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Refractory Intracranial Hypertension Due to Fentanyl Administration Following Closed Head Injury

Overview of attention for article published in Frontiers in Neurology, January 2013
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Title
Refractory Intracranial Hypertension Due to Fentanyl Administration Following Closed Head Injury
Published in
Frontiers in Neurology, January 2013
DOI 10.3389/fneur.2013.00003
Pubmed ID
Authors

Sara E. Hocker, Jeremy Fogelson, Alejandro A. Rabinstein

Abstract

Background: Although the effects of opioids on intracranial pressure (ICP) have long been a subject of controversy, they are frequently administered to patients with severe head trauma. We present a patient with an uncommon paradoxical response to opioids.Case Report: A patient with refractory intracranial hypertension after closed head injury was managed with standard medical therapy with only transient decreases in the ICP. Only after discontinuation of opiates did the ICP become manageable without metabolic suppression and rescue osmotic therapy, implicating opiates as the etiology of refractory intracranial hypertension in this patient.Conclusion: Clinicians should consider opioids as a contributing factor in malignant intracranial hypertension when findings on neuroimaging do not explain persistent and refractory intracranial hypertension.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 23 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 23 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 3 13%
Student > Doctoral Student 3 13%
Student > Master 2 9%
Other 1 4%
Student > Bachelor 1 4%
Other 4 17%
Unknown 9 39%
Readers by discipline Count As %
Medicine and Dentistry 10 43%
Veterinary Science and Veterinary Medicine 1 4%
Chemistry 1 4%
Nursing and Health Professions 1 4%
Unknown 10 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 January 2013.
All research outputs
#20,742,895
of 23,342,092 outputs
Outputs from Frontiers in Neurology
#9,190
of 12,258 outputs
Outputs of similar age
#251,994
of 283,897 outputs
Outputs of similar age from Frontiers in Neurology
#117
of 210 outputs
Altmetric has tracked 23,342,092 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 12,258 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 283,897 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 210 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.