Multimodality monitoring and the diagnosis of traumatic caroticocavernous fistula following head injury.
Increases in jugular bulb saturations (SjO2) following head injury are usually due to hyperaemia. Less commonly this may be due to the development of an arteriovenous fistula. We describe how SjO2 monitoring can be used in conjunction with transcranial Doppler ultrasound to make the distinction between these two conditions, which require distinct therapies. Multimodality monitoring in acute injury provides information regarding underlying pathophysiology and permits individualization of therapy.
Waran
V
V
Neuroscience Critical Care Unit, and Departments of Neurosurgery, Addenbrooke's Hospital, Cambridge, UK.
Menon
D K
DK
D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000097:blood / Q000175:diagnosis* / Q000209:etiology*; D002533:Cerebral Angiography; D006259:Craniocerebral Trauma / Q000097:blood / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007601:Jugular Veins; D008991:Monitoring, Physiologic; D010092:Oximetry; D018608:Ultrasonography, Doppler