Universität zu Köln

Bendella, Habib, Maegele, Marc, Hartmann, Alexander, Spreer, Joachim, Rommel, Nadine, Lefering, Rolf, Nakamura, Makoto and Igressa, Alhadi (2017). Cerebral Ventricular Dimensions After Decompressive Craniectomy: A Comparison Between Bedside Sonographic Duplex Technique and Cranial Computed Tomography. Neurocrit. Care, 26 (3). S. 321 - 330. TOTOWA: HUMANA PRESS INC. ISSN 1556-0961

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Abstract

Background The objective of this study was to assess and compare ventricle diameters in patients after decompressive craniectomy by using cranial computed tomography (CCT) versus sonographic duplex technique (SDT). Methods A total of 102 consecutive patients after decompressive craniectomy following brain infarct, bleeding and trauma were examined by CCT and SDT. SDT was performed within 24 h after repeated postinterventional control CCT and the correlation between both methods was assessed via measurement of dimensions of all four ventricles. In addition, midline shifts and overall cerebral anatomy was evaluated. Results A high correlation was found between CCT and SDT in measuring the diameters of all four ventricles (right lateral r = 0.978, p < 0.001; left lateral r = 0.975, p < 0.001; third r = 0.987, p < 0.001 and fourth ventricle r = 0.954, p < 0.001). Deviations of midline structure was observed in SDT as well as in CCT (r = 0.992, p < 0.001). Conclusion SDT in patients after decompressive craniectomy may represent an additional bedside tool to assess the dimensions of the ventricular system, anatomical structures, e.g., subdural hygromas, hematomas, midline shifts, gyri and sulci. The measurement of the dimensions of all four ventricles by using SDT delivers accurate values and may be considered as an alternative to CCT or a trigger for CCT prior to further treatment.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bendella, Habib UNSPECIFIED UNSPECIFIED UNSPECIFIED Maegele, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartmann, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Spreer, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED Rommel, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Nakamura, Makoto UNSPECIFIED UNSPECIFIED UNSPECIFIED Igressa, Alhadi UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-229013
DOI:	10.1007/s12028-016-0359-2
Journal or Publication Title:	Neurocrit. Care
Volume:	26
Number:	3
Page Range:	S. 321 - 330
Date:	2017
Publisher:	HUMANA PRESS INC
Place of Publication:	TOTOWA
ISSN:	1556-0961
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRAUMATIC BRAIN-INJURY; REAL-TIME SONOGRAPHY; TEMPORAL BONE WINDOW; HEAD-INJURY; MALIGNANT INFARCTION; RADIATION-EXPOSURE; CT; STROKE; DESTINY; SURGERY Multiple languages Critical Care Medicine; Clinical Neurology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22901