title: How Transcranial Doppler can assess the effect of hyperosmolar therapy and the degree of circulatory compromise in acute brain herniation.
abstract: Patients in acute neurological extremes secondary to refractory intracranial hypertension are challenging because of the complex management options available to them, especially when compounded with signs of brainstem compromise. Objective evidence of cerebral circulatory compromise is often lacking. We present a case in which an objective evaluation of a cerebral circulatory compromise was documented using transcranial Doppler as well as its resolution with hyperosmolar therapy.
authors: Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, 3801 University St., Suite 109, Montreal, QC H3A 2B4 Canada ; Neurocritical Care Unit, Montreal Neurological Institute and Hospital, Montreal, QC Canada ; Department of Neurosurgery, King Fahad University Hospital, Dammam University, Al-Khobar, Saudi Arabia.
authors: Hosam
authors: H
authors: Al-Jehani
authors: Mohammad
authors: M
authors: Alkutbi
authors: Mohammad
authors: M
authors: Maleki
authors: Judith
authors: J
authors: Marcoux
authors: Jeanne
authors: J
authors: Teitelbaum
keywords: Cerebral circulatory arrest; Transcranial doppler
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