Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review
Main goal in the management of patients with severe traumatic brain injury (TBI) is control of intracranial pressure (ICP). Decompressive craniectomy is an accepted technique for control of refractory intracranial hypertension in patients with severe TBI. Because of high complication rate after deco...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2016-07-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_44333_e63a5f7d990f92eaa2e7b69b5982a743.pdf |
| _version_ | 1818197922248916992 |
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| author | Mohammad Masoudi Elahe Rezaee Hasan Hakiminejad Maryam Tavakoli Tayebe Sadeghpoor |
| author_facet | Mohammad Masoudi Elahe Rezaee Hasan Hakiminejad Maryam Tavakoli Tayebe Sadeghpoor |
| author_sort | Mohammad Masoudi |
| collection | DOAJ |
| description | Main goal in the management of patients with severe traumatic brain injury (TBI) is control of intracranial pressure (ICP). Decompressive craniectomy is an accepted technique for control of refractory intracranial hypertension in patients with severe TBI. Because of high complication rate after decompressive craniectomy, new techniques such as basal cisternostomy have developed. We herein report a case of severe TBI in a 13-year-old boy treated by cisternostomy. The patient was admitted following a motor vehicle accident. Brain CT scan showed diffuse brain edema, left frontal contusion and posterior interhemispheric subdural hematoma. The patient underwent ICP monitoring. Subsequently, with 26 mmHg mean-value of ICP, he was treated surgically by cisternostomy technique. A progressive improvement of the neurological conditions in the following hours. After 5 days the boy was discharged and in the 3-months follow-up he was completely recovered. Cisternostomy could be an appropriate alternative to decompressive craniectomy for management of intracranial hypertension in patietns with sever TBI. |
| first_indexed | 2024-12-12T01:57:40Z |
| format | Article |
| id | doaj.art-84c1932112ca482fb4a370e2b7b6ffb7 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-12T01:57:40Z |
| publishDate | 2016-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-84c1932112ca482fb4a370e2b7b6ffb72022-12-22T00:42:18ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602016-07-014Issue 316116444333Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature ReviewMohammad Masoudi0Elahe Rezaee1Hasan HakiminejadMaryam TavakoliTayebe Sadeghpoorshiraz university of medical sciencesshiraz university of medical sciencesMain goal in the management of patients with severe traumatic brain injury (TBI) is control of intracranial pressure (ICP). Decompressive craniectomy is an accepted technique for control of refractory intracranial hypertension in patients with severe TBI. Because of high complication rate after decompressive craniectomy, new techniques such as basal cisternostomy have developed. We herein report a case of severe TBI in a 13-year-old boy treated by cisternostomy. The patient was admitted following a motor vehicle accident. Brain CT scan showed diffuse brain edema, left frontal contusion and posterior interhemispheric subdural hematoma. The patient underwent ICP monitoring. Subsequently, with 26 mmHg mean-value of ICP, he was treated surgically by cisternostomy technique. A progressive improvement of the neurological conditions in the following hours. After 5 days the boy was discharged and in the 3-months follow-up he was completely recovered. Cisternostomy could be an appropriate alternative to decompressive craniectomy for management of intracranial hypertension in patietns with sever TBI.http://beat.sums.ac.ir/article_44333_e63a5f7d990f92eaa2e7b69b5982a743.pdfSevere traumatic brain injuryIntracranial hypertensionCisternostomyOutcome |
| spellingShingle | Mohammad Masoudi Elahe Rezaee Hasan Hakiminejad Maryam Tavakoli Tayebe Sadeghpoor Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review Bulletin of Emergency and Trauma Severe traumatic brain injury Intracranial hypertension Cisternostomy Outcome |
| title | Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review |
| title_full | Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review |
| title_fullStr | Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review |
| title_full_unstemmed | Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review |
| title_short | Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review |
| title_sort | cisternostomy for management of intracranial hypertension in severe traumatic brain injury case report and literature review |
| topic | Severe traumatic brain injury Intracranial hypertension Cisternostomy Outcome |
| url | http://beat.sums.ac.ir/article_44333_e63a5f7d990f92eaa2e7b69b5982a743.pdf |
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