Cisternostomy for Refractory Posttraumatic Intracranial Hypertension.

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Serval ID
serval:BIB_DE2FBCCAD9EA
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
UNIL/CHUV
Title
Cisternostomy for Refractory Posttraumatic Intracranial Hypertension.
Journal
World neurosurgery
Author(s)
Giammattei L., Messerer M., Oddo M., Borsotti F., Levivier M., Daniel R.T.
ISSN
1878-8769 (Electronic)
ISSN-L
1878-8750
Publication state
Published
Issued date
01/2018
Peer-reviewed
Oui
Volume
109
Pages
460-463
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
The current surgical treatment of choice for refractory intracranial hypertension after traumatic brain injury (TBI) is decompressive craniectomy. Despite efficacy in control of intracranial pressure (ICP), its contribution to an improved outcome is debatable.
We describe a case of refractory intracranial hypertension successfully managed with cisternostomy. The rationale for this surgical technique is discussed, with a focus on the pathophysiologic processes underlying elevated ICP and its improvement after surgery.
Cisternostomy proved to have an immediate effect in controlling ICP and improving brain oxygenation and metabolism.

Keywords
Brain Contusion/surgery, Brain Edema/surgery, Brain Injuries, Traumatic/surgery, Humans, Intracranial Hypertension/surgery, Male, Middle Aged, Treatment Outcome, Ventriculostomy/methods, Cisternostomy, Decompressive craniectomy, Traumatic brain injury
OAI-PMH
oai:serval.unil.ch:BIB_DE2FBCCAD9EA
DOI
10.1016/j.wneu.2017.10.085
Pubmed
29081393
Web of science
000419015000190
Create date
09/11/2017 19:06
Last modification date
20/08/2019 17:02
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