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In this program we discuss the different kinds of movement disorders common after an brain injury including risk, severity, and how movement disorders may very with the type of brain injury someone has.
Evaluation of movement disorders as well as treatment options are considered in this informative Podcast.
Neurocritical Care 1541-6933 (Print) 10.1007/s12028-009-9228-6
While tight glucose control has been widely adopted in the critical care setting, the optimal target glucose level following acute traumatic brain injury (TBI) remains debatable.
Neurocritical Care 1541-6933 (Print) 10.1007/s12028-009-9230-z
Tight glycemic control (TGC) after ischemic stroke may improve clinical outcome but previous studies failed to establish TGC, principally because of postprandial glucose surges.
The present study describes severe multiplex cerebral ischaemic laesions in a male patient being diagnosed with polycythaemia vera (PV). In contrast to previous publications, unique platelet receptor pattern with normal platelet count was identified.
Amyotrophic lateral sclerosis (ALS) is a fatal progressive neurodegenerative disease of unknown etiology. Although known to be rare, precise information on the frequency of ALS is essential to anticipate future demands on health resources and as baseline information for epidemiological studies.
Three hundred ninety-four GBM patients with a median age of 71.9 years (59% of whom were men) were included. Approximately 18% of patients underwent biopsy, whereas 82% underwent tumor resection; 81% received radiotherapy (RT), and 43% received adjuvant chemotherapy.
Limbic psychotic trigger reaction (LPTR) includes paroxysmal, motiveless, unplanned felonies, all committed during flat affect, autonomic arousal and a fleeting de novo psychosis. It is considered as a form of non-convulsive behavioural seizures (NCBS).
White matter tractography based on diffusion tensor imaging has become a well-accepted non-invasive tool for exploring the white matter architecture of the human brain in vivo.
Northeast Center for Special Care presents the 5th Annual Mid-Hudson Brain Injury Rehabilitation Conference on Thursday October 8, 2009 at Bard College, Annandale-on-Hudson, NY.
The theme for this years conference is: Beyond Recovery: Life After TBI.
The emphasis in rehabilitation is typically on overcoming the challenges associated with disability. However, some of the most serious challenges confronting the individual--especially in the later stages of recovery--may have less to do with disability than with the human condition itself.
The annual Mid-Hudson Brain Injury Rehabilitation Conference is aimed at professionals and clinicians who support Traumatic Brain Injury survivors and has featured world renowned experts in the field of neurorehabilitation.
Join the mailing list and receive the conference agenda and registration information when it is published.
Critical Care Medicine. 37(6):2051-2056, June 2009
To examine predictors and the prognostic value of electrographic seizures (ESZs) and periodic epileptiform discharges (PEDs) in medical intensive care unit (MICU) patients without a primary acute neurologic condition.
Nutrition in Clinical Practice, Vol. 24, No. 3, 414-418 (2009)
Dysphagia and aspiration occur frequently in stroke patients. The aim of the present study was to evaluate 2 consistencies (liquid and spoon-thick/pudding-like) regarding the risk of aspiration and to determine the usefulness of a bedside speech therapy assessment to predict risk of aspiration.
To rigorously evaluate the time course of cognitive change in a cohort of individuals with HIV-associated neurocognitive disorders (HAND) initiating combination antiretroviral therapy (CART), and to investigate which demographic, laboratory, and treatment factors are associated with neuropsychological (NP) outcome (or "any NP improvement").
The peculiar radiological and pathological findings of four pediatric cases admitted to the University Hospital of Padua between 1990 and 2007 are described. In all cases, the contrast-enhanced head and spine magnetic resonance images revealed thickened and abnormally enhancing subarachnoid spaces particularly at the level of basal cisterns and interhemispheric fissure.
Although experimental studies have suggested that tea consumption may reduce the risk of ischemic stroke, available epidemiological evidence is equivocal, mainly due to the lack of accurate measurements on tea exposure. This study aims to ascertain the relationship between tea drinking and ischemic stroke risk.
Childhood arterial ischemic stroke treatment guidelines recommend extended anticoagulation in cardioembolism and dissection. We sought to investigate the safety of extended anticoagulation in childhood arterial ischemic stroke with nonmoyamoya arteriopathy, for which the risk of recurrent stroke is high.
The current gold standard for imaging intracranial AVMs involves catheter-based techniques, namely cerebral digital subtraction angiography (DSA). However, DSA presents some procedural risks to the patient.
Amyotrophic Lateral Sclerosis First Published on: 22 May 2009
Our objective was to compare clinical features and survival in two groups of ALS patients from countries in opposite hemispheres. The study took place at an ALS referral centre in the Limousin region of France (LIM) and in Uruguay (UY).
Amyotrophic lateral sclerosis (ALS) is a devastating disorder of the central nervous system that leads to progressive loss of upper and lower motor neurons. Most cases are sporadic and of unknown aetiology.
Hypertension can lead to subarachnoid hemorrhage and eventually to cerebral vasospasm. It has been suggested that the latter could be the result of oxidative stress and an inflammatory response evoked by subarachnoid hemorrhage.
Medicine & Science in Sports & Exercise. 36(11):1852-1855, November 2004
Although the sport of female boxing has a long history, the activity's current popularity is unprecedented. As more women participate, we can expect them to experience many of the serious neurologic injuries observed in their male counterparts.
Cognitive impairment often includes problems with attention, orientation, mood regulation, thinking, self-awareness, memory, language, visual perception, and communication and tends to reduce the individuals ability to actively participate in treatment. These special problems require special knowledge and skills. Our clinical and support staff specializes in this area of treatment.
Northeast Center for Special Care is designed to serve individuals with acquired brain injury. It is a one-of-a-kind facility and the largest brain injury treatment program in the world.
To investigate the relationship between errors in perceiving postural limits and falls in hospitalized hemiplegic patients and to determine whether this relationship is useful for identifying patients at high risk of falls.
Amyotrophic Lateral Sclerosis First Published on: 01 June 2009
More than 140 different mutations have been reported in the Cu/Zn superoxide dismutase-1 (SOD1) gene in patients with amyotrophic lateral sclerosis (ALS), some occurring as founder mutations.
Cluster headache (CH) is a debilitating neurovascular condition characterized by severe unilateral periorbital head pain. Deep brain stimulation of the posterior hypothalamus has shown potential in alleviating CH in its most severe, chronic form.
Journal of Neurosurgery June 2009 Volume 110, Number 6
The aim of this study was to evaluate the long-term efficacy of temporal lobe epilepsy (TLE) surgery and potential risk factors for seizure recurrence after surgery.
Journal of Neurosurgery June 2009 Volume 110, Number 6
A 34-year-old man presented with intractable temporal lobe epilepsy. Three-tesla magnetic resonance imaging revealed increased T2 signal intensity and volume loss limited to the CA4 region of the right hippocampus.
Critical Care Medicine. 37(6):2057-2063, June 2009
In this study, available medical literature were reviewed to determine whether brain hypoxia as measured by brain tissue oxygen (Bto2) levels is associated with increased risk of poor outcome after traumatic brain injury (TBI). A secondary objective was to examine the safety profile of a direct BtO2 probe.
Journal of Neurosurgery June 2009 Volume 110, Number 6
Patients with normal MR imaging (nonlesional) findings and medically refractory extratemporal epilepsy make up a disproportionate number of nonexcellent outcomes after epilepsy surgery.
Northeast Center for Special Care is located halfway between New York City and Albany at the foot of the Catskill's in the beautiful Hudson River Valley.
View images of our state-of-art rehabilitation center and beautiful campus.
Current Treatment Options in Neurology Volume 11, Number 4 / July, 2009 253-261
Many patients with epilepsy are on lifelong therapy with antiepileptic drugs (AEDs), and AEDs are used for other conditions such as mood stabilization and headache prophylaxis.
Current Treatment Options in Neurology Volume 11, Number 4 / July, 2009 297-305
Optimal management of newly diagnosed glioblastoma multiforme includes maximal surgical resection, followed by 60 Gy of external beam radiation plus concomitant daily temozolomide and at least six additional monthly cycles of maintenance temozolomide.
Current Treatment Options in Neurology Volume 11, Number 4 / July, 2009 231-241
In principle, the use of anticonvulsant drugs does not differ between acute and remote symptomatic seizures, but control of acute symptomatic seizures requires simultaneous treatment of the underlying etiology.
Hinge craniotomy (HC) has recently been described as an alternative to decompressive craniectomy (DC). Although HC may obviate the need for cranial reconstruction, an analysis comparing HC to DC has not yet been published.
Decompressive craniectomy is widely used to treat intracranial hypertension following traumatic brain injury (TBI). Two randomized trials are currently underway to further evaluate the effectiveness of decompressive craniectomy for TBI.
The aim of this study was to analyze decompressive craniectomy (DC) in the setting of subarachnoid hemorrhage (SAH) with bleeding, infarction, or brain swelling as the underlying pathology in a large cohort of consecutive patients.
Few studies are available that have addressed the prevalence of early-onset dementia (EOD), including early-onset Alzheimer disease and other forms of dementia in Japan.
20% of ischemic stroke is in the posterior circulation, but there is little prospective data on early recurrent stroke risk and whether vertebrobasilar stenosis predicts a high recurrence risk.
This study aimed to determine the frequency and factors associated with obesity in a cohort of children and adolescents with newly diagnosed untreated epilepsy.
Journal of Neurosurgery June 2009 Volume 110, Number 6
In this paper the authors aimed to provide information related to major and minor surgical and neurological complications encountered following stereoelectroencephalography and epilepsy surgery.
In neonates, the differentiation of stroke and hypoxic ischemic encephalopathy (HIE) is important. Neuroimaging presents technical challenges in unstable neonates, resulting in frequently delayed or missed diagnosis of stroke.
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1015-1028
THIS ARTICLE REPRESENTS the first of a 2-part exploration of quantum dots (Qdots) and their application to neurological surgery. Spanning from materials science to immunology, this initial review traces the marriage of imaging physics to biochemical specificity.
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1029-1042
THE INTRODUCTION OF thalamotomy in 1954 led naturally to exploration of the underlying subthalamic area, with the development of such procedures as campotomy and subthalamotomy in the posterior subthalamic area.
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1073-1081
To determine the impact of intraoperative magnetic resonance imaging (iMRI) on the decision to proceed with additional glioma resection during surgery and to maximize extent of resection (EOR).
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1082-1089
Human leukocyte antigens (HLAs) are widely expressed cell surface molecules that present antigenic peptides to T lymphocytes and modulate immune response against inflammatory and malignant diseases.
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1102-1105
Patients who have a schwannoma of the facial nerve (facial schwannoma, facial neuroma) can be managed with observation, surgical resection, stereotactic radiosurgery, or fractionated radiotherapy.
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1106-1115
Hypomania accounts for approximately 4% to 13% of psychotropic adverse events during subthalamic nucleus (STN) deep brain stimulation (DBS) for Parkinson's disease.
Neurosurgery: June 2009 - Volume 64 - Issue 6 - p 1116-1122
Most symptomatic chronic subdural hematomas are treated by subdural drainage. However, a subperiostal (i.e., extracranial) passive closed-drainage system in combination with double burr hole trepanation is used at our institution.
This study describes and expands our understanding of the lived-experience of driving ability after stroke in the context of being under a driving evaluation.
WHODAS II with people after stroke and their relatives
The present study aimed to measure the internal consistency, inter-rater-reliability and validity of the World Health Organisation Disability Assessment Schedule II (WHODAS II) for its application to stroke patients and their closest others.
The purpose of the project was to identify characteristics associated with successful re-integration into the community post-inpatient rehabilitation after stroke. A key issue was determining re-integration from the person's perspective, taking into account the person's preferred lifestyle choices.
To examine the views of people with stroke, their 'family members/friends' and physiotherapists on the role of the family in physiotherapy and the delivery of exercises following stroke.
The aim of this study was to investigate from the actor's perspective how and why persons with mild stroke coped with their new life situation as they did, during the first year after stroke.
This retrospective study investigated whether there were statistically and/or clinically significant changes in functional status for patients between admission and discharge as measured by (1) the assistive/independence levels on the swallowing portion of the functional assessment measure (SFAM), and (2) the food and liquid dietary ratings. Also investigated was the relationship between the assistive/independence levels of the SFAM and the specific dietary ratings.
The UK Functional Assessment Measure (UK FIM+FAM) is a widely used outcome measure in brain injury rehabilitation. An Extended Activities of Daily Living (EADL) module was included in its original development, but has never been formally evaluated. This study evaluated its scoring accuracy and reliability using vignettes (short clinical scenarios).
To document the course of recovery in a group of first stroke patients, with stroke of moderate severity, over a 1-year period. Evaluation of recovery is important for estimating rehabilitation needs.
The purpose of this article is to utilise the perspective of persons with a spinal cord injury (SCI), gained from focus groups, to validate recommended clinical measures of outcome.
Transformative Learning in an educational theory that posits that individuals learn and grow when their meaning perspectives (frames of reference for interpreting an experience based on knowledge, feelings, values and beliefs) are reformulated following a critical event.
Cognitive and behavioural therapy (CBT) is often used to treat behavioural and emotional disorders in children, and its efficacy has been described in several studies. As behavioural and emotional disorders are frequent sequelae in brain tumor survivors, the goal of this work is to describe the efficacy of a CBT intervention in the treatment of young brain tumor survivors.
Post-amputation rehabilitation is physically and cognitively demanding. Understanding which specific cognitive domains mediate outcome is critical to the development of interventions.
Guest: Neera Kapoor, O.D., M.S., FAAO, B.Sc, Associate Clinical Professor and Director of the Raymond J. Greenwald Rehabilitation Center, SUNY- Optometry, New York.
Time: 28:56
Synopsis: Vision is one of our most important senses and it is vulnerable to impairment after a traumatic brain injury. In this program our Guest Dr. Neera Kapoor who gives an overview of Neuro-Optometry and discusses why if differs from Ophthalmology and Optometry and the role Neuro-Optometric rehabilitation provides in assessing and treating vision problems after a traumatic brain injury. Dr. Kapoor also gives listeners useful criteria for finding a Neuro-Optometrist, how is an examination done and the most common treatments.
A 39-year-old, right-handed man with refractory complex partial seizures after head trauma at age 15 was admitted for video-EEG monitoring. His girlfriend describes dancing movements with unresponsiveness lasting a few minutes.
A 55-year-old man presented in a global confusional state and after 24 hours fell into deep coma. Laboratory findings, including alcohol level, were normal.
Several recent guidelines recommend assessment of patients with TIA within 24 hours, but it is uncertain how many recurrent strokes occur within 24 hours.
Neuroimaging measures have potential as surrogate markers of disease through identification of consistent features that occur prior to clinical symptoms.
To determine how clinical features at the first evaluation and in follow-up can be used to suggest a diagnostic outcome for patients with only upper motor neuron (UMN) signs at disease onset.
Hereditary spastic paraplegias (HSP) are genetically exceedingly heterogeneous. To date, 37 genetic loci for HSP have been described (SPG1-41), among them 16 loci for autosomal dominant disease.
Mental health literacy is fundamental to the pursuit of health. Little is known about patients' literacy levels regarding depression even though it is common among elderly stroke survivors.
Spinal Cord advance online publication 2 June 2009; doi: 10.1038/sc.2009.54
To determine the safety and feasibility of autologous olfactory mucosal transplantation into the spinal cord in chronic spinal cord injured using the technique developed by Carlos Lima et al.
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