Correlation Between Computed Tomography and Intracranial Pressure Monitoring in Acute Head Trauma Patients

Sadhu, Vijay K.; Sampson, Jerry; Haar, Floyd L.; Pinto, Richard S.; Handel, Stanley F.

doi:10.1148/133.2.507

Cited by 37 publications

(12 citation statements)

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“…In adult patients with normal initial CT scans, studies have shown conflicting results with regard to patients who later develop elevated ICP, as shown in Table 1 [6,7,[12][13][14]. It remains to be determined whether a normal initial CT scan can be used to predict later ICP.…”

Section: Radiologic Findingsmentioning

confidence: 99%

Non-invasive Methods of Estimating Intracranial Pressure

et al. 2011

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Non-invasive measurement of intracranial pressure can be invaluable in the management of critically ill patients. We performed a comprehensive review of the literature to evaluate the different methods of measuring intracranial pressure. Several methods have been employed to estimate intracranial pressure, including computed tomography, magnetic resonance imaging, transcranial Doppler sonography, near-infrared spectroscopy, and visual-evoked potentials. In addition, multiple techniques of measuring the optic nerve and the optic nerve sheath diameter have been studied. Ultrasound measurements of the optic nerve sheath diameter and Doppler flow are especially promising and may be useful in selected settings.

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Section: Radiologic Findingsmentioning

confidence: 99%

Non-invasive Methods of Estimating Intracranial Pressure

et al. 2011

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“…Status of the peripheral sulci -In their study, Sadhu et al 8 found no correlation between the status of the peripheral sulci and ICP. In this series, all patients who were operated on had effaced sulci, at least on the side of the lesion.…”

Section: Status Of the Suprasellar And Ambient Cisterns -mentioning

confidence: 82%

“…Gailbraith and Te a s d a l e 7 detected no diff e rence in midline shift between the patients who were operated on and those who received conservative treatment. Sadhu et al 8 and Tabaddor et al 9 found no corre l ation between midline shift and ICP status. On the other hand, Marshall et al…”

Section: Position Of the Midline Structures And Status Of The Csf-filmentioning

confidence: 94%

“…These authors also observed that abnormal mesencephalic cistern s were associated with higher ICP. However, Sadhu et al 8 found no correlation between obliteration of the cisterns and ICP.…”

Section: Status Of the Suprasellar And Ambient Cisterns -mentioning

confidence: 97%

“…However, Eisenberg et al 11 did not obtain the same result. Sadhu et al 8 , on the other hand, observed that dilatation of the inferior horn contralateral to an expanding lesion correlated with an average ICP above 30 mmHg.…”

Section: Status Of the Suprasellar And Ambient Cisterns -mentioning

confidence: 98%

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Post-traumatic temporal lobe lesions: surgical decision making based on CT scan findings

Giannetti

Prandini

Araújo

et al. 2005

Arq. Neuro-Psiquiatr.

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BACKGROUND: The indication for surgical treatment of post-traumatic parenchymal lesions in the temporal lobe remains controversial. OBJECTIVE: We reviewd the tomographic parameters that might be useful in making surgical decisions. METHOD: The tomographic findings of 69 patients were analyzed in a retrospective manner considering: 1) the effects of the lesion (classified into 4 variables: midline shift, status of the cisterns, status of the ventricles, and status of the peripheral sulci); and 2) the characteristics of the lesion: anterior, posterior or anteroposterior location (as defined by a coronal plane tangent to the cerebral peduncles) and its mediolateral diameter. RESULTS: When none or only one of the aforementioned variables was found to be altered, conservative treatment was instituted (22 out of 38 lesions). In two cases, all four variables were altered, and surgery was performed in both. Anterior, anteroposterior and posterior lesions measuring 21, 23 and 28 mm in diameter, respectively, had a 50% chance of surgical removal. CONCLUSION: Amongst the patients who underwent surgical intervention, the more anterior the location of the temporal lobe lesion, the smaller the diameter.

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