Use of Direct Intracranial Pressure and Brain Tissue Oxygen Monitoring in Perioperative Management of Patients with Moyamoya Disease
| Autor: | I. R. Piper, Michael Canty, Maya Kommer, Meharpal Sangra, Martin Shaw, Emer Campbell, Christopher Hawthorne, Simon Young, Anthony Amato-Watkins, Laura Moss, Roddy O'Kane |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Revascularization surgery business.industry Head injury Perioperative medicine.disease Cerebral autoregulation 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Internal medicine Cardiology medicine Intracranial pressure monitoring Autoregulation Moyamoya disease business 030217 neurology & neurosurgery Intracranial pressure |
| Zdroj: | Acta Neurochirurgica Supplement ISBN: 9783030594350 |
| DOI: | 10.1007/978-3-030-59436-7_24 |
| Popis: | Intracranial pressure monitoring and brain tissue oxygen monitoring are commonly used in head injury for goal-directed therapies, but there may be more indications for its use. Moyamoya disease involves progressive stenosis of the arterial circulation and formation of collateral vessels that are at risk of hemorrhage. The risk of ischemic events during revascularization surgery and postoperatively is high. Impaired cerebral autoregulation may be one of the factors that are implicated. We present our experience with monitoring of cerebral oxygenation and autoregulation in the pathological hemisphere during the perioperative period in four patients with moyamoya disease. |
| Databáze: | OpenAIRE |
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