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Publication Name World Journal of Methodology
Manuscript ID 110342
Country India
Category Medicine, General & Internal
Manuscript Type Minireviews
Article Title Update on hypoxic-ischemic brain injury: Prognosis and management
Manuscript Source Invited Manuscript
All Author List Ajaya Kumar Ayyappan Unnithan
Funding Agency and Grant Number
Corresponding Author Ajaya Kumar Ayyappan Unnithan, Assistant Professor, Department of Neurosurgery, Azeezia Medical College Hospital, Department of Neurosurgery, Azeezia Medical College, Kerala, India. Electronic address: drajayakumara@gmail.com., Kollam 691537, Kerala, India. drajayakumara@gmail.com
Key Words Brain hypoxia-ischemia; Cerebral autoregulation; Post-cardiac arrest syndrome; Targeted temperature management; Diffusion-weighted imaging; Neuron-specific enolase; Multimodal prognostication; Persistent vegetative state
Core Tip The indicators of good prognosis in hypoxic-ischemic brain injury (HIBI) are: An early return of continuous and reactive electroencephalogram, low blood levels of neuron specific enolase, absence of diffusion changes in brain magnetic resonance imaging, good functional status, and Coma Remission Scale scores of 8 and more. The treatment consists of maintaining systemic perfusion, treatment of the underlying cause of the hypoxia, and prevention of ongoing brain injury. HIBI is a major cause of mortality and the outcome after survival may vary from persistent vegetative state to neuropsychiatric disabilities.
Citation Unnithan AKA. Update on hypoxic-ischemic brain injury: Prognosis and management. World J Methodol 2025; In press
Received
2025-06-05 14:29
Peer-Review Started
2025-06-05 14:29
To Make the First Decision
Return for Revision
2025-06-17 09:22
Revised
2025-06-28 17:57
Second Decision
2025-09-22 02:45
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-09-22 07:31
Articles in Press
2025-09-22 07:31
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Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2222-0682 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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