Cisterna ambiens classification of CT imaging combined with continuous monitoring of intracranial pressure for the treatment of severe traumatic brain injury patients following decompression craniectomy
ZHANG Yibin
WANG Jianqun
CHEN Liangxin
Abstract：Objective The value of cistema ambiens classification of CT imaging and intra-operative continuous monitoring of intracranial pressure (ICP) in the treatment of patients with severe traumatic brain injury (sTBI) following unilater decompression craniectomy was explored.Methods ICP monitoring and brain CT examination were performed in 19 patients who were performed the decornpressive cranieetomy after severe traumatic brain injury.The ICP value and cisterna ambiens were recorded,and cistema ambiens degree was classified as followings:Grade h the central pool of occlusion;Grade Ⅱ:0.1 ～ 1.0 mm;Grade lⅢ:1.0 ～ 2.0 mm.GOS of 5 and 4 after three months of injury were considered as good outcome,and GOS of 3,2 and 1 were considered as poor outcome.Then statistical analyses were performed based on these factors (CA,ICP and prognosis).Results There was a negative correlation between basal cisterns classification and ICP level after operation;and the lower the basal cisterns classification,the higher the ICP,the difference between different groups were statistically significant.A correlation between cistema ambiens classifications,ICP level and prognosis was found.Strongest correlation was found between prognosis and ICP at 24 h after injury.The ICP value of poor prognosis group was much significantly higher than that of good prognosis group [ICP value for poor prognosis was (43.60±17.92) mmHg,ICP value for good was (14.18±6.62) mmHg] (P ＜0.05).Conclusion ICP is superior to cisterna ambiens classification for assessing prognosis of decompressive craniectomy patients with traumatic brain injury.There is negative correlation between ICP level and prognosis after traumatic brain injury.Cisterna ambiens classification can reflect ICP level.The application of ICP monitoring can guide the therapy and evaluate the prognosis.
Keywords：Decompressive craniectomyCisterna ambiensIntracranial pressurePrognosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 449-451 )