Saudi Journal of Medicine and Medical Sciences

ORIGINAL ARTICLE
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


Hosam Al-Jehani 
 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

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.


How to cite this article:
Al-Jehani H. The use of transcranial doppler pulsatility index to guide intracranial pressure monitoring in intoxicated traumatic brain injury patients.Saudi J Med Med Sci 2014;2:162-165


How to cite this URL:
Al-Jehani H. The use of transcranial doppler pulsatility index to guide intracranial pressure monitoring in intoxicated traumatic brain injury patients. Saudi J Med Med Sci [serial online] 2014 [cited 2019 Jun 19 ];2:162-165
Available from: http://www.sjmms.net/article.asp?issn=1658-631X;year=2014;volume=2;issue=3;spage=162;epage=165;aulast=Al-Jehani;type=0