An Effacement Score for Basal Cisterns to Predict ICP Level and Outcome After Severe Closed Head Injury

Artru, F; Jourdan, C; Convert, J.; Duquesnel, J; Deleuze, R

doi:10.1007/978-3-642-73987-3_155

Cited by 3 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 11 , 13 Arguments in favor include possible reduction in meningocele formation, diplopia from muscle fibrosis, orbital pain, pulsating enophthalmos, and restrictive ptosis. 5 , 22 , 23 It has been advocated when more than 1 wall is resected. 5 , 24 A variety of techniques and materials for reconstruction have been suggested.…”

Section: Discussionmentioning

confidence: 99%

The management of symptomatic hyperostotic bilateral spheno-orbital meningiomas: patient series

Harris,

Bal,

Drosos

et al. 2023

Journal of Neurosurgery: Case Lessons

View full text Add to dashboard Cite

BACKGROUND The occurrence of hyperostotic bilateral spheno-orbital meningiomas (BSOMs) is very rare. Patients present with bilateral symptoms and require bilateral treatment. This series describes 6 patients presenting to 2 UK neurosurgical units and includes a literature review. To the best of the authors’ knowledge, this is the largest series documented. OBSERVATIONS This is a retrospective review of patients with BSOMs presenting between 2006 and 2023. Six females, whose mean age was 43 (range: 36–64) years, presented with features of visual disturbance. Bilateral sphen-oorbital meningiomas were identified. All patients underwent bilateral staged resections. The patients had an initial improvement in their symptoms. Extensive genetic testing was performed in 4 patients, with no variants in the NF2, LZTR1, SMARCB1, SMARCE1, and SMARCA4 genes or other variants detected. The mean follow-up was 100.3 (range: 64–186) months. Sixty-seven percent of patients had good long-term visual acuity. The progression rate was 75% and was particularly aggressive in 1 patient. Four patients required radiation therapy, and 2 needed further surgery. LESSONS Hyperostotic BSOMs are extensive, challenging tumors causing significant disability. They can recur, with significant patient impact. Multidisciplinary management and indefinite long-term follow-up are essential. The biology of these tumors remains unclear. As molecular testing expands, the understanding of BSOM oncogenesis and potential therapeutic targets is likely to improve.

show abstract

Section: Discussionmentioning

confidence: 99%

The management of symptomatic hyperostotic bilateral spheno-orbital meningiomas: patient series

Harris,

Bal,

Drosos

et al. 2023

Journal of Neurosurgery: Case Lessons

View full text Add to dashboard Cite

show abstract

“…According to Artru' standard [4] , the evaluation of cisterns by the basal cistern effaced score (CES) focused on two scanning slices lying parallel to the cantho-meatal line, with one running through the perimesencephalic cistern at the level of the dorsum sellae, and the other running 10 mm above and showing the quadrigeminal cistern. We drew a centerline from the frontal pole to the occipital pole and placed hallmarks at the quarter and halfway points separately to divide the centerline into three parts on each scanning slice.…”

Section: Radiographic Datamentioning

confidence: 99%

Preoperative Head CT Assisted Prediction of Acute Encephalocele During Isolated Acute Subdural Hematoma Surgery

Wu¹,

Wu²,

Tang³

et al. 2021

IJN

View full text Add to dashboard Cite

To investigate more predictors for acute encephalocele in patients during isolated acute subdural hematoma (ASDH) surgery by using clinical data combined with preoperative cranial computed tomography (CT) scan, so as to provide a basis for the development of a more scientific and reasonable treatment strategy. CT images and medical records of 46 patients who underwent neurosurgery for isolated traumatic acute subdural hematoma were collected. The patients with intra-operative acute encephalocele were grouped as the observation group (n=23), and the patients with no intra-operative acute encephalocele, whose age difference was within 5 years were included in the control group (n=23). The t-test and multivariate logistic regression analyses were carried out to evaluate the influence of clinical variables on acute encephalocele. Meanwhile, whether differences among Thickness of hematoma(TH), Midline shift (MLS), Hounsfield units of white matter (HU-WM), Hounsfield units of hematoma (HU-HT) and basal cistern effaced score (CES) measured by cranial CT could be used as predictors of outcomes in patients with acute encephalocele during subdural hematoma surgery was evaluated. There were no significant differences in age, sex, mechanism of injury, the time from trauma to decompression, and the MLS during surgery between the two groups. However, significant differences in preoperative Glasgow Coma Score (GCS), TH, HU-WM and HU-HT between the two groups were observed. The multivariate logistic regression analysis of radiographic data showed that HU-WM and CES were independent risk factors and strong predictors for intra-operative acute encephalocele. The areas under curve of CES and HU-WM were 0.8459 and 0.8336, respectively. The risk factors for acute encephalocele during ASDH operation are identified in this study. An increased risk of intra-operative acute encephalocele is found in patients with lower preoperative GCS, HU-WM, HU-HT and higher preoperative TH and CES, which should help clinicians to develop a more scientific treatment strategy and improve the survival of such kind of patients.

show abstract

Degree of basal cisterns compression predicting mortality and functional outcome after craniotomy and primary decompressive craniectomy in acute subdural hematoma population

Juskys,

Vilcinis,

Piliponis

et al. 2023

Acta Neurochir

View full text Add to dashboard Cite

An Effacement Score for Basal Cisterns to Predict ICP Level and Outcome After Severe Closed Head Injury

Cited by 3 publications

References 3 publications

The management of symptomatic hyperostotic bilateral spheno-orbital meningiomas: patient series

The management of symptomatic hyperostotic bilateral spheno-orbital meningiomas: patient series

Preoperative Head CT Assisted Prediction of Acute Encephalocele During Isolated Acute Subdural Hematoma Surgery

Degree of basal cisterns compression predicting mortality and functional outcome after craniotomy and primary decompressive craniectomy in acute subdural hematoma population

Contact Info

Product

Resources

About