Publications by authors named "Jay Rilinger"
Article Synopsis
- - The text discusses a three-month-old patient with Hunter Syndrome who underwent hematopoietic stem cell transplant (HSCT) and experienced severe complications, including recurrent diffuse alveolar hemorrhage (DAH).
- - The patient required extracorporeal membrane oxygenation (ECMO) to manage the DAH, but despite initial improvements, he continued to have recurrent episodes and unfortunately passed away.
- - This report highlights the challenges and clinical strategies used in treating complications of HSCT in rare cases like this, aiming to provide insights into management and progression of such severe conditions.
Background: While hypoglycorrhachia is observed and managed frequently, there are few reports in the literature of clinically significant hyperglycorrhachia after neurosurgery. Understanding the effects and management of severe hyperglycorrhachia is important to the neurosurgeon and neurocritical care teams who care for patients in these rare scenarios.
Observations: The authors present the case of a 3-month-old male with congenital hydrocephalus who faced profound hyperglycorrhachia and status epilepticus after an endoscopic aqueductoplasty using an irrigant composed of lactated Ringer's solution with dextrose 5% in water.
Background: We used transcranial Doppler to examine changes in cerebral blood flow velocity in children treated with extracorporeal membrane oxygenation. We examined the association between those changes and radiologic, electroencephalographic, and clinical evidence of neurologic injury.
Methods: This was a retrospective review and prospective observational study of patients 18 years old and younger at a single university children's hospital.