title: [Prх-monitoring based decision-making about decompressive craniectomy in a patient with severe traumatic brain injury. A case report].
abstract: The presented case illustrates a new approach to making a decision about decompressive craniectomy in the patient with sever traumatic brain injury and intracranial hypertension. The approach is based on continuous assessment of cerebral autoregulation using Prx-monitoring in addition to monitoring of intracranial pressure and cerebral perfusion pressure. Prx-monitoring enables timely detection of autoregulation failure and provides the opportunity to make a decision about decompressive craniectomy before starting such aggressive methods of intensive care as hypothermia or barbiturate coma.
authors.affiliation: Burdenko Neurosurgical Institute, Moscow, Russia.
authors.forename: A V
authors.initials: AV
authors.lastname: Oshorov
authors.affiliation: Burdenko Neurosurgical Institute, Moscow, Russia.
authors.forename: K A
authors.initials: KA
authors.lastname: Popugaev
authors.affiliation: Burdenko Neurosurgical Institute, Moscow, Russia.
authors.forename: I A
authors.initials: IA
authors.lastname: Savin
authors.affiliation: Burdenko Neurosurgical Institute, Moscow, Russia.
authors.forename: A G
authors.initials: AG
authors.lastname: Gavrilov
authors.affiliation: Burdenko Neurosurgical Institute, Moscow, Russia.
authors.forename: A D
authors.initials: AD
authors.lastname: Kravchuk
authors.affiliation: Burdenko Neurosurgical Institute, Moscow, Russia.
authors.forename: A A
authors.initials: AA
authors.lastname: Potapov
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D003657:Decision Making; D056424:Decompressive Craniectomy; D006801:Humans; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D008297:Male; D011859:Radiography