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Fatal Hemorrhage Complicating Intracranial Stenting After Failed Thrombectomy for Intracranial Atherosclerotic Stenosis in a Patient with Moderate Stroke: Risk Factors for Hemorrhagic Transformation, Red Flags, and Lessons Learned
Most large vessel occlusions (LVOs) are secondary to emboli of cardiac or cervical artery origin. Current stent retrieval and aspiration thrombectomy...
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Tandem Extra- and Intracranial ICA “T” Occlusions Treated by Means of Double Stentriever (T Stent Array) Thrombectomy, and Cervical Stent-Assisted Balloon Angioplasty
The double stentriever technique, which employs two stentrievers simultaneously at the occlusion site, can be beneficial for sizeable neurovascular...
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Rescue Stenting After Failed Thrombectomy of a Large Vessel Occlusion Related to Calcified Cerebral Embolus
Reperfusion of large vessel occlusion caused by calcified cerebral embolism remains a challenge, and failure to achieve reperfusion results in poor...
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Recurrent Large Vessel Occlusion Requiring Repeat Mechanical Thrombectomy Within 24 Hours with Good Clinical Evolution: Atrial Fibrillation Meets Malignancy and Immunotherapy – 1st Procedure, Stent Retriever; 2nd Procedure, Aspiration
Mechanical thrombectomy (MT) in the first 24 h after system onset has become the standard of care for the treatment of acute ischemic stroke due to...
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Mechanical Thrombectomy in Difficult Access, Tortuous ICA Anatomy: When an Intermediate Catheter Replaces the Balloon-Guiding Catheter
Thrombectomy has become established as a successful treatment strategy for ischemic stroke, and an increasing number of patients are undergoing this...
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Guillain-Barré Syndrome and Neurocritical Care
Guillain-Barré Syndrome is one of the most common causes of acute onset weakness. The polyneuropathy associated with GBS is triggered by an immune...
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Renal Problems in Neurocritical Care
The brain and kidney share an intimate relationship at anatomical and physiological levels, both in health and diseased states. An injured brain has...
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Diagnosing Brain Death
The neurocritical care field is a growing field in recent years, and neurointensivists have been recognized worldwide. “With great power comes great...
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Neurological Examination in Neurocritical Care
A neurological examination of every patient admitted to the intensive care unit (ICU) is a must, even if not conducted in detail. However, patients...
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Brain Microdialysis
Cerebral microdialysis (CMD) is a minimally invasive means of providing bedside continuous monitoring of cerebral extracellular fluid, which can...
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Cardiac Problems in Neurocritical Care
Patients admitted with various acute neurological problems in the neurocritical care unit can have other systemic involvement. Among them the...
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Meningitis/Encephalitis and Neurocritical Care
Meningitis and Encephalitis are clinical syndromes commonly encountered in Neuro Critical Care Units (NCCUs), with significant morbidity and...
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Antifungal Drugs
Invasive fungal infection is growing problems globally in critically ill patients which increases prolong ICU stay along with increasing morbidity...
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Antiviral Drugs
Historically, the development of antiviral drugs has lagged behind the development of other antimicrobial agents. Since the early 1950s when the...
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Nutrition in Neurocritical Care
Medical nutrition therapy (MNT) should be thought of in all critically ill patients staying in the ICU for more than 48 h. This is especially true...
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Gastrointestinal Problems in Neurocritical Care
In the pathogenesis of acute cerebral injury, the state of the gastrointestinal tract is of great importance. The formation of concomitant systemic...
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Epilepsy and Neurocritical Care
A seizure is a paroxysmal alteration of neurologic function caused by the excessive, hypersynchronous discharge of neurons in the brain. Neurological...
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Introduction to Neurocritical Care
Neurocritical care is a super-specialized zone where intensive care is provided to patients with neurological and neurosurgical diagnosis. It...
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Endocrine Dysfunction in Acute Brain Injury
Endocrine dysfunction is a common problem in acute brain injury patients. Various mechanisms have been described as responsible for disruptions to...
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Spinal Surgery and Neurocritical Care
Spinal surgery is associated with a high rate of systemic complications. Systematic reviews have found that the overall rate of early complications...