Cerebral microdialysis and PtiO2 for neuro-monitoring before decompressive craniectomy

被引：17

作者：

Boret, H

Fesselet, J

Meaudre, E

Gaillard, PE

Cantais, E

机构：

[1] St Anne Teaching Mil Hosp, Dept Anesthesiol & Intens Care, Toulon, France

[2] St Anne Teaching Mil Hosp, Dept Neurosurg, Toulon, France

来源：

ACTA ANAESTHESIOLOGICA SCANDINAVICA | 2006年 / 50卷 / 02期

关键词：

craniectomy; microdialysis; PtiO2; traumatic brain injury;

D O I：

10.1111/j.1399-6576.2005.00862.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

We report the case of a young patient with post-traumatic, intractable, intracranial hypertension leading to craniectomy. This intracranial hypertension was preceded by focal signs of ischemia diagnosed through P(ti)o(2) monitoring and cerebral microdialysis, and occurred a few hours prior to a decrease in cerebral perfusion pressure below 60 mmHg. The neurological outcome was satisfactory with a Glasgow Outcome Scale of 4 at 3 months. We discuss the potential interest of such neuro-monitoring to determine the optimal time for performing a craniectomy.

引用

收藏

页码：252 / 254

页数：3

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