gravis does not proceed ...

  • By Eelco F. M. Wijdicks MD, PhD First Online: 24 January 2020 Neurointensivists (and intensivists) accept the responsibility for their decisions when they determine that outcome will be realistically poor. How did we do it in the past? For many years (and even decades), physicians, and later neurosurgeons, ...

  • By Eelco F. M. Wijdicks MD, PhD First Online: 24 January 2020 The history of the management of traumatic spinal cord injury (TSCI) goes a long way back and is closely connected to wartime [ 1 , 2 , 3 ]. Initially, garrison military hospitals tended to the wounded, but medical centers quickly ...

  • Brain Storming in Brain Trauma

    Blog Entry

    By Eelco F. M. Wijdicks First Online: 24 January 2020 When the autonomic system is touched or damaged, it shows clinically and often dramatically. First, neurosurgeons recognized impressive autonomic manifestations after surgery for tumors in the hypothalamic area. Neurologists often saw similar ...

  • Stroke and Craniectomy

    Blog Entry

    By Eelco F. M. Wijdicks , Department of Neurology, Mayo Clinic, Rochester, USA Neurocritical Care ,  April 2019 ,   Volume 30,   Issue 2,   pp 235–238 Neurosurgical involvement in the care of major stroke complications has yielded striking results in the subtentorial region but equivocal ...

  • Blog Entry

    By Eelco F. M. Wijdicks,  Division of Critical Care Neurology, Mayo Clinic, Rochester, USA Neurocritical Care , February 2019, Volume 30, Issue 1, pp 1–4 Neurologic examination of the comatose patient has gradually matured. Less than 50 years ago, neurological examination in coma became a regular ...

  • Lundberg and his Waves

    Blog Entry

    By Eelco F. M. Wijdicks First Online: 25 February 2019 This historical vignette revisits the main contributions by Nils Lundberg, a neurosurgeon, that were published in the late 1950s and early 1960s. The Lundberg studies also definitively established that symptoms of abnormal brainstem function ...

  • Blog Entry

    By Eelco F. M. Wijdicks First Online: 22 February 2019 Discovery of the ascending reticular activating system (ARAS) can be attributed to work done in research neuroscientist Horace Magoun’s laboratory. Before this finding, most scientists would focus on the diencephalon (and anterior midbrain) ...