TRANSCRANIAL ULTRASONOGRAPHY VERSUS COMPUTED TOMOGRAPHY IN ASSESSING BRAIN MIDLINE SHIFT AFTER HYPEROSMOLAR SOLUTIONS IN SEVERE TRAUMATIC BRAIN INJURY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Critical Care Medicine, Faculty of Medicine, Alexandria University

2 Department of Critical Care, Faculty of Medicine, Alexandria University

Abstract

Traumatic brain injury (TBI) presents a significant global health burden, with millions of new cases annually. It leads to major disability and considerable economic costs. TBI results from various external forces, including head impacts and acceleration-deceleration injuries. One serious complication is brain midline shift (MLS), often indicating increased intracranial pressure (ICP), which is associated with worse outcomes and higher mortality. Computed tomography (CT) is the gold standard for diagnosing MLS, but serial scans pose risks, particularly for critically ill patients. Transcranial ultrasonography (TCS), which uses ultrasound to measure MLS through the skull, is a safer, portable, and cost-effective alternative for real-time bedside monitoring of MLS in neurocritical care. However, the accuracy of TCS in comparison to CT is still under evaluation. The study compares these methods to determine the effectiveness of TCS in detecting MLS, particularly in TBI patients treated with hyperosmolar solutions to manage ICP.

Aim of the work:
The aim of this work was to investigate the value of transcranial ultrasonography in assessment of brain midline shift in patient with severe traumatic brain injury receiving hyperosmolar solutions in comparison to CT brain.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 38-39

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