ICP management in patients suffering from traumatic brain injury: a systematic review of randomized controlled trials.

Abstract:

BACKGROUND:Severe traumatic brain injury (sTBI) is a major cause of morbidity and mortality. Intracranial pressure (ICP) monitoring and management form the cornerstone of treatment paradigms for sTBI in developed countries. We examine the available randomized controlled trial (RCT) data on the impact of ICP management on clinical outcomes after sTBI. METHODS:A systematic review of the literature on ICP management following sTBI was performed to identify pertinent RCT articles. RESULTS:We identified six RCT articles that examined whether ICP monitoring, decompressive craniectomy, or barbiturate coma improved clinical outcomes after sTBI. These studies support (1) the utility of ICP monitoring in the management of sTBI patients and (2) craniectomy and barbiturate coma as effective methods for the management of intracranial hypertension secondary to sTBI. However, despite adequate ICP control in sTBI patients, a significant proportion of surviving patients remain severely disabled. CONCLUSIONS:If one sets the bar at the level of functional independence, then the RCT data raises questions pertaining to the utility of decompressive craniectomy and barbiturate coma in the setting of sTBI.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Abraham P,Rennert RC,Gabel BC,Sack JA,Karanjia N,Warnke P,Chen CC

doi

10.1007/s00701-017-3363-1

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

2279-2287

issue

12

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-017-3363-1

journal_volume

159

pub_type

杂志文章,评审
  • Serial transcranial Doppler measurements in traumatic brain injury with special focus on the early posttraumatic period.

    abstract:BACKGROUND:Cerebral ischemia is considered a key factor in the development of secondary damage after Traumatic Brain Injury (TBI). Studies on Cerebral Blood Flow (CBF) have documented decreased flow in over 50% of patients with TBI, studied in the acute phase. Transcranial Doppler (TCD) sonography is a non-invasive tec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-002-1012-8

    authors: van Santbrink H,Schouten JW,Steyerberg EW,Avezaat CJ,Maas AI

    更新日期:2002-11-01 00:00:00

  • Gorham's disease of skull base and cervical spine--confusing picture in a two year old.

    abstract::The unusual presentation of Gorham's disease of skull base and cervical spine in a two-year-old female child with radiological signs mimicking those of raised intracranial pressure is discussed. The differential diagnosis consists of skull base tumours, meningitis, osteomyelitis of the base of skull, congenital hydroc...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0806-x

    authors: Girn HR,Towns G,Chumas P,Holland P,Chakrabarty A

    更新日期:2006-08-01 00:00:00

  • Acquired hydrocephalus. I. A clinical analysis of 160 patients studied for hydrocephalus.

    abstract::A total of 160 patients suspected of having acquired hydrocephalus were studied either by quantitative isotope ventriculography (QIV) or by lumbar isotope cisternography (LIC). Of these patients, 56 had hydrocephalus. Mental deterioration, gait disturbances, ataxia, spasticity, and incontinence were most frequently pr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01407686

    authors: Jensen F,Jensen FT

    更新日期:1979-01-01 00:00:00

  • Usefulness of the endoscope in microvascular decompression for trigeminal neuralgia and MRI-based prediction of the need for endoscopy.

    abstract:BACKGROUND:Microvascular decompression (MVD) is a documented effective treatment of trigeminal neuralgia (TN). Lately, reports on endoscopy-assisted microvascular decompression (eaMVD) with better outcome and less risk have emerged. This study was undertaken to verify under which circumstances the endoscope proved esse...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-014-2171-0

    authors: Sandell T,Ringstad GA,Eide PK

    更新日期:2014-10-01 00:00:00

  • Production of urokinase-type plasminogen activator (u-PA) and plasminogen activator inhibitor-1 (PAI-1) in human brain tumours.

    abstract::We investigated the role of plasminogen activators (PAs) and their inhibitor (plasminogen activator inhibitor-1, PAI-1) in human brain tumours. The amounts of urokinase-type plasminogen activator (u-PA), tissue-type plasminogen activator (t-PA), and plasminogen activator inhibitor-1 (PAI-1), and the activity of u-PA a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010050112

    authors: Arai Y,Kubota T,Nakagawa T,Kabuto M,Sato K,Kobayashi H

    更新日期:1998-01-01 00:00:00

  • Thoracolumbar extradural arachnoid cysts: a study of 14 consecutive cases.

    abstract:BACKGROUND:To investigate characteristic clinical and radiological features of extradural arachnoid cysts (EDACs) in the thoracolumbar region, a retrospective review of medical records and imaging studies was performed. EDACs are well known but relatively rare lesions in the thoracolumbar spinal canal. The most common ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-011-1110-6

    authors: Oh JK,Lee DY,Kim TY,Yi S,Ha Y,Kim KN,Shin H,Kim DS,Yoon DH

    更新日期:2012-02-01 00:00:00

  • Image-guided ultrasonography for recurrent cystic gliomas.

    abstract:BACKGROUND:Long-term survival of patients with recurrent gliomas depends on the extent of resection. Thus, the desirability of an intra-operative imaging modality that can augment the resection extension without affecting vital surrounding structures is more than obvious. It was the aim of the present study to evaluate...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-0858-6

    authors: Enchev Y,Bozinov O,Miller D,Tirakotai W,Heinze S,Benes L,Bertalanffy H,Sure U

    更新日期:2006-10-01 00:00:00

  • Management strategies of intercavernous sinus bleeding during transsphenoidal surgery.

    abstract:BACKGROUND:Transsphenoidal surgery has been well established as an effective primary treatment for tumours of the sellar region. During the dural opening, the prominent intercavernous sinus poses limitations for this approach and may contribute to incomplete tumour resections. METHOD:Based on our experience from 940 c...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0356-8

    authors: Kim EH,Ahn JY,Chang JH,Kim SH

    更新日期:2009-07-01 00:00:00

  • Cerebral vasospasm diagnosis by means of angiography and blood velocity measurements.

    abstract::We investigated 76 patients with known subarachnoid haemorrhage (SAH) in order to compare the results of angiography and non-invasive Doppler recordings of cerebral artery blood velocity in the diagnosis of cerebral vasospasm. One radiologist and one neurovascular surgeon assessed angiographic spasm visually on a four...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405268

    authors: Lindegaard KF,Nornes H,Bakke SJ,Sorteberg W,Nakstad P

    更新日期:1989-01-01 00:00:00

  • Successful removal of pontine haematoma due to rupture of cryptic arteriovenous malformation. Case report.

    abstract::One case of a pontine haematoma with clinical symptoms of cerebellopontine angle tumour is described. The haematoma was successfully evacuated, and preoperative neurological deficits disappeared except for minimal right fifth nerve palsy. The pathological specimen was diagnosed as arteriovenous malformation. Lateropon...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02055855

    authors: Inoue Y,Sato O

    更新日期:1983-01-01 00:00:00

  • Frontal skull osteoblastoma with aneurysmal bone cyst-like changes associated with trauma during pregnancy: a case report.

    abstract::We report the case of a large osteoblastoma arising in the frontal bone of a 20-year-old female. The lesion was first noted after a fall, and grew steadily in size following further head injury during pregnancy. Initial plain radiography demonstrated an area of radiolucency, with subsequent cross-sectional imaging rev...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-3024-9

    authors: Toescu SM,Alalade AF,Steele L,Bhargava D,Hunter R

    更新日期:2017-02-01 00:00:00

  • Application of a three-dimensional graft of autologous osteodifferentiated adipose stem cells in patients undergoing minimally invasive transforaminal lumbar interbody fusion: clinical proof of concept.

    abstract:BACKGROUND:The authors applied a scaffold-free osteogenic three-dimensional (3D) graft made of adipose-derived mesenchymal stem cells (AMSCs) in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). METHODS:Three patients (two patients and one patient with 1 and 2 levels, respectivel...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-3051-6

    authors: Fomekong E,Dufrane D,Berg BV,André W,Aouassar N,Veriter S,Raftopoulos C

    更新日期:2017-03-01 00:00:00

  • Low frequency flow fluctuations in saccular aneurysms.

    abstract::Intra-operative Doppler recordings were carried out on cerebral saccular aneurysms in 12 patients. Distinct fluctuations of flow superimposed on the pulse wave were seen in 6 patients. The fluctuations appeared to be periodic with measured period lengths of 60 to 150 msec. In 3 other patients flow irregularities could...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01402392

    authors: Steiger HJ,Reulen HJ

    更新日期:1986-01-01 00:00:00

  • Gross total resection of pituitary adenomas after endoscopic vs. microscopic transsphenoidal surgery: a meta-analysis.

    abstract:BACKGROUND:Microscopic transsphenoidal surgery (mTSS) is a well-established method to address adenomas of the pituitary gland. Endoscopic transsphenoidal surgery (eTSS) has become a viable alternative, however. Advocates suggest that the greater illumination, panoramic visualization, and angled endoscopic views afforde...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00701-017-3438-z

    authors: Almutairi RD,Muskens IS,Cote DJ,Dijkman MD,Kavouridis VK,Crocker E,Ghazawi K,Broekman MLD,Smith TR,Mekary RA,Zaidi HA

    更新日期:2018-05-01 00:00:00

  • Lessons learned by personal failures in aneurysm surgery: what went wrong, and why?

    abstract:PURPOSE:To analyse the intraoperative complications of a single neurosurgeon, with emphasis on devastating intraoperative incidents, and how they possibly could have been avoided. METHODS:All the patients operated upon by the author between 1986 and 2002, i.e. 252 patients with 270 craniotomies for 294 aneurysms, were...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0452-9

    authors: Wester K

    更新日期:2009-09-01 00:00:00

  • Magnetic resonance angiography (MRA) of ruptured cerebral aneurysm.

    abstract::The purpose of this study was to evaluate the high resolution magnetic resonance angiography (MRA) as pre-operative angiography for the detection of ruptured cerebral aneurysms. MRA was performed on 1.5 tesla system using the 3-dimensional time of flight (3D-TOF) method. The field of view was 16 cm or 20 cm and matrix...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01400663

    authors: Houkin K,Aoki T,Takahashi A,Abe H,Koiwa M,Kashiwaba T

    更新日期:1994-01-01 00:00:00

  • Is the outcome of traditional lumbar disc surgery related to the size of the exposure?

    abstract::The purpose of this study was to evaluate whether wide surgical exposures result in poorer outcome of lumbar disc surgery compared to smaller traditional exposures. The aim was also to assess if a dural tear has any impact on the postoperative clinical outcome. One hundred and twenty-two patients (56 women and 66 men,...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01411260

    authors: Graver V,Ljunggren AE,Magnaes B,Loeb M,Lie H

    更新日期:1996-01-01 00:00:00

  • The risk of haemorrhage after image guided stereotactic biopsy of intra-axial brain tumours--a prospective study.

    abstract:OBJECTIVE:To analyze prospectively the frequency and the risk of symptomatic and asymptomatic haemorrhage after image guided stereotactic biopsy of intra-axial brain tumours. METHODS:The study was conducted within a time frame of 24 months (April 1998-April 2000). 326 patients (150 males, 176 females; mean age 56.8 ye...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010170058

    authors: Kreth FW,Muacevic A,Medele R,Bise K,Meyer T,Reulen HJ

    更新日期:2001-01-01 00:00:00

  • Possible aetiopathogenetic correlation between primary empty sella and arachnoid cyst.

    abstract::Three cases of surgically treated non-neoplastic diseases of the sella (two arachnoid cysts and one empty sella) are reported. All three patients had visual deficits but no gross endocrine disturbances. The study of these three clinical cases and an analysis of the relevant literature suggest a possible unitary hypoth...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01401097

    authors: Benedetti A,Carbonin C,Colombo F

    更新日期:1977-01-01 00:00:00

  • Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review.

    abstract::Symptomatic extracranial vertebral artery (VA) dissection may need surgery. We describe such a case successfully treated with atlantoaxial fusion based on its rare dynamic angiographic findings. A 27-year-old woman suffered from repeated brainstem and cerebellar infarctions from a left extracranial VA dissecting aneur...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-016-2891-4

    authors: Ikeda N,Hayashi H,Goto M,Satoi H,Iwasaki K,Toda H

    更新日期:2016-09-01 00:00:00

  • Clinical evaluation of a real-time inverse planning for Gamma Knife radiosurgery by convex optimization: a prospective comparative trial in a series of vestibular schwannoma patients.

    abstract:BACKGROUND:Gamma Knife radiosurgery (GKRS) inverse dose planning is currently far from competing effectively with the quality of dose planning developed by experienced experts. A new inverse planning (IP) method based on « efficient convex optimization algorithms » is proposed, providing high-quality dose plans in real...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04695-x

    authors: Régis J,Hamdi H,Loundou A,Merly L,Castillo L,Balossier A,Spatola G

    更新日期:2021-01-05 00:00:00

  • Computerized tomography (CT) in patients with head injuries. Assessment of outcome based upon initial clinical findings and initial CT scans.

    abstract::In this study, which comprises 144 consecutive head injuries, the initial clinical assessment and the findings of the initial CT scan are related to the outcome. The mortality is related to the patient's level of consciousness and pupillary light reflex on admission. The disability rate (= number of disabled/number of...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405444

    authors: Espersen JO,Petersen OF

    更新日期:1982-01-01 00:00:00

  • Venous malformation in the posterior fossa: guidelines for treatment.

    abstract::Venous malformations in the posterior fossa are relatively rare. Although the introduction of CT and MRI has made them easier to detect, their treatment is still controversial. Based on our experience with six patients and a review of the literature, we have tried to establish guidelines for their treatment. Since the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01476418

    authors: Mori K,Seike M,Kurisaka M,Kamimura Y,Morimoto M

    更新日期:1994-01-01 00:00:00

  • Lipid peroxide level increase in experimental hydrocephalus.

    abstract::The aetiology of incomplete adrenergic denervation and reduction in the number and caliber of the cerebral vessels in hydrocephalus is still obscure. Stretching of the blood vessels alone is far from explaining these major vascular changes. Previous studies have shown that increased lipid peroxidation produces toxic e...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405185

    authors: Caner H,Atasever A,Kilinç K,Durgun B,Peker S,Ozcan OE

    更新日期:1993-01-01 00:00:00

  • Regional spinal cord blood flow measurements (r.S.C.B.F.) in spinal cord acute compression caused by an epidural balloon.

    abstract::Our study was carried out in 34 rabbits which were divided into three groups (A, B, C). In group A (10 animals), a mid-laminectomy of the first lumbar (L1) vertebra was performed and the circulation in the exposed spinal cord segment was examined using both procedures, the videomicroscopy as well as the r.S.C.B.F. mea...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01404150

    authors: Karoutas G,Tsitsopoulos P,Taskos N,Karacostas D,Tzotzoras T,Liapis J,Logothetis J

    更新日期:1987-01-01 00:00:00

  • Frameless stereotactic guided neurosurgery: clinical experience with an infrared based pointer device navigation system.

    abstract::An infrared based frameless stereotactic navigation device (Easy Guide Neuro) was investigated for its clinical applicability, registration/application accuracy and limitations in a standard operating room set-up. In a five-month period 40 frameless stereotactic procedures (23 female, 17 male, mean age 46.4, yrs range...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02750999

    authors: Roessler K,Ungersboeck K,Dietrich W,Aichholzer M,Hittmeir K,Matula C,Czech T,Koos WT

    更新日期:1997-01-01 00:00:00

  • Early surgery determines recovery of motor deficits in lumbar disc herniations-a prospective single-center study.

    abstract:BACKGROUND:Patients with intervertebral disc herniation undergo surgical removal of herniated disc material in cases of persisting symptoms and/or neurologic deficits. While motor deficits often prompt surgery, little is known about the optimal timing of surgery in these cases. The aim of this study was to prospectivel...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04614-0

    authors: Kögl N,Brawanski K,Girod PP,Petr O,Thomé C

    更新日期:2021-01-01 00:00:00

  • Transsphenoidal approaches to the pituitary: a progression in experience in a single centre.

    abstract:BACKGROUND:Evolving of a single centre by means of different transsphenoidal approaches during the survey of methodological advances in pituitary surgery is presented. MATERIALS AND METHODS:Ninety-three consecutive patients with pituitary adenomas underwent transphenoidal pituitary operations at Gulhane Military Medic...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-008-0135-y

    authors: Duz B,Harman F,Secer HI,Bolu E,Gonul E

    更新日期:2008-11-01 00:00:00

  • Thallium-201 technetium-99m HMPAO single-photon emission computed tomography (SPECT) imaging for guiding stereotactic craniotomies in heavily irradiated malignant glioma patients.

    abstract::SPECT scanning with Tl-201 and Tc-99m offers a unique, inexpensive functional imaging modality to combine with CT stereotactic craniotomy for guiding resection of necrosis and/or tumour in patients treated with escalated doses of radiation (> 6000 cGy) by either brachytherapy or radiosurgery. Thirty-two cases were ana...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405531

    authors: Alexander E 3rd,Loeffler JS,Schwartz RB,Johnson KA,Carvalho PA,Garada BM,Zimmerman RE,Holman BL

    更新日期:1993-01-01 00:00:00

  • MRA demonstration of "periarteritis" in Tolosa-Hunt syndrome.

    abstract:BACKGROUND:Modern magnetic resonance imaging (MRI) diagnosis of Tolosa-Hunt syndrome rests upon demonstration of cavernous sinus abnormalities. We present a case of Tolosa-Hunt syndrome who has no abnormal mass lesion in the cavernous sinuses on MRI but with a diagnostic lesion on magnetic resonance angiography (MRA). ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010170112

    authors: Ozawa T,Minakawa T,Saito A,Yoneoka Y,Yoshimura J,Arai H

    更新日期:2001-01-01 00:00:00