Title: Decompressive craniectomy guided by cerebral microdialysis and brain tissue oxygenation in a patient with meningitis
Abstract: Acta Anaesthesiologica ScandinavicaVolume 55, Issue 1 p. 130-133 Decompressive craniectomy guided by cerebral microdialysis and brain tissue oxygenation in a patient with meningitis J. BORDES, J. BORDES Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorH. BORET, H. BORET Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorG. LACROIX, G. LACROIX Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorB. PRUNET, B. PRUNET Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorE. MEAUDRE, E. MEAUDRE Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorE. KAISER, E. KAISER Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this author J. BORDES, J. BORDES Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorH. BORET, H. BORET Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorG. LACROIX, G. LACROIX Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorB. PRUNET, B. PRUNET Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorE. MEAUDRE, E. MEAUDRE Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this authorE. KAISER, E. KAISER Département d'anesthésie-réanimation, Toulon, FranceSearch for more papers by this author First published: 08 November 2010 https://doi.org/10.1111/j.1399-6576.2010.02355.xCitations: 16 Address:Julien BordesDépartement d'anesthésie-réanimationHIA Sainte-Anne83800 ToulonFrancee-mail: [email protected] Written consent for publication was obtained from the patient. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Bacterial meningitis remains a life-threatening disease mainly due to intracranial hypertension. However, decompressive craniectomy (DC) and the use of cerebral microdialysis (MD) and brain tissue oxygen pressure measurement (pTiO2) are poorly described in this disease. We report a case of a 56-year-old woman admitted for severe bacterial meningitis complicating mastoiditis. Despite maximal medical treatment, intracranial pressure increased above 30 mmHg, with a decline in pTiO2 and MD results indicating cerebral ischaemia. A bilateral DC was performed. Neurological outcome was favourable, and on discharge, the patient was able to live independently. This is the first report of DC in meningitis guided by cerebral MD and pTiO2. Invasive multimodal neuromonitoring should be used in severe meningitis and DC could be considered in the case of refractory intracranial hypertension. References 1 Rennick G, Shann F, De Campo J. Cerebral herniation during bacterial meningitis in children. Br Med J 1993; 306: 953–5. 2 Gaussorgues P, Guerin C, Boyer F, Brugiere E, Mercatello A, Holzapfel L, Tigaud S, Peyramond D, Robert D. Intracranial hypertension in comatose bacterial meningitis. Presse Med 1987; 16: 1420–3. 3 Winkler F, Kastenbauer S, Yousry TA, Maerz U, Pfister HW. 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Publication Year: 2010
Publication Date: 2010-11-08
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 21
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