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Cerebral microdialysis and P ti o 2 for neuro‐monitoring before decompressive craniectomy
Author(s) -
Boret H.,
Fesselet J.,
Meaudre E.,
Gaillard P.E.,
Cantais E.
Publication year - 2006
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2005.00862.x
Subject(s) - medicine , decompressive craniectomy , microdialysis , intracranial pressure , traumatic brain injury , cerebral perfusion pressure , intracranial pressure monitoring , glasgow outcome scale , anesthesia , ischemia , glasgow coma scale , surgery , cerebral blood flow , central nervous system , psychiatry
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.