Secondary stroke prevention with ximelagatran versus warfarin in patients with atrial fibrillation: pooled analysis of SPORTIF III and V clinical trialsPaul T Akins
Mercy Stroke Center, Sacramento, CA, USA
Stroke 38:874-80. 2007
..Patients with nonvalvular atrial fibrillation and prior stroke or transient ischemic attack (TIA) are at high risk for recurrent stroke. We investigated whether ximelagatran was noninferior to warfarin in patients with prior stroke or TIA...
- Sinking skin flaps, paradoxical herniation, and external brain tamponade: a review of decompressive craniectomy management
Paul T Akins
Neurosurgery Department, Kaiser Permanente, Sacramento, CA, 95825 2115, USA
Neurocrit Care 9:269-76. 2008
..The treating physicians must set aside the Monro-Kellie doctrine and recognize the new pathophysiologic state of these 'open box' patients...
- Stenting of vertebral artery origin atherosclerosis in high-risk patients: bare or coated? A single-center consecutive case series
Paul T Akins
Department of Neurosurgery, Kaiser Permanente, 2025 Morse Avenue, Sacramento, CA, 95825, USA
J Invasive Cardiol 20:14-20. 2008
..Commonly, the primary atheroma forms at the origin of the vertebral arteries. We have recently treated 12 high-risk patients with dilatation and stenting of symptomatic vertebral-origin disease and report our technique and results...
H1N1 encephalitis with malignant edema and review of neurologic complications from influenzaPaul Taylor Akins
Department of Neurosurgery, Permanente Medical Group, Kaiser Sacramento Medical Center, 2025 Morse Avenue, Sacramento, CA 95825, USA
Neurocrit Care 13:396-406. 2010
..The emergence of 2009 pandemic influenza A (H1N1) virus has been linked to neurological complications, including encephalopathy and encephalitis...
- The genesis of low pressure hydrocephalus
Paul T Akins
Department of Neurosurgery, Kaiser Sacramento Medical Center, Permanente Medical Group, 2025 Morse Avenue, Sacramento, CA 95825, USA
Neurocrit Care 15:461-8. 2011
..Recognition of this treatable condition is important when clinicians are faced with the paradox of symptomatic hydrocephalus despite low intracranial pressures (ICP). Its etiology remains enigmatic...
- Subarachnoid hemorrhage due to retained lumbar drain
Kern H Guppy
Department of Neurological Surgery, The Kaiser Permanente Medical Group, Sacramento, California 95825 2115, USA
J Neurosurg Spine 15:641-4. 2011
..The authors review the literature on retained intrathecal spinal catheters, and their findings support either early removal of easily accessible catheters or close monitoring with serial imaging...
- Glutamate AMPA receptor antagonist treatment for ischaemic stroke
Paul T Akins
Mercy Healthcare Sacramento, California, USA
Curr Med Res Opin 18:s9-13. 2002
..Sedation and other CNS associated adverse events determine the ceiling dose and become more problematic with infusion times exceeding 24 h. Phase II studies of YM872 in acute ischaemic stroke are ongoing...
