Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot

Decompressive craniectomy (DC) following brain injury can induce complications (hemorrhage, infection, and hygroma). It is then considered as a last-tier therapy, and can be deleteriously delayed. Focal neuromonitoring (microdialysis and PtiO2) can help clinicians to decide bedside to perform DC in...

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Autores principales: Henry, Boret, Emilie, Carre, Bertrand, Prunet, Erwan, D’Aranda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299143/
https://www.ncbi.nlm.nih.gov/pubmed/22416170
http://dx.doi.org/10.4103/0974-2700.93101
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author Henry, Boret
Emilie, Carre
Bertrand, Prunet
Erwan, D’Aranda
author_facet Henry, Boret
Emilie, Carre
Bertrand, Prunet
Erwan, D’Aranda
author_sort Henry, Boret
collection PubMed
description Decompressive craniectomy (DC) following brain injury can induce complications (hemorrhage, infection, and hygroma). It is then considered as a last-tier therapy, and can be deleteriously delayed. Focal neuromonitoring (microdialysis and PtiO2) can help clinicians to decide bedside to perform DC in case of intracranial pressure (ICP) around 20 to 25 mmHg despite maximal medical treatment. This was the case of a hunter, brain injured by gunshot. DC was performed at day 6, because of unstable ICP, ischemic trend of PtiO2, and decreased cerebral glucose but normal lactate/pyruvate ratio. His evolution was good despite left hemiplegia due to initial injury.
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spelling pubmed-32991432012-03-13 Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot Henry, Boret Emilie, Carre Bertrand, Prunet Erwan, D’Aranda J Emerg Trauma Shock Case Report Decompressive craniectomy (DC) following brain injury can induce complications (hemorrhage, infection, and hygroma). It is then considered as a last-tier therapy, and can be deleteriously delayed. Focal neuromonitoring (microdialysis and PtiO2) can help clinicians to decide bedside to perform DC in case of intracranial pressure (ICP) around 20 to 25 mmHg despite maximal medical treatment. This was the case of a hunter, brain injured by gunshot. DC was performed at day 6, because of unstable ICP, ischemic trend of PtiO2, and decreased cerebral glucose but normal lactate/pyruvate ratio. His evolution was good despite left hemiplegia due to initial injury. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3299143/ /pubmed/22416170 http://dx.doi.org/10.4103/0974-2700.93101 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Henry, Boret
Emilie, Carre
Bertrand, Prunet
Erwan, D’Aranda
Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot
title Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot
title_full Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot
title_fullStr Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot
title_full_unstemmed Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot
title_short Cerebral microdialysis and PtiO2 to decide unilateral decompressive craniectomy after brain gunshot
title_sort cerebral microdialysis and ptio2 to decide unilateral decompressive craniectomy after brain gunshot
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299143/
https://www.ncbi.nlm.nih.gov/pubmed/22416170
http://dx.doi.org/10.4103/0974-2700.93101
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