Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/31936
Full metadata record
DC FieldValueLanguage
dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBOR-SENG-SHU, Edson
dc.contributor.authorDE-LIMA-OLIVEIRA, Marcelo
dc.contributor.authorNOGUEIRA, Ricardo Carvalho
dc.contributor.authorALMEIDA, Kelson James
dc.contributor.authorPASCHOAL, Eric Homero Albuquerque
dc.contributor.authorPASCHOAL JR., Fernando Mendes
dc.date.accessioned2019-05-30T13:45:23Z
dc.date.available2019-05-30T13:45:23Z
dc.date.issued2019
dc.identifier.citationFRONTIERS IN NEUROLOGY, v.10, article ID 354, 7p, 2019
dc.identifier.issn1664-2295
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31936
dc.description.abstractBackground: There are no studies describing the cerebral hemodynamic patterns that can occur in traumatic brain injury (TBI) patients following decompressive craniectomy (DC). Such data have potentially clinical importance for guiding the treatment. The objective of this study was to investigate the postoperative cerebral hemodynamic patterns, using transcranial Doppler (TCD) ultrasonography, in patients who underwent DC. The relationship between the cerebral circulatory patterns and the patients' outcome was also analyzed. Methods: Nineteen TBI patients with uncontrolled brain swelling were prospectively studied. Cerebral blood circulation was evaluated by TCD ultrasonography. Patients and their cerebral hemispheres were categorized based on TCD-hemodynamic patterns. The data were correlated with neurological status, midline shift on CT scan, and Glasgow outcome scale scores at 6 months after injury. Results: Different cerebral hemodynamic patterns were observed. One patient (5.3%) presented with cerebral oligoemia, 4 patients (21%) with cerebral hyperemia, and 3 patients (15.8%) with cerebral vasospasm. One patient (5.3%) had hyperemia in one cerebral hemisphere and vasospasm in the other hemisphere. Ten patients (52.6%) had nonspecific circulatory pattern. Abnormal TCD-circulatory patterns were found in 9 patients (47.4%). There was no association between TCD-cerebral hemodynamic findings and outcome. Conclusion: There is a wide heterogeneity of postoperative cerebral hemodynamic findings among TBI patients who underwent DC, including hemodynamic heterogeneity between their cerebral hemispheres. DC was proved to be effective for the treatment of cerebral oligoemia. Our data support the concept of heterogeneous nature of the pathophysiology of the TBI and suggest that DC as the sole treatment modality is insufficient.eng
dc.language.isoeng
dc.publisherFRONTIERS MEDIA SAeng
dc.relation.ispartofFrontiers in Neurology
dc.rightsopenAccesseng
dc.subjectdecompressive craniectomyeng
dc.subjecttraumatic brain injuryeng
dc.subjecttranscranial Doppler ultrasonographyeng
dc.subjectintracranial pressure (ICP)eng
dc.subjectcerebral hemodynamicseng
dc.subject.otherblood-floweng
dc.subject.othertranscranial dopplereng
dc.subject.otherpressure-gradientseng
dc.subject.otherintracranial-pressureeng
dc.subject.otherhead-injuryeng
dc.subject.otherautoregulationeng
dc.subject.othermicrodialysiseng
dc.subject.othervasospasmeng
dc.subject.otheroxygenationeng
dc.subject.othermetabolismeng
dc.titleDecompressive Craniectomy for Traumatic Brain Injury: Postoperative TCD Cerebral Hemodynamic Evaluationeng
dc.typearticleeng
dc.rights.holderCopyright FRONTIERS MEDIA SAeng
dc.identifier.doi10.3389/fneur.2019.00354
dc.identifier.pmid31031689
dc.subject.wosClinical Neurologyeng
dc.subject.wosNeuroscienceseng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalALMEIDA, Kelson James:Univ Fed Piaui, Med Sch, Dept Neurol, Teresina, Brazil
hcfmusp.author.externalPASCHOAL, Eric Homero Albuquerque:Fed Univ Para, Med Sch, Dept Neurol, Sao Paulo, Brazil
hcfmusp.description.articlenumber354
hcfmusp.description.volume10
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000464436000001
hcfmusp.origem.id2-s2.0-85067901481
hcfmusp.publisher.cityLAUSANNEeng
hcfmusp.publisher.countrySWITZERLANDeng
hcfmusp.relation.referenceAmorim RL, 2012, J NEURORADIOLOGY, V39, P346, DOI 10.1016/j.neurad.2012.02.006eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2006, J NEUROSURG, V104, P93, DOI 10.3171/jns.2006.104.1.93eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2007, J NEUROSURG, V106, P728, DOI 10.3171/jns.2007.106.4.728eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2013, BIOMED RES INT, DOI 10.1155/2013/750809eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2013, NEUROSURG REV, V36, P361, DOI 10.1007/s10143-013-0453-2eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2012, J NEUROSURG, V117, P589, DOI 10.3171/2012.6.JNS101400eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2012, ARQ NEURO-PSIQUIAT, V70, P357, DOI 10.1590/S0004-282X2012000500010eng
hcfmusp.relation.referenceBor-Seng-Shu E, 2010, J NEUROSURG, V112, P1351, DOI 10.3171/2009.10.JNS091426eng
hcfmusp.relation.referenceCaldas JR, 2017, AM J PHYSIOL-REG I, V312, pR108, DOI 10.1152/ajpregu.00361.2016eng
hcfmusp.relation.referenceChang JJ, 2016, AM J NEURORADIOL, V37, P408, DOI 10.3174/ajnr.A4548eng
hcfmusp.relation.referenceCooper DJ, 2011, NEW ENGL J MED, V364, P1493, DOI 10.1056/NEJMoa1102077eng
hcfmusp.relation.referenceCzosnyka M, 2001, J NEUROSURG, V95, P756, DOI 10.3171/jns.2001.95.5.0756eng
hcfmusp.relation.referenceDe-Lima-Oliveira M, 2018, WORLD NEUROSURG, V113, P110, DOI 10.1016/j.wneu.2018.01.194eng
hcfmusp.relation.referencede-Lima-Oliveira M, 2018, ACTA NEUROCHIR, V160, P919, DOI 10.1007/s00701-018-3484-1eng
hcfmusp.relation.referenceGupta D, 2017, BRAIN INJURY, V31, P1660, DOI 10.1080/02699052.2017.1370553eng
hcfmusp.relation.referenceHo CL, 2008, J NEUROSURG, V108, P943, DOI 10.3171/JNS/2008/108/5/0943eng
hcfmusp.relation.referenceHutchinson PJ, 2016, NEW ENGL J MED, V375, P1119, DOI 10.1056/NEJMoa1605215eng
hcfmusp.relation.referenceKumar A, 2005, J NEUROL NEUROSUR PS, V76, P1570, DOI 10.1136/jnnp.2004.059493eng
hcfmusp.relation.referenceLee JH, 1997, J NEUROSURG, V87, P221, DOI 10.3171/jns.1997.87.2.0221eng
hcfmusp.relation.referenceLubillo ST, 2018, J NEUROSURG, V128, P1538, DOI 10.3171/2017.1.JNS161840eng
hcfmusp.relation.referenceMartin NA, 1997, J NEUROSURG, V87, P9, DOI 10.3171/jns.1997.87.1.0009eng
hcfmusp.relation.referenceMazzucco S, 2017, INT J STROKE, V12, P580, DOI 10.1177/1747493017706189eng
hcfmusp.relation.referenceOertel M, 2005, J NEUROSURG, V103, P812, DOI 10.3171/jns.2005.103.5.0812eng
hcfmusp.relation.referenceOliveira MD, 2014, J NEUROTRAUM, V31, P1750, DOI 10.1089/neu.2014.3386eng
hcfmusp.relation.referenceOliveira MD, 2014, NEUROCRIT CARE, V21, P152, DOI 10.1007/s12028-013-9884-4eng
hcfmusp.relation.referenceSahuquillo J, 1999, J NEUROSURG, V90, P16, DOI 10.3171/jns.1999.90.1.0016eng
hcfmusp.relation.referenceSchmidt EA, 2003, J NEUROSURG, V99, P991, DOI 10.3171/jns.2003.99.6.0991eng
hcfmusp.relation.referenceSharma VK, 2016, FRONT NEUROL NEUROSC, V40, P124, DOI 10.1159/000448309eng
hcfmusp.relation.referenceSoustiel JF, 2010, NEUROSURGERY, V67, P65, DOI 10.1227/01.NEU.0000370604.30037.F5eng
hcfmusp.relation.referenceStiefel MF, 2004, J NEUROSURG, V101, P241, DOI 10.3171/jns.2004.101.2.0241eng
hcfmusp.relation.referenceVedantam A, 2018, J NEUROSURG, V129, P241, DOI 10.3171/2017.4.JNS163036eng
hcfmusp.relation.referenceVespa P, 2004, BRAIN PATHOL, V14, P210, DOI 10.1111/j.1750-3639.2004.tb00055.xeng
hcfmusp.relation.referenceWolfla CE, 1997, J NEUROSURG, V86, P505, DOI 10.3171/jns.1997.86.3.0505eng
hcfmusp.relation.referenceWolfla CE, 1996, J NEUROSURG, V84, P642, DOI 10.3171/jns.1996.84.4.0642eng
dc.description.indexPubMedeng
hcfmusp.citation.scopus3-
hcfmusp.scopus.lastupdate2022-06-10-
Appears in Collections:

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/26
LIM/26 - Laboratório de Pesquisa em Cirurgia Experimental


Files in This Item:
File Description SizeFormat 
art_BOR-SENG-SHU_Decompressive_Craniectomy_for_Traumatic_Brain_Injury_Postoperative_TCD_2019.PDFpublishedVersion (English)314.22 kBAdobe PDFThumbnail
View/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.