Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension

Abstract Intractable intracranial hypertension is a nerve wrecking clinical challenge which is associated with high morbidity and mortality. Barbiturate coma therapy (BCT) is one of the recommended options for such a challenge but is associated with its own set of complications. Multimodality monito...

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Bibliographic Details
Published in:Journal of neuroanaesthesiology and critical care 2016-04, Vol.3 (2), p.141-144
Main Authors: Rao, Shashi, Badyal, Binesh, Sandhu, Kavita, Walia, Bipin S.
Format: Article
Language:English
Subjects:
barbiturate coma therapy
Case Report
cerebral ischaemia
intractable intracranial hypertension
multimodality monitoring
transcranial doppler
traumatic brain injury
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Summary:Abstract Intractable intracranial hypertension is a nerve wrecking clinical challenge which is associated with high morbidity and mortality. Barbiturate coma therapy (BCT) is one of the recommended options for such a challenge but is associated with its own set of complications. Multimodality monitoring is a new advent in neurocritical care and provides a new vision to judiciously cater to such challenges. We hereby report a case of successfully treating intractable intracranial hypertension after maximal possible surgical decompression and evidence of well-formed cerebral ischaemic zones with intracranial multimodality monitoring guided BCT. The positive outcome was to the extent of almost complete reversal of cerebral ischaemic zones and return to normal life schedule.
ISSN:2348-0548
2348-926X
DOI:10.4103/2348-0548.182331