Cerebral microdialysis and P(ti)O2 for neuro-monitoring before decompressive craniectomy

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)O2 monitoring and cerebral microdialysis, and occurred a few hours prior to a decrea...

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Bibliographic Details
Published in:Acta anaesthesiologica Scandinavica 2006-02, Vol.50 (2), p.252-254
Main Authors: Boret, H, Fesselet, J, Meaudre, E, Gaillard, P-E, Cantais, E
Format: Article
Language:English
Subjects:
Adolescent
Brain Injuries - complications
Brain Injuries - surgery
Craniotomy - methods
Decompression, Surgical - methods
Glasgow Coma Scale
Humans
Intracranial Hypertension - complications
Intracranial Hypertension - diagnosis
Intracranial Hypertension - surgery
Intracranial Pressure
Microdialysis - methods
Monitoring, Physiologic - methods
Oxygen - analysis
Partial Pressure
Time Factors
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Summary: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)O2 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.
ISSN:0001-5172