Next Article in Journal
Timing between Breast Reconstruction and Oncologic Mastectomy—One Center Experience
Next Article in Special Issue
The Role of Blood Biomarkers for Magnetic Resonance Imaging Diagnosis of Traumatic Brain Injury
Previous Article in Journal
Comparison of Lateral Abdominal Musculature Activation during Expiration with an Expiratory Flow Control Device Versus the Abdominal Drawing-in Maneuver in Healthy Women: A Cross-Sectional Observational Pilot Study
Open AccessArticle

Bedside Sonographic Duplex Technique as a Monitoring Tool in Patients after Decompressive Craniectomy: A Single Centre Experience

1
Department of Neurosurgery, University of Witten/Herdecke, Cologne Merheim Medical Center (CMMC), 51109 Cologne, Germany
2
Division of Neuroradiology, Department of Radiology, University of Witten/Herdecke, Cologne Merheim Medical Center (CMMC), 51109 Cologne, Germany
3
Department of Traumatology, Orthopedic Surgery and Sportsmedicine, University of Witten/Herdecke, Cologne-Merheim Medical Center (CMMC), 51109 Cologne, Germany
4
Institute for Research in Operative Medicine (IFOM), University of Witten/Herdecke, Cologne-Merheim, 51109 Cologne, Germany
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(2), 85; https://doi.org/10.3390/medicina56020085
Received: 27 November 2019 / Revised: 23 January 2020 / Accepted: 13 February 2020 / Published: 19 February 2020
Background and objectives: Bedside sonographic duplex technique (SDT) may be used as an adjunct to cranial computed tomography (CCT) to monitor brain-injured patients after decompressive craniectomy (DC). The present study aimed to assess the value of SDT in repeated measurements of ventricle dimensions in patients after DC by comparing both techniques. Materials and Methods: Retrospective assessment of 20 consecutive patients after DC for refractory intracranial pressure (ICP) increase following subarachnoid hemorrhage (SAH), bleeding and trauma which were examined by SDT and CCT in the context of routine clinical practice. Whenever a repeated CCT was clinically indicated SDT examinations were performed within 24 hours and correlated via measurement of the dimensions of all four cerebral ventricles. Basal cerebral arteries including pathologies such as vasospasms were also evaluated in comparison to selected digital subtraction angiography (DSA). Results: Repeated measurements of all four ventricle diameters showed high correlation between CCT and SDT (right lateral r = 0.997, p < 0.001; left lateral r = 0.997, p < 0.001; third r = 0.991, p < 0.001, fourth ventricle r = 0.977, p < 0.001). SDT performed well in visualizing basal cerebral arteries including pathologies (e.g., vasospasms) as compared to DSA. Conclusions: Repeated SDT measurements of the dimensions of all four ventricles in patients after DC for refractory ICP increase delivered reproducible results comparable to CCT. SDT may be considered as a valuable bedside monitoring tool in patients after DC. View Full-Text
Keywords: basal cerebral arteries; brain trauma; cranial computed tomography; decompressive craniectomy; ultrasound; ventricle dimensions basal cerebral arteries; brain trauma; cranial computed tomography; decompressive craniectomy; ultrasound; ventricle dimensions
Show Figures

Figure 1

MDPI and ACS Style

Bendella, H.; Spreer, J.; Hartmann, A.; Igressa, A.; Maegele, M.; Lefering, R.; Nakamura, M. Bedside Sonographic Duplex Technique as a Monitoring Tool in Patients after Decompressive Craniectomy: A Single Centre Experience. Medicina 2020, 56, 85.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop