NEAR-INFRARED SPECTROSCOPIC LOCALIZATION OF INTRACRANIAL HEMATOMAS

被引:118
作者
GOPINATH, SP [1 ]
ROBERTSON, CS [1 ]
GROSSMAN, RG [1 ]
CHANCE, B [1 ]
机构
[1] UNIV PENN,DEPT BIOCHEM & BIOPHYS,PHILADELPHIA,PA 19104
关键词
NEAR-INFRARED SPECTROSCOPY; HEAD INJURY; SUBDURAL HEMATOMA; EPIDURAL HEMATOMA; INTRACEREBRAL HEMATOMA;
D O I
10.3171/jns.1993.79.1.0043
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Near-infrared spectroscopy (NIRS) of the cerebral hemispheres, applied transcranially through the intact scalp and skull, was evaluated for its ability to detect the presence of an intracranial hematoma in 46 head-injured patients. In 40 patients intracranial hematomas (22 subdural, 10 epidural, eight intracerebral) were identified on computerized tomography (CT); in all 40 cases, NIRS demonstrated greater absorption of light at 760 nm on the side of the hematoma. The mean difference in optical density (OD) between the hemisphere with the hematoma and the normal hemisphere was 0.99 +/- 0.30 for epidural hematomas, 0.87 +/- 0.31 for subdural hematomas, but only 0.41 +/- 0.11 for intracerebral hematomas. In 36 patients, the asymmetry in OD resolved after surgical evacuation of the hematoma or with spontaneous resorption of the hematoma. Four patients who developed postoperative or delayed hematomas exhibited persistence of the asymmetry in OD. Six patients had only diffuse injuries and exhibited only minor differences in OD between the hemispheres, similar to 10 patients in the control group with no head injury. It appears that NIRS is useful in the initial examination of the head-injured patient, as an adjunct to CT, and in following patients postoperatively in the intensive care unit.
引用
收藏
页码:43 / 47
页数:5
相关论文
共 16 条
  • [1] Araki R, 1989, Adv Exp Med Biol, V248, P3
  • [2] EFFECTS OF CRYING ON CEREBRAL BLOOD-VOLUME AND CYTOCHROME AA3
    BRAZY, JE
    [J]. JOURNAL OF PEDIATRICS, 1988, 112 (03) : 457 - 461
  • [3] BRAZY JE, 1985, PEDIATRICS, V75, P217
  • [4] CEREBRAL OXYGEN MONITORING WITH NEAR-INFRARED SPECTROSCOPY - CLINICAL-APPLICATION TO NEONATES
    BRAZY, JE
    [J]. JOURNAL OF CLINICAL MONITORING, 1991, 7 (04): : 325 - 334
  • [5] CHANGES IN CEREBRAL BLOOD-VOLUME AND CYTOCHROME AA3 DURING HYPERTENSIVE PEAKS IN PRETERM INFANTS
    BRAZY, JE
    LEWIS, DV
    [J]. JOURNAL OF PEDIATRICS, 1986, 108 (06) : 983 - 987
  • [6] COMPARISON OF TIME-RESOLVED AND TIME-UNRESOLVED MEASUREMENTS OF DEOXYHEMOGLOBIN IN BRAIN
    CHANCE, B
    LEIGH, JS
    MIYAKE, H
    SMITH, DS
    NIOKA, S
    GREENFELD, R
    FINANDER, M
    KAUFMANN, K
    LEVY, W
    YOUNG, M
    COHEN, P
    YOSHIOKA, H
    BORETSKY, R
    [J]. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1988, 85 (14) : 4971 - 4975
  • [7] NEW TECHNIQUES FOR EVALUATING METABOLIC BRAIN INJURY IN NEWBORN-INFANTS
    CHANCE, B
    SMITH, DS
    DELIVORIAPAPADOPOULOS, M
    YOUNKIN, DP
    [J]. CRITICAL CARE MEDICINE, 1989, 17 (05) : 465 - 471
  • [8] DELPY DT, 1987, SCAND J CLIN LAB INV, V47, P9
  • [9] ESTIMATION OF OPTICAL PATHLENGTH THROUGH TISSUE FROM DIRECT TIME OF FLIGHT MEASUREMENT
    DELPY, DT
    COPE, M
    VANDERZEE, P
    ARRIDGE, S
    WRAY, S
    WYATT, J
    [J]. PHYSICS IN MEDICINE AND BIOLOGY, 1988, 33 (12) : 1433 - 1442
  • [10] EDWARDS AD, 1988, LANCET, V2, P770