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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2016; 03(02): 141-144
DOI: 10.4103/2348-0548.182331
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Transcranial Doppler-guided cerebral blood flow augmentation resulting in near complete resolution of cerebral infarct: A case report of intractable intracranial hypertension

Shashi Rao
Department of Neuroanesthesia and Neurocitical Care, Jaypee Hospital, Noida, Uttar Pradesh, India
,
Binesh Badyal
1   Department of Max Hospital, Saket, New Delhi, India
,
Kavita Sandhu
1   Department of Max Hospital, Saket, New Delhi, India
,
Bipin S. Walia
1   Department of Max Hospital, Saket, New Delhi, India
› Author Affiliations
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Publication History

Publication Date:
03 May 2018 (online)

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Abstract

Intractable intracranial hypertension is a nerve wrecking clinical challenge which is associated with high morbidity and mortality. Barbiturate coma therapy (BCT) is one of the recommended options for such a challenge but is associated with its own set of complications. Multimodality monitoring is a new advent in neurocritical care and provides a new vision to judiciously cater to such challenges. We hereby report a case of successfully treating intractable intracranial hypertension after maximal possible surgical decompression and evidence of well-formed cerebral ischaemic zones with intracranial multimodality monitoring guided BCT. The positive outcome was to the extent of almost complete reversal of cerebral ischaemic zones and return to normal life schedule.

Keywords

Barbiturate coma therapy - cerebral ischaemia - intractable intracranial hypertension - multimodality monitoring - transcranial Doppler - traumatic brain injury
 

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