scholarly journals Continuous ventricular cerebrospinal fluid drainage with intracranial pressure monitoring for management of posttraumatic diffuse brain swelling

2011 ◽  
Vol 69 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Almir Ferreira de Andrade ◽  
Wellingson Silva Paiva ◽  
Robson Luis Oliveira de Amorim ◽  
Eberval Gadelha Figueiredo ◽  
Antonio Nogueira de Almeida ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Icp Monitoring ◽  
Brain Swelling ◽  
Monitoring Method ◽  
Simple Method ◽  
Vehicle Accidents ◽  
Brain Injured ◽  
Diffuse Brain Swelling ◽  
Injured Patients ◽  
Diffuse Brain

BACKGROUND: Ventricular drainage has played an important role in the management of traumatic brain-injured patients. The aim of the present study was describe outcomes in a series of 57 patients with diffuse brain swelling underwent to intracranial pressure (ICP) monitoring. METHOD: Fifty-eight patients with diffuse posttraumatic brain swelling, were evaluated prospectively. The Glasgow Coma Scale (GCS) scores of patients varied from 4 to 12. Patients groups divided according to GCS and age. Patient neurological assessment was classified as favorable, unfavorable, and death. RESULTS: Mechanisms of injury were vehicle accidents in 72.4% and falls in 15.6%. 54% of patients had GCS scores between 6 and 8. There were no statistical differences, regarding outcome, between groups separated by age. In the adults group (n=47), 44.7% evolved favorably. CONCLUSION: Our results indicate a poor prognosis in patients with brain swelling. We believe that continuous ventricular CSF drainage with ICP monitoring is a simple method as an adjunct in the management of these patients.

scholarly journals Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling-Case Report-

2007 ◽  
Vol 47 (3) ◽  
pp. 116-120 ◽  
Author(s):  
Mamoru MURAKAMI ◽  
Tetsuya TSUKAHARA ◽  
Hiroyasu ISHIKURA ◽  
Taketo HATANO ◽  
Takuya NAKAKUKI ◽  
...  
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Severe Head Injury ◽  
Mild Hypothermia ◽  
Brain Swelling ◽  
Diffuse Brain Swelling ◽  
Diffuse Brain

scholarly journals Changes in cerebral hemodynamics in patients with posttraumatic diffuse brain swelling after external intraventricular drainage

2015 ◽  
Vol 18 (2) ◽  
pp. 90-94
Author(s):  
Kefei Chen ◽  
Jirong Dong ◽  
Tian Xia ◽  
Chunlei Zhang ◽  
Wei Zhao ◽  
...  
Keyword(s):  
Cerebral Hemodynamics ◽  
Brain Swelling ◽  
Diffuse Brain Swelling ◽  
Diffuse Brain

Does “Second Impact Syndrome” Exist?

2015 ◽  
Author(s):  
Paul McCrory ◽  
Gavin Davis ◽  
Michael Makdissi ◽  
Michael Turner
Keyword(s):  
Government Regulation ◽  
Recent Trend ◽  
The United States ◽  
Brain Swelling ◽  
Management Guidelines ◽  
Concussion Management ◽  
Sports Concussion ◽  
Diffuse Brain Swelling ◽  
Impact Syndrome ◽  
Diffuse Brain

Second impact syndrome is a condition that is believed by some people to be a consequence of recurrent sports concussion. The only evidence to support its existence is anecdotal and, if it does exist, it is rare. The fear of this condition has driven the promulgation of concussion management guidelines and, more worryingly, the recent trend towards government regulation of the clinical management of concussion in the United States. Diffuse brain swelling following a single head injury, a well-recognized condition, is more common in children than in adults and usually has a poor outcome. It is posited that the so-called second impact syndrome simply represents diffuse brain swelling mistakenly attributed to repeated concussion.

scholarly journals Optic nerve sheath diameter: A novel way to monitor the brain

2017 ◽  
Vol 04 (04) ◽  
pp. S13-S18 ◽  
Author(s):  
Seelora Sahu ◽  
Amlan Swain
Keyword(s):  
Optic Nerve ◽  
Intracranial Pressure ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Pressure Management ◽  
Pressure Monitoring ◽  
Nerve Sheath ◽  
Brain Injured ◽  
Injured Patients ◽  
The Brain

AbstractMeasurement and monitoring of intracranial pressure is pivotal in management of brain injured patients. As a rapid and easily done bed side measurement, ultrasonography of the optic nerve sheath diameter presents itself as a possible replacement of the conventional invasive methods of intracranial pressure management. In this review we go through the evolution of optic nerve sheath diameter measurement as a novel marker of predicting raised intracranial pressure, the modalities by which it can be measured as well as its correlation with the invasive methods of intracranial pressure monitoring.

Noninvasive Transfontanelle Monitoring of the Intracerebral Pressure in Comparison With an Invasive Intradural Intracranial Pressure Device: A Prospective Study

2017 ◽  
Vol 13 (5) ◽  
pp. 609-613 ◽  
Author(s):  
Bedjan Behmanesh ◽  
Marco Bartels ◽  
Florian Gessler ◽  
Natalie Filmann ◽  
Volker Seifert ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Correlation Analysis ◽  
Correlation Coefficient ◽  
External Ventricular Drain ◽  
Method Comparison ◽  
Icp Monitoring ◽  
Validity And Reliability ◽  
Noninvasive Technique ◽  
Monitoring Method ◽  
Intracerebral Pressure

Abstract BACKGROUND: We previously introduced a novel noninvasive technique of intracranial pressure (ICP) monitoring in children with open fontanelles. OBJECTIVE: To compare the ICP obtained by our new technique to the ICP derived from an intradurally implanted ICP measurement device (external ventricular drain, subdural ICP device). METHODS: Children with open fontanelles and need of intracranial monitoring were included in this study. A standard ICP probe was placed upon the frontal fontanelle and data were compared with the values recorded by an already invasively implanted subdural ICP technique. The 2 methods of ICP measurement were evaluated using the correlation coefficient, Bland and Altman method and method comparison by Carstensen. RESULTS: Five children under the age of 1 year with an open frontal fontanelle were included in this study. Three were male and 2 were female. Mean age was 7 months. A total of 139 pairs of measurements were assessed. Mean transfontanelle ICP was 7.6 mm Hg. Mean ICP measured subdurally was 5.4 mm Hg. The correlation analysis showed a correlation coefficient of 0.7. The Bland-Altman plot revealed a good accuracy of the new method with >95% of the values within the limits of agreement. An additional method comparison analysis confirmed the finding of accurate ICP measurements between both applied methods. CONCLUSION: The noninvasive transfontanelle ICP monitoring method displayed a high validity and reliability as proven by correlation analysis. This novel technique might therefore be an interesting and promising tool for noninvasive ICP monitoring in children. But further research is necessary to evaluate the accuracy of this technique in children with elevated ICP.

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