I read with interest a recent paper in your journal, in which three consciousness assessment scales were compared in poisoned patients and finally a new scale "AVPU plus" was proposed (1). The study was very interesting with a worthy objective. I would like to admire the authors for exploring how the Alert/Verbal/Painful/Unresponsive (AVPU) responsive scale corresponds with the Glasgow Coma Sca...

Acute basilar artery occlusion (BAO) is a condition producing high rates of morbidity and mortality. Intravenous thrombolysis or intra-arterial thrombolysis are therapeutic options; however, the clinical outcomes remain poor. The purpose of the present study was to evaluate feasibility, safety, and efficacy of emergency stent placement following intra-arterial thrombolysis for patients with acu...

The factors affecting outcome were analyzed in 1,064 patients, 621 males and 443 females aged 10 to 104 years (mean 46 +/- 23 years), with mild head injury (Glasgow Coma Scale [GCS] score > or =14) but no neurological signs presenting within 6 hours after injury. Intracranial lesion was found in 4.7% (50/1,064), and 0.66% (7/1,064) required surgical treatment. The Japan Coma Scale (JCS) and GCS...

OBJECTIVES The role of EEG and evoked potentials has not been evaluated in predicting the prognosis of tuberculous (TB) meningitis. The present study was aimed at evaluating the prognostic significance of clinical, radiological, and neurophysiological variables using multi-variable analysis. METHODS Patients with TB meningitis diagnosed on the basis of clinical, radiological, and CSF criteria...

Hyponatremia and hyperglycemia are common metabolic disorders which could worsen the outcome after a cerebrovascular accident (stroke). This study aimed to evaluate impact of hyponatremia on stroke its clinical outcome, including morbidity mortality. prospective cohort included 50 patients admitted in tertiary care hospitals. Stroke severity, Glasgow coma scale (GCS), conscious level, gag refle...

normal 0 false false false en-us x-none fa microsoftinternetexplorer4 background : erythropoietin (epo) as a major stimulator of red blood cell (rbc) production play a key role on brain protection and have a caring effect on neurons from hypoxic or traumatic injury. the objective of this trial was to study the safety and efficacy of recombinant human epo (rhepo) on level of consciousness and ot...

conclusions with regards to the predictive strength of the combination of gcs and iss, a predictive system for analyzing the clinical outcome may be provided. results 15496 traumatic patients referred to the hospital and traumatic deaths occurred in 289 patients. blunt trauma accounted for 286 (99%) of death and penetrating trauma for only 1%. our findings concerning the injury pattern, correla...

Traumatic brain injury (TBI) is a frequent and clinically highly heterogeneous neurological disorder with large socioeconomic consequences. TBI severity classification, based on the hospital admission Glasgow Coma Scale (GCS) score, ranges from mild (GCS 13-15) and moderate (GCS 9-12) to severe (GCS ≤ 8). The GCS reflects the risk of dying from TBI, which is low after mild (∼1%), intermediate a...