Boret H, Fesselet J, Meaudre E, Gaillard P-E, Cantais E
Department of Anesthesiology and Intensive Care, Sainte-Anne Teaching Military Hospital, Toulon-Naval, France.
Acta Anaesthesiol Scand. 2006 Feb;50(2):252-4. doi: 10.1111/j.1399-6576.2005.00862.x.
We report the case of a young patient with post-traumatic, intractable, intracranial hypertension leading to craniectomy. This intracranial hypertension was preceded by focal signs of ischemia diagnosed through P(ti)O2 monitoring and cerebral microdialysis, and occurred a few hours prior to a decrease in cerebral perfusion pressure below 60 mmHg. The neurological outcome was satisfactory with a Glasgow Outcome Scale of 4 at 3 months. We discuss the potential interest of such neuro-monitoring to determine the optimal time for performing a craniectomy.
我们报告了一例年轻患者，其患有创伤后难治性颅内高压并接受了颅骨切除术。这种颅内高压之前通过脑组织氧分压（P(ti)O2）监测和脑微透析诊断出有局灶性缺血体征，且发生在脑灌注压降至60 mmHg以下的几小时之前。3个月时格拉斯哥预后评分4分，神经功能预后良好。我们讨论了这种神经监测对于确定实施颅骨切除术的最佳时机的潜在意义。
