Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension
Intractable intracranial hypertension is a nerve wrecking clinical challenge which is associated with high morbidity and mortality. Barbiturate coma therapy (BCT) is one of the recommended options for such a challenge but is associated with its own set of complications. Multimodality monitoring is a...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-04-01
|
| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.182331 |
| _version_ | 1819156256734052352 |
|---|---|
| author | Shashi Rao Binesh Badyal Kavita Sandhu Bipin S. Walia |
| author_facet | Shashi Rao Binesh Badyal Kavita Sandhu Bipin S. Walia |
| author_sort | Shashi Rao |
| collection | DOAJ |
| description | Intractable intracranial hypertension is a nerve wrecking clinical challenge which is associated with high morbidity and mortality. Barbiturate coma therapy (BCT) is one of the recommended options for such a challenge but is associated with its own set of complications. Multimodality monitoring is a new advent in neurocritical care and provides a new vision to judiciously cater to such challenges. We hereby report a case of successfully treating intractable intracranial hypertension after maximal possible surgical decompression and evidence of well-formed cerebral ischaemic zones with intracranial multimodality monitoring guided BCT. The positive outcome was to the extent of almost complete reversal of cerebral ischaemic zones and return to normal life schedule. |
| first_indexed | 2024-12-22T15:49:59Z |
| format | Article |
| id | doaj.art-b1d891f55dd8425ca1a5164dab7d8994 |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-12-22T15:49:59Z |
| publishDate | 2016-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-b1d891f55dd8425ca1a5164dab7d89942022-12-21T18:20:55ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2016-04-01030214114410.4103/2348-0548.182331Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertensionShashi Rao0Binesh Badyal1Kavita Sandhu2Bipin S. Walia3Department of Neuroanesthesia and Neurocitical Care, Jaypee Hospital, Noida, Uttar Pradesh, IndiaDepartment of Max Hospital, Saket, New Delhi, IndiaDepartment of Max Hospital, Saket, New Delhi, IndiaDepartment of Max Hospital, Saket, New Delhi, IndiaIntractable intracranial hypertension is a nerve wrecking clinical challenge which is associated with high morbidity and mortality. Barbiturate coma therapy (BCT) is one of the recommended options for such a challenge but is associated with its own set of complications. Multimodality monitoring is a new advent in neurocritical care and provides a new vision to judiciously cater to such challenges. We hereby report a case of successfully treating intractable intracranial hypertension after maximal possible surgical decompression and evidence of well-formed cerebral ischaemic zones with intracranial multimodality monitoring guided BCT. The positive outcome was to the extent of almost complete reversal of cerebral ischaemic zones and return to normal life schedule.http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.182331barbiturate coma therapycerebral ischaemiaintractable intracranial hypertensionmultimodality monitoringtranscranial dopplertraumatic brain injury |
| spellingShingle | Shashi Rao Binesh Badyal Kavita Sandhu Bipin S. Walia Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension Journal of Neuroanaesthesiology and Critical Care barbiturate coma therapy cerebral ischaemia intractable intracranial hypertension multimodality monitoring transcranial doppler traumatic brain injury |
| title | Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension |
| title_full | Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension |
| title_fullStr | Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension |
| title_full_unstemmed | Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension |
| title_short | Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension |
| title_sort | transcranial doppler guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct a case report of intractable intracranial hypertension |
| topic | barbiturate coma therapy cerebral ischaemia intractable intracranial hypertension multimodality monitoring transcranial doppler traumatic brain injury |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.182331 |
| work_keys_str_mv | AT shashirao transcranialdopplerguidedcerebralbloodflowaugmentationresultinginnearcompleteresolutionofcerebralinfarctacasereportofintractableintracranialhypertension AT bineshbadyal transcranialdopplerguidedcerebralbloodflowaugmentationresultinginnearcompleteresolutionofcerebralinfarctacasereportofintractableintracranialhypertension AT kavitasandhu transcranialdopplerguidedcerebralbloodflowaugmentationresultinginnearcompleteresolutionofcerebralinfarctacasereportofintractableintracranialhypertension AT bipinswalia transcranialdopplerguidedcerebralbloodflowaugmentationresultinginnearcompleteresolutionofcerebralinfarctacasereportofintractableintracranialhypertension |