Continuous monitoring of cerebral oxygenation in acute brain injury: multivariate assessment of severe intracranial "plateau" wave--case report.
A case of acute closed brain trauma is presented in which, for the first time, a full spectrum of multivariate physiologic abnormalities was clearly documented in association with a severe posttraumatic intracranial "plateau" wave and clinical signs of tentorial herniation. Prompt therapeutic measures proved effective, ultimately contributing to a favorable outcome.
Cruz
J
J
Division of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia.
Gennarelli
T A
TA
Alves
W M
WM
D000328:Adult; D001921:Brain / Q000378:metabolism*; D001930:Brain Injuries / Q000503:physiopathology* / Q000628:therapy; D003131:Combined Modality Therapy; D015600:Glasgow Coma Scale; D006439:Hemodynamics; D006801:Humans; D007427:Intracranial Pressure; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D010101:Oxygen Consumption; D014057:Tomography, X-Ray Computed