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Cerebral Ventricular Dimensions After Decompressive Craniectomy: A Comparison Between Bedside Sonographic Duplex
Habib Bendella1, Marc Maegele2,3, Alexander Hartmann4,5
1Department of Neurosurgery, Cologne Merheim Medical Center (CMMC), University of Witten/Herdecke, Ostmerheimerstr. 200, 51109, Cologne, Germany. Habib@Bendella.de.
Neurocritical Care
|January 6, 2017
Summary
Sonographic duplex technique (SDT) accurately measures ventricle diameters after decompressive craniectomy, correlating highly with cranial computed tomography (CCT). SDT offers a valuable bedside alternative for assessing ventricular systems and anatomical structures.
Area of Science:
- Neurosurgery
- Radiology
- Medical Imaging
Background:
- Decompressive craniectomy is a critical neurosurgical procedure.
- Accurate assessment of ventricular size and midline shifts is vital post-decompressive craniectomy.
- Cranial computed tomography (CCT) is a standard imaging modality.
Purpose of the Study:
- To compare ventricle diameter measurements between cranial computed tomography (CCT) and sonographic duplex technique (SDT).
- To evaluate the utility of SDT as a bedside tool in patients post-decompressive craniectomy.
Main Methods:
- 102 patients undergoing decompressive craniectomy were assessed using both CCT and SDT.
- SDT measurements were performed within 24 hours of a control CCT.
- Correlation analysis was used to compare measurements of all four ventricles and midline shifts.
Main Results:
- High correlations were observed between CCT and SDT for all four ventricle diameters (r > 0.954, p < 0.001).
- Midline shifts also showed a high correlation between the two methods (r = 0.992, p < 0.001).
- SDT effectively identified anatomical structures like subdural hygromas and hematomas.
Conclusions:
- Sonographic duplex technique (SDT) provides accurate measurements of the ventricular system in patients post-decompressive craniectomy.
- SDT can serve as a reliable bedside tool, potentially reducing the need for repeat CCT.
- SDT may guide further treatment decisions by providing timely anatomical assessments.
Keywords:
Bedside examinationBrain traumaCranial computed tomographyDecompressive craniectomySonographic duplex techniqueVentricle dimensions
