Cerebral Hemodynamic Changes in Severe Head Injury Patients Undergoing Decompressive Craniectomy

Daboussi, A.; Minville, Vincent; Leclerc-Foucras, Sophie; Geeraerts, Thomas; Esquerré, J. P.; Payoux, Pierre; Fourcade, Olivier

doi:10.1097/ana.0b013e3181b1dbba

Cited by 56 publications

(44 citation statements)

References 35 publications

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“…Six studies reported employing a prospective design and assessed outcomes up to 3 years post-injury [4,[27][28][29][30][31]. Yet none of these prospective studies conducted repeated assessments to examine change over time corresponding with recovery.…”

Section: Methodsmentioning

confidence: 96%

“…The most widely used global outcome measure following DC is the the Glasgow Outcome Score (GOS [6,27,32,36,50,[56][57][58]). Although the GOS is widely used by neurosurgeons to assess functional outcomes following TBI, it has received criticism due to its susceptibility to systematic bias among different professional groups [39], poor interrater reliability [40], ambiguity within the upper classification categories due to multidimensional criteria and lack of sensitivity to change during the course of rehabilitation [59].…”

Section: Global Measures Of Physical Psychosocial and Cognitive Funcmentioning

confidence: 99%

See 1 more Smart Citation

Defining meaningful outcomes after decompressive craniectomy for traumatic brain injury: Existing challenges and future targets

Rogers

Slater

Vidovich³

et al. 2011

Brain Injury

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Section: Methodsmentioning

confidence: 96%

Section: Global Measures Of Physical Psychosocial and Cognitive Funcmentioning

confidence: 99%

Defining meaningful outcomes after decompressive craniectomy for traumatic brain injury: Existing challenges and future targets

Rogers

Slater

Vidovich³

et al. 2011

Brain Injury

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“…Travmatik beyin hasarında dekompresyon ile KİB 37±17 mmHg'den 20±13 mmHg'e indirilince EDV 23±15 cm/sn'den 31±13 cm/sn'ye çıkmış, ve Pİ 1,7±0,66'dan 1,18±0,37'ye düşmüştür. Azalma hemen ve simetrik olarak gelişmiş olup kalıcıdır (12). Intraserebral kanamada (İngilizcesinin akronimi ICH) sağlam hemisferde Pİ 1,75'den fazla olması ilk ay içinde mortalite için bir ön belirteçtir.…”

Section: Pulsatilite Indeksinin Arttığı Diğer Durumlarunclassified

“…Bu dalgaformuna "SİSTOLİK SPİKE" adı verilir [11]. Tablonun ilerlemesiyle sistolik pik amplitüdü progresif olarak azalır [12] ve sonunda hiç akım gözlenmemeye başlar [13]. 9,10, 11, 12 ve 13 ile gösterilen sonogram paternleri [Kesikli çizginin sol tarafı] yani sistolo-diastolik to-and-fro (alternating akım) ve sistolik piklerin bulunması ve takip hastalarında hiç akım görülmemesi beyin ölümü ile uyumludur.…”

Section: Venöz Tcdunclassified

Neurosonology of intracranial pressure increase

Togcuoglu¹,

Arsava²

2011

Türk Beyin Damar Hast Derg

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Nörolojik yoğun bakımlarda kafa içi basıncı yükselmesi sadece sık görülmesinden dolayı değil aynı zamanda tedavi edilebilir olmasından dolayı da önemli bir problemdir. Birçok hastalığın seyrinde kafa içi basıncının doğrudan ölçümü ya da tahmin edilmesinin kritik önemi vardır. Non-invazif ve yatak başında kullanılabilen birçok nörosonolojik yöntem ile kafa içi basıncı monitörize edilebilir. Bu makalede bu yöntemler literatür bilgisi ışığında pratik uygulama temel alınarak gözden geçirilmektedir. Anahtar Sözcükler: Transkranial Doppler, B-mod, pulsatilite, orta hat şifti, orbital sonografi, otoregülasyon. NEUROSONOLOGY OF INTRACRANIAL PRESSURE INCREASE SUMMARYIncrease in intracranial pressure (ICP) is one of the most significant problems in the neurological intensive care units not only due to its high prevalence, but also due to its treatable nature. Direct measurement or indirect estimation of ICP during the course of many neurological diseases is of critical importance. A variety of neurosonogical methodologies, which are totally non invasive and applicable at the bed-side repeatedly, have extensively been used to evaluate and monitor ICP. These neurosonological techniques, including most recent developments, are herein reviewed primarily from the perspective of practical applications.

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“…Several publications indicate the clinical value of TCD for measuring the MCA CBFV and PI as possible predictors of outcome in severe TBI management. [186][187][188] Some authors even suggest that early use of PI measurement permits the identification of patients with low CPP and a high risk of DCI. In emergency situations, PI can be used alone or when ICP monitoring is contraindicated or not readily available.…”

mentioning

confidence: 99%

A Review of the Effectiveness of Neuroimaging Modalities for the Detection of Traumatic Brain Injury

Amyot

Arciniegas

et al. 2015

Journal of Neurotrauma

175

147

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The incidence of traumatic brain injury (TBI) in the United States was 3.5 million cases in 2009, according to the Centers for Disease Control and Prevention. It is a contributing factor in 30.5% of injury-related deaths among civilians. Additionally, since 2000, more than 260,000 service members were diagnosed with TBI, with the vast majority classified as mild or concussive (76%). The objective assessment of TBI via imaging is a critical research gap, both in the military and civilian communities. In 2011, the Department of Defense (DoD) prepared a congressional report summarizing the effectiveness of seven neuroimaging modalities (computed tomography [CT], magnetic resonance imaging [MRI], transcranial Doppler [TCD], positron emission tomography, single photon emission computed tomography, electrophysiologic techniques [magnetoencephalography and electroencephalography], and functional near-infrared spectroscopy) to assess the spectrum of TBI from concussion to coma. For this report, neuroimaging experts identified the most relevant peer-reviewed publications and assessed the quality of the literature for each of these imaging technique in the clinical and research settings. Although CT, MRI, and TCD were determined to be the most useful modalities in the clinical setting, no single imaging modality proved sufficient for all patients due to the heterogeneity of TBI. All imaging modalities reviewed demonstrated the potential to emerge as part of future clinical care. This paper describes and updates the results of the DoD report and also expands on the use of angiography in patients with TBI.

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Cerebral Hemodynamic Changes in Severe Head Injury Patients Undergoing Decompressive Craniectomy

Abstract: The DC results in a significant, immediate, and durable improvement of ICP associated with a normalization of cerebral blood flow velocities in most TBI patients with refractory intracranial hypertension.

Cited by 56 publications

References 35 publications

Defining meaningful outcomes after decompressive craniectomy for traumatic brain injury: Existing challenges and future targets

Defining meaningful outcomes after decompressive craniectomy for traumatic brain injury: Existing challenges and future targets

Neurosonology of intracranial pressure increase

A Review of the Effectiveness of Neuroimaging Modalities for the Detection of Traumatic Brain Injury

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