Bedside measurement of the third ventricle's diameter during episodes of arising intracranial pressure after head trauma. Using transcranial real-time sonography for a non-invasive examination of intracranial compensation mechanisms
| Autor: | Kay Mursch, Julianne Behnke, Hans-Christoph Ludwig, B. Zimmerer, E. Markakis, J. P. Vogelsang |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Intracranial Pressure Ultrasonography Doppler Transcranial Point-of-Care Systems 030218 nuclear medicine & medical imaging Head trauma Cerebral Ventricles 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid Reference Values medicine Craniocerebral Trauma Humans Hospital Mortality Child Neuroradiology Intracranial pressure Aged Monitoring Physiologic Third ventricle business.industry Head injury Middle Aged medicine.disease Prognosis Survival Rate medicine.anatomical_structure Anesthesia Cerebral ventricle Surgery Female Neurology (clinical) Radiology Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | Acta neurochirurgica. 137(1-2) |
| ISSN: | 0001-6268 |
| Popis: | Using transcranial real-time sonography, changes in the axial diameter of the third ventricle during manoeuvres, which increased intracranial pressure (ICP), were measured in 28 patients with moderate to severe head injury. The measurements were correlated with ICP measured by epidural pressure monitoring. We observed reductions in diameter ranging from 0.3 to 1.1 mm with rises in intracranial pressure of at least 5 mm in 22 patients of whom only one died. In 6 additional patients, no changes in diameter were seen, and 5 of the 6 died. We interprete that poor outcome as a measurable inability for the brain to expel cerebrospinal fluid into extracerebral compartments during increased ICP. Transcranial real-time sonography may provide additional information about intracranial cerebral fluid dynamics and compliance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink