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Year : 2014  |  Volume : 2  |  Issue : 3  |  Page : 162-165

The use of transcranial doppler pulsatility index to guide intracranial pressure monitoring in intoxicated traumatic brain injury patients

Department of Neurosurgery, King Fahd Hospital of the University, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia; Department of Neurology and Neurosurgery, Montreal, Neurological Institute/Hospital, McGill University, Montreal, Canada

Correspondence Address:
Hosam Al-Jehani
C/o Luisa Birri, 3801 University Street, Suite 109, Montreal, QC, H3A 2B4, Canada

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DOI: 10.4103/1658-631X.142506

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Introduction: Management of intracranial pressure (ICP) represents a cornerstone in the care of traumatic brain injury (TBI) patients. On occasions, intoxicated TBI represent a clinical challenge since their initial imaging is not significantly correlating with elevated ICP yet their neurological exam concerns toward that possibility. Materials and Methods: We present an initial series of intoxicated TBI patients in which the trans-cranial Doppler (TCD) were conducted to noninvasively judge the ICP and correlate those with the clinical findings. Results: A total of four patients is reported in this series. About 50% of the patients had evidence of elevated ICP based on TCD parameters confirmed by ICP monitors. Conclusion: From our series, TCD screening examinations were helpful in expediting an objective guided decision for intracranial pressure monitoring.

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