Transcranial color-coded duplex sonography for evaluation of midline-shift after chronic-subdural hematoma evacuation (TEMASE): A prospective study

Cattalani, Andrea; Grasso, Vincenzo; Vitali, Matteo; Gallesio, Ivan; Magrassi, Lorenzo; Barbanera, Andrea

doi:10.1016/j.clineuro.2017.09.015

Cited by 10 publications

(2 citation statements)

References 15 publications

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“…The difference between the two measurements divided by two is the estimation of the midline shift. This relates well with the midline shift measured on CT scan (compared with the Bland-Altman method), regardless of the cause of the shift (spaceoccupying lesion, hematoma) [31] (Fig. 5).…”

Section: Midline Shiftsupporting

confidence: 74%

Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient

2020

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Section: Midline Shiftsupporting

confidence: 74%

Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient

2020

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“…Therefore, even though CCT is necessary for the surgical intervention, monitoring SDH may be performed with TGS up to this point since TGS shows reliable detection of patients in need for surgical evacuation of SDH. By adding the sonographic measurement of midline-shift comparable to studies on mass effect due to intracerebral hematoma or malignant stroke ( 22 , 23 ) may allow an even closer monitoring of SDH expansion ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Bedsided Transcranial Sonographic Monitoring for Expansion and Progression of Subdural Hematoma Compared to Computed Tomography

Niesen

Rosenkranz²,

Weiller

2018

Front. Neurol.

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IntroductionTranscranial high-resolution ultrasonography reliably allows diagnosis and monitoring of intracerebral hemorrhage in adults. Sonographic monitoring of subdural hematoma (SDH) has not been evaluated in adults so far. This study investigates the reliability of transcranial gray-scale sonography (TGS) in monitoring acute and chronic SDH in adults.MethodsTGS was performed in 47 consecutive patients with either acute or chronic SDH confirmed by cerebral CT. Four patients were excluded due to insufficient bone window. After identification of SDH in TGS extent was measured and correlated with extent of SDH on cerebral computer tomography (CCT). If possible measurement was performed at least on 2 days to evaluate the possibility to monitor SDH with TGS.ResultsIn 43 patients with SDH, 76 examinations were performed with 2 examinations in 23 patients and 3 examinations in 10 patients. Overall extent of SDH correlated significantly between TGS and CCT (r = 0.962). Accordingly correlation was high during each single examination time point. In patients in need for surgical evacuation sonographic measurement yielded a sensitivity of 90.9% and specificity of 93.8% in predicting surgical evacuation (p < 0.001).DiscussionImaging of SDH with TGS is possible in patients with SDH and extent of SDH correlates significantly between TGS and CCT during initial as well as during follow-up examination. Thus monitoring of SDH with TGS at patients’ bedside is possible.

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Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient

Rasulo¹,

Togni²,

Romagnoli³

2020

Annual Update in Intensive Care and Emergency Medicine

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Transcranial color-coded duplex sonography for evaluation of midline-shift after chronic-subdural hematoma evacuation (TEMASE): A prospective study

Cited by 10 publications

References 15 publications

Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient

Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient

Bedsided Transcranial Sonographic Monitoring for Expansion and Progression of Subdural Hematoma Compared to Computed Tomography

Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient

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