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首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Cerebral blood flow velocity changes and the value of the pulsatility index post decompressive craniectomy
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Cerebral blood flow velocity changes and the value of the pulsatility index post decompressive craniectomy

机译：减压颅骨切除术后脑血流速度变化及搏动指数值

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Decompressive craniectomy (DC) is used to relieve intractable intracranial hypertension and/or to prevent or reverse cerebral herniation. Significant controversy exists on selection of candidates, timing of the procedure and neurologic outcomes. Furthermore, the cerebral hemodynamic consequences post-DC have been researched only recently. We report on two consecutive patients who underwent DC in our institution and reviewed the literature on cerebral blood flow changes post-craniectomy. One patient had unilateral DC and the second had a suboccipital decompression (SOC). Cerebral blood flow velocities (FV) and pulsatility indices (PI) were recorded via transcranial Doppler (TCD). To our knowledge, this is the first report on FV/PI monitoring after SOC. TCD is a readily available, non-invasive test. The PI may provide useful information regarding timing and effectiveness of DC.
机译：减压颅骨切除术（DC）用于缓解顽固性颅内高压和/或预防或逆转脑疝。在候选人的选择，手术时机和神经系统结果方面存在重大争议。此外，仅在最近才研究DC后的脑血流动力学后果。我们报告了连续两次在我们机构接受DC的患者，并回顾了颅骨切除术后脑血流变化的文献。一名患者单侧DC，第二名患者枕下减压（SOC）。通过经颅多普勒（TCD）记录脑血流速度（FV）和搏动指数（PI）。据我们所知，这是继SOC之后的第一份FV / PI监控报告。 TCD是一种随时可用的非侵入性测试。 PI可以提供有关DC的时间和有效性的有用信息。

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