Transcranial Doppler identifies a malfunctioning extraventricular drain.

Autor: Mayans DR; From the Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, NC, 27517., Meads DB, Reynolds PS
Jazyk: angličtina
Zdroj: Journal of neuroimaging : official journal of the American Society of Neuroimaging [J Neuroimaging] 2014 Sep-Oct; Vol. 24 (5), pp. 518-9. Date of Electronic Publication: 2013 Apr 11.
DOI: 10.1111/jon.12016
Abstrakt: Transcranial Doppler (TCD) is an invaluable tool allowing real-time monitoring of physiologic blood flow velocity changes. We present a case where TCD monitoring for vasospasm after subarachnoid hemorrhage identified blood flow velocity changes consistent with sudden increased intracranial pressure (ICP) due to a malfunctioning extraventricular drain. The primary team was alerted to these findings, and immediately revised her shunt with normalization of ICP and TCD. Serial TCD monitoring allowed identification of an imminently fatal complication in time to allow a life saving intervention. TCD is a portable, inexpensive, real-time tool providing important physiologic data regarding blood flow velocities and intracranial pressure that is crucial to the care of critically ill patients.
(Copyright © 2013 by the American Society of Neuroimaging.)
Databáze: MEDLINE
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