Conventional and contrast-enhanced ultrasound assessment of craniocerebral gunshot wounds

Deng, Di; Dan, Geng; Tao, J.; Wu, Xiaojian; Chen, Z.; Chang, Melissa H.; Liao, Mei-Fan; He, Fan

doi:10.4238/2015.april.13.14

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…The assessment of gliomas by MRI was more accurate than CT, but it has limited application in surgery [ 2 – 4 ]. However it is difficult to distinguish the grade of glioma by CT or MRI preoperatively [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Contrast Enhanced Ultrasound Evaluates the Grade of Glioma

Cheng

Zhang

et al. 2016

BioMed Research International

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Objective. The aim of our study was to investigate the value of intraoperative contrast enhanced ultrasound (CEUS) for evaluating the grade of glioma and the correlation between microvessel density (MVD) and vascular endothelial growth factor (VEGF). Methods. We performed intraoperative conventional ultrasound (CUS) and CEUS on 88 patients with gliomas. All of the patients have undergone surgery and obtained the results of pathology. All patients have undergone intraoperative CUS and CEUS to compare the characteristics of different grade gliomas and the results of CUS and CEUS were compared with pathological results. Results. The time to start (TTS) and time to peak (TTP) of low grade glioma (LGG) were similar to those of edema and normal brain surrounding glioma. The enhanced extent of LGG was higher than that of the normal brain and edema. The TTS and TTP of high grade glioma were earlier than those of the edema and normal brain surrounding glioma. The enhancement of HGG was higher than that of LGG. The absolute peak intensity (API) was correlated with MVD and VEGF. Conclusion. Intraoperative CEUS could help in determining boundary of peritumoral brain edema of glioma. Intraoperative CEUS parameters in cerebral gliomas could indirectly reflect the information of MVD and VEGF.

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Section: Introductionmentioning

confidence: 99%

Intraoperative Contrast Enhanced Ultrasound Evaluates the Grade of Glioma

Cheng

Zhang

et al. 2016

BioMed Research International

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“…Recently, real-time contrast-enhanced ultrasound (CEUS) has been used for visualizing change in microcirculation and perfusion of tissue, thus distinguishing necrotic tissue in injured area from normal brain parenchyma. 5 Aggressive ICU care management in combination with early management with less aggressive, meticulous, neurosurgical technique, when appropriate, already has significantly reduced the mortality and morbidity associated with these injuries, but they still remain unacceptably high. 6 We at our institute attend to large number of patients with head injury, many of whom suffer with penetrating brain injury.…”

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confidence: 99%

Outcome of Penetrating Brain Injury in Civilian Practice

Malav

Ojha

Chandra

et al. 2015

IJNT

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Introduction?There is a dramatic increase in the incidence and little is known about outcome and recovery of penetrating brain injuries. Our study is based on analysis of clinical-radiological profile and outcome of patients of penetrating brain injuries. Method?This is a retrospective analysis of patients with penetrating head injury during the period from June 2004 to May 2013. Patients with penetrating head injury were selected from our hospital record. Their operative findings were evaluated and only those patients with documented penetration of the dura by a foreign material were selected for data collection and analysis. Results?A total of 60 patients were recruited in the study. Their mean age was 27 years, and most patients were male. Most common clinical presentation was brain matter and cerebrospinal fluid (CSF) leak in 48 (60%) patients followed by decreased level of consciousness in 40 (66.67%) patients. Frontal lobe was most commonly involved part in 24 (40%) patients followed by multiple lobe injury noted in 16 (26.66%) patients. Twelve patients expired during the hospital stay. Thirteen patients were discharged in GOS-2, 15 in GOS-3, and 20 in GOS-4. Wound infection occurred in 11 (18.33%) patients, and seizure developed in 8 (13.33%) patients. Conclusion?Penetrating brain injuries are most common in 11- to 30-year-old age group and occur more commonly in male. Most common presentations were brain matter or CSF leak and most common mode of injury was firearm. Frontal lobe was the most commonly injured part of the brain and mortality was 20%. Higher mortality was observed among patients with seizure than in other patients with penetrating brain injury.

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