title: Monitoring of intracranial pressure and cerebral hemodynamics by transjugular dural sinus catheterization.
abstract: Cerebral venous sampling may be useful in the evaluation of cerebral damage. A catheter was successfully inserted 18 cm deep from the right internal jugular vein into the transverse sinus in a 38 year old man with B-mode ultrasound guidance to measure pressure and sample blood. Transverse sinus venous oxygen saturation (StvO2) was lower than normal ranges (55% - 75%) for jugular venous oxygen saturation (SjvO2). At the time spontaneous cardiac rhythm was restored, transverse sinus pressure increased briefly to 26 mmHg [more than 15 mmHg higher than normal intracranial pressure (ICP)]. This case suggests that catheterization of the dural sinus may be accomplished with B-mode ultrasound guidance and that the catheter can be used to monitor ICP and cerebral hemodynamics.
authors.affiliation: Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China.
authors.forename: Hao
authors.initials: H
authors.lastname: Hu
authors.affiliation: Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Ge
authors.affiliation: Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China. Electronic address: Caihw2005@163.com.
authors.forename: Hongwei
authors.initials: H
authors.lastname: Cai
mesh_terms: D000328:Adult; D002315:Cardiopulmonary Bypass; D002404:Catheterization; D006439:Hemodynamics; D006801:Humans; D007427:Intracranial Pressure; D007601:Jugular Veins; D008297:Male; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000097:blood
chemical_list: D010100:Oxygen
keywords: Cerebral hemodynamics; Dural sinus; Intracranial pressure; Venous oxygen saturation