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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Intrathecal and systemic concentration of NT-proBNP in patients with severe traumatic brain injury
Chlodwig Kirchhoff1, Julia Stegmaier, Viktoria Bogner
1Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-Universitaet, Munich, Germany. Chlodwig.Kirchhoff@med.uni-muenchen.de
Abstract:
Outcome of patients suffering from traumatic brain injury (TBI) depends on the development of secondary brain damage. In this context, recent studies underlined the role of the natriuretic peptides- atrial natriuretic peptide and brain natriuretic peptide (BNP)-in aneurysmatic subarachnoidal hemorrhage (SAH). Especially BNP correlates with intracranial pressure and clinical outcome after SAH. Since its role in TBI remains unclear, the intracranial and systemic concentrations of N-terminal (NT)-proBNP were analyzed in patients suffering from severe TBI. We measured NT-proBNP levels in cerebrospinal fluid (CSF) and serum of 14 patients suffering from severe TBI (GCS
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