Case Report: Cerebral microdialysis and P sub(ti)o sub(2) for neuro-monitoring before decompressive craniectomy

Case Report: Cerebral microdialysis and P sub(ti)o sub(2) 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 sub(ti)o sub(2) monitoring and cerebral microdialysis, and occurred a few hours prior t...

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Bibliographic Details
Published in:Acta anaesthesiologica Scandinavica Vol. 50; no. 2; pp. 252 - 254
Main Authors: Boret, H, Fesselet, J, Meaudre, E, Gaillard, P-E, Cantais, E
Format: Journal Article
Language:English
Published: 01-02-2006
Online Access:Get full text
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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 sub(ti)o sub(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.
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ISSN:0001-5172
1399-6576
DOI:10.1111/j.1399-6576.2005.00862.x