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No. 2 ·October 2019 eISSN 2635-5280 eISSN October 2019 October · No. 2 No. · Vol. 2 Vol. Journal of Neurointensive Care Vol.2 · No.2 · September 2019 eISSN 2635-5280 http://www.e-jnic.org Vol. 2 · No. 2 · October 2019 Aims and Scope Journal of Neurointensive Care (J Neurointensive Care, JNIC) is the official journal of the Korean Neurointensive Care Society and is published biannually (the last day of April and October). It is a peer reviewed, open access journal aimed at publishing all aspects of neurointensive care medicine, such as stroke, brain and spine trauma, perioperative neurosurgical intensive care, neuro-pediatric severe anormaly, CNS infection, seizure, myelitis and etc. It is intended for all neurointensive care providers as neurosurgeons, neurologists, anesthesiologists, emergency physicians, and critical care nurses treating patients with urgent neurologic disorders. Open Access This is an open-access article distributed under the terms of the Creative Commons Attribution Non- Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Subscription information The Korean Neurointensive Care Society will send J Neurointensive Care for free to some important individuals and institutions. Full text PDF files are also available at the official website (http://www.e-jnic.org). To order a subscription to J Neurointensive Care, please contact out editorial office. Publisher: Sang Hyung Lee Editors-in-Chief: Dong-Hyuk Park, Sang Gu Lee Editorial Office Department of Neurosurgery, Korea University College of Medicine 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea Tel: +82-2-920-6833 Fax: +82-2-929-0629 E-mail: [email protected] Printing Office M2community Co. 8th FL, DreamTower, 66 Seongsui-ro, Seongdong-gu, Seoul 04784, Korea Tel: +82-2-2190-7300 Fax: +82-2-2190-7333 E-mail: [email protected] Copyright © 2019 by Korean Neurointensive Care Society ∞This paper meets the requirements of KS X ISO 9706, ISO 9706-1994 and ANSI/NISO Z39.48-1992 (Permanence of Paper) eISSN 2635-5280 http://www.e-jnic.org Editorial Board Editors-in-Chief Dong-Hyuk Park Korea University, Korea Sang Gu Lee Gachon University, Korea Associate Editor Jun Seok W. Hur Korea University, Korea Editorial Board Jin Hwan Cheong Hanyang University, Korea Won-Sang Cho Seoul National University, Korea Kyu-Sun Choi Hanyang University, Korea Joon ho Chung Yonsei University, Korea Eun Jin Ha Seoul National University, Korea Kyung Sool Jang The Catholic University of Korea, Korea Ju Ho Jeong Dongguk University, Korea Kwang Wook Jo The Catholic University of Korea, Korea Sung Pil Joo Chonnam National University, Korea Chang-Hyun Kim Keimyung University, Korea Tae Gon Kim CHA University, Korea Young Jin Kim Dankook University, Korea Young Woo Kim The Catholic University of Korea, Korea Young Zoon Kim Sungkyunkwan University, Korea Doo-Sik Kong Sungkyunkwan University, Korea Hyon-Jo Kwon Chungnam National University, Korea Soon Chan Kwon Ulsan University, Korea Jong-Young Lee Hallym University, Korea Sang Weon Lee Pusan National University, Korea Sung Ho Lee Kyung-Hee University, Korea Taek Kyun Nam Chung-Ang University, Korea Cheol Wan Park Gachon University, Korea Jun Bum Park Ulsan University, Korea Keun Young Park Yonsei University, Korea Young Seok Park Chonbuk National University, Korea Jeong-Am Ryu Sungkyunkwan University, Korea Sang Woo Song Konkuk University, Korea Chan Jong Yoo Gachon University, Korea Vol. 2 · No. 2 · October 2019 CONTENTS Original Articles 39 Change in Nutrition Strategy after Nutritional Support Team Activities for Cerebrovascular Disease Patients in the Intensive Care Unit Jin Lee, Sung-Tae Kim, Won Hee Lee, Keun Soo Lee, Sung Hwa Paeng, Se Young Pyo, Young Gyun Jeong, Moo Seong Kim, Yong Tae Jung 45 Endovascular Treatment of Intracranial Aneurysms Associated with Brain Arteriovenous Malformations Seonah Choi, Joonho Chung 52 Preliminary Experience of Lvis Blue in the Internal Carotid Artery for The Treatment Of Wide-Necked Intracranial Aneurysms Jeong Hwa Kim, Chang Ki Jang, Jae Whan Lee, Keun Young Park, Joonho Chung 58 Radiologic Factors for Predicting Dynamic Spinal Cord Compression in Conventional Eervical MRI Kwang-Ui Hong, Jong-myung Jung, Seung-Jae Hyun, Ki-Jeong Kim, Tae-Ahn Jahng 64 Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by a Neurointensivist Compared with Conventional Surgical Tracheostomy in Neurosurgery Intensive Care Unit John Kwon, Yong Oh Kim, Jeong-Am Ryu 70 Crescent Sign Following Enterprise-Stent assisted Coil Embolization of Distal Internal Carotid Artery Aneurysms Young-Jin Kim, Je Young Yeon, Jong-Soo Kim, Seung-Chyul Hong 77 Acute Acalculous Cholecystitis in Neurological Patients; Clinical Review, Risk Factors, and Possible Mechanism See Won Um, Hak Cheol Ko, Seung Hwan Lee, Hee Sup Shin, Jun Seok Koh Case Reports 82 Delayed Occurrence of CSF Oculorrhea after Mild Blunt Traumatic Head Injury Sang Bin Choi, Sang Pyung Lee, Jin Wook Baek, Tae Joon Park 87 Endovascular Treatment of Ruptured Dissecting Aneurysms on the P2-3 Segment of the Posterior Cerebral Artery: A Report of Two Cases Seonah Choi, Joonho Chung Vol. 2 · No. 2 · October 2019 CONTENTS 93 Internal Carotid Artery Dissection with Traumatic Pseudoaneurysm Formation after Penetrating Head Injury Jeong Sik Ham, Jang Hun Kim, Won-Ki Yoon 99 Critical Care in Patient with Neuromuscular Cervicothoracic Kyphosis Kwang-Ui Hong, Jong-myung Jung, Seung-Jae Hyun, Ki-Jeong Kim, Tae-Ahn Jahng eISSN 2635-5280 Original Article J Neurointensive Care 2019;2(2):39-44 https://doi.org/10.32587/jnic.2019.00150 Change in Nutrition Strategy after Nutritional Support Team Activities for Cerebrovascular Disease Patients in the Intensive Care Unit Jin Lee, Sung-Tae Kim, Won Hee Lee, Keun Soo Lee, Sung Hwa Paeng, Se Young Pyo, Young Gyun Jeong, Moo Seong Kim, Yong Tae Jung Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital, Busan, Korea Received: June 24, 2019 Accepted: July 8, 2019 Objective This study was done to introduce a nutrition support strategy and analyze the effect of nutritional Corresponding Author: support team (NST) activities in a single-center intensive care unit. Sung-Tae Kim, M.D., Ph.D. Methods Department of Neurosurgery Medicine, School of Medicine, Between January and June 2017, acute severe cerebrovascular disease (CVA) patients who admit- Inje University Busan paik ted to the intensive care unit and referred to the NST, were enrolled and assigned to the NST Hospital, Bok Ji Ro 75, Busan Jin- group. Demographics, initial GCS score, needed calorie intake (NCI), type of nutrition, time of Ku, Busan, Korea switching from parenteral nutrition (PN) to enteral nutrition (EN), NCI satisfaction rate, inci- Tel:+82-51-890-6144 dence of feeding intolerance (FI), and clinical outcomes were analyzed, and compared with those Fax:+82-51-898-4244 in the control group, retrospectively. E-mail: [email protected] Results There were 38 patients in the NST group and 39 in the control group. The initial GCS score was 7.03±2.19 in the NST group and 6.82±2.19 in the control group. The average NCI was 1557.9 kcal in the NST group and 1635.9 kcal in the control group. In all patients, the start of PN was pos- sible within 24 hours after admission. The EN start rate was slightly lower in the NST group. EN was initiated earlier in the NST group than in the control group. The NCI satisfaction rate at dis- charge was higher in the NST group. No statistically significant differences were observed in the rate of good clinical outcomes and incidence of FI between the two groups. Conclusion NST activity enabled the earlier start of EN and achievement of a high NCI satisfaction rate with- out increasing nutrition support related risks. Keywords: Nutritional support; Cerebrovascular disorder; Intensive care unit Copyright © 2019 The Korean Neurointensive Care Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. www.e-jnic.org 39 Nutritional Support Team Activities Jin Lee et al. INTRODUCTION previous studies4,7,8,13-15), we defined it as the presence of a gastric re- sidual volume of 100 ml>24 h on any day or gastrointestinal (GI) Appropriate nutritional support is key to the recovery of patients dysfunction such as diarrhea, abdominal distention, or signs of GI who are acutely ill or have undergone major surgery. Previous stud- bleeding in the form of melena, hematochezia, hematemesis and ies have focused to a certain degree on nutrition in the intensive bleeding via the L-tube. The team attempted to initiate PN within care unit, and guidelines exist for the provision of nutritional sup- 24 hours from admission and then start EN, with 600 kcal as the port in such settings2,18). However, nutritional support strategies starting dose, as soon as possible after an intracranial pressure cri- should be formulated based on each disease type. Cerebrovascular sis3,16). EN and PN were provided in combination until EN covered disease (CVA) is unique in that it is characterized by increased in- about 70% of a patient’s NCI. When FI was noticed, the team ac- tracranial pressure, which may lead to gut-brain axis dysfunc- tively recommended GI motility drug use7), changed the EN for- tion10,22) and normal gastrointestinal tract function. Therefore, it is mula, continuously implemented feeding techniques, and used oth- mandatory to consider such disease characteristics in the provision er nutritional interventions. Once stable oral feeding was estab- of nutritional support. However, few studies have focused on nutri- lished, a 100% NCI satisfaction rate was considered achieved. tional support for CVA11,21).
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