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The relationship between basal cisterns on CT and time-linked intracranial pressure in paediatric head injury


, : The relationship between basal cisterns on CT and time-linked intracranial pressure in paediatric head injury. Child's Nervous System 27(7): 1139-1144

Although intracranial pressure (ICP) monitoring is a cornerstone of care for severe traumatic brain injury (TBI), the indications for ICP monitoring in children are unclear. Often, decisions are based on head computed tomography (CT) scan characteristics. Arguably, the patency of the basal cisterns is the most commonly used of these signs. Although raised ICP is more likely with obliterated basal cisterns, the implications of open cisterns are less clear. We examined the association between the status of perimesencephalic cisterns and time-linked ICP values in paediatric severe TBI. ICP data linked to individual head CT scans were reviewed. Basal cisterns were classified as open or closed by blinded reviewers. For the initial CT scan, we examined ICP values for the first 6 h after monitor insertion. For follow-up scans, we examined ICP values 3 h before and after scanning. Mean ICP and any episode of ICP???2 mmHg during this period were recorded. Data from 14 patients were examined. Basal cisterns were patent in 51.72% of scans, effaced in 34.48% and obliterated in 13.79%. Even when cisterns were open, more than 4% of scans had at least one episode of ICP???2 mmHg, and 14% of scans had a mean ICP???2 mmHg. The specificity of open cisterns in predicting ICP?<2 mmHg was poor (57.9%). Age-related data were worse. Children with severe TBI frequently may have open basal cisterns on head CT despite increased ICP. Open cisterns should not discourage ICP monitoring.

US$19.90

PMID: 21538131

DOI: 10.1007/s00381-011-1464-3


Other references

Garber, E.K.; Guth, P.H.; Silpa, M.L.; Stolz, A., 1986: A single blind randomized endoscopic study comparing the effects of diflunisal and naproxen in patients with osteoarthritis. A single blind randomized endoscopic study comparing the effects of diflunisal and naproxen on the gastric and duodenal mucosa of 34 patients with osteoarthritis was performed over a 2-week period. At the dosages utilized in the study, diflunisal...

Jadresic, L., 1996: Long term follow up to determine the prognostic value of imaging after urinary tract infections. Archives of Disease in Childhood 74(1): 89-89

Alharby, E.; Albalawi, A.M.; Nasir, A.; Alhijji, S.A.; Mahmood, A.; Ramzan, K.; Abdusamad, F.; Aljohani, A.; Abdelsalam, O.; Eldardear, A.; Basit, S., 2017: A homozygous potentially pathogenic variant in the PAXBP1 gene in a large family with global developmental delay and myopathic hypotonia. PAX binding protein 1 (PAXBP1) is an adaptor protein linking the transcription factor PAX3 and PAX7 to the histone methylation machinery. PAXBP1 is a nuclear protein and its high expression is known in brain cerebellar hemisphere and cerebellum. M...

Dorobantu, N.G.ina, R., 1977: Dynamics of photosynthesis and respiration in sugarbeets under irrigation and without irrigation. Lucrari stiintifice Seria A Agronomieub 1977) 17(17): 38-44

Tang, Y.S.if, Y., 2004: Antigenicity of two turkey astrovirus isolates. Astroviruses are positive-sense single-stranded RNA viruses. These viruses cause gastroenteritis in humans and in a variety of animal species, including turkey poults. Only human astroviruses are well characterized antigenically. In the current st...

Bierman, R.H., 1985: Early season insect control and comparative cotton yields with Pydrin insecticide. Results of test at 7 locations in the southern USA in 1984 indicated that a minimum of 4 Pydrin [fenvalerate] applications at weekly intervals starting at the pinhead square growth stage and followed by a routine insect control programme increased...

Kim, Y-Hak.; Kang, I.; Bergeron, Hélène.; Lau, P.C.K.; Engesser, K-Heinrich.; Kim, S-Jong., 2006: Physiological, biochemical, and genetic characterization of an alicyclic amine-degrading Mycobacterium sp. strain THO100 isolated from a morpholine-containing culture of activated sewage sludge. Mycobacterium sp. strain THO100 was isolated from a morpholine-containing culture of activated sewage sludge. This strain was able to utilize pyrrolidine, morpholine, piperidine, piperazine, and 1,2,3,6-tetrahydropyridine as the sole sources of ca...

Burke, A.C.; Tabin, C.J., 1996: Virally mediated misexpression of Hoxc-6 in the cervical mesoderm results in spinal nerve truncations. Members of the Hox gene family appear to regulate anterior-posterior (A-P) regionalization in embryos. Genetic manipulation of numerous Hox genes in the developing trunk region of vertebrates results in changes in the morphology of individual vert...

Bean, John W., 1929: Effect of high oxygen pressures on blood acidity, oxygen consumption, volume flow of blood and respiration. Proc Soc Exp Biol & Med 26(9): 832

Crandall, D.J.; Backstrom, L.; Cosley, D.; Suri, S.; Huttenlocher, D.; Kleinberg, J., 2011: Inferring social ties from geographic coincidences. We investigate the extent to which social ties between people can be inferred from co-occurrence in time and space: Given that two people have been in approximately the same geographic locale at approximately the same time, on multiple occasions,...