Prх-monitoring based decision-making about decompressive craniectomy in a patient with severe traumatic brain injury. A case report

Oshorov A.V.; Popugaev K.A.; Savin I.A.; Gavrilov A.G.; Kravchuk A.D.; Potapov A.A.

doi:https://doi.org/10.17116/neiro201579692-99

Oshorov A.V.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

SPIN RSCI: 6630-6008
Scopus AuthorID: 24478016900
ORCID: 0000-0002-3674-252X

Popugaev K.A.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow, Russia

ORCID: 0000-0002-6240-820X

Savin I.A.

Federal State Autonomous Institution «N.N. Burdenko National Medical Research Center for Neurosurgery» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia, 125047, Moscow, 4-th Tverskaya-Yamskaya str.,16, Russia

SPIN RSCI: 1342-7065
Scopus AuthorID: 35974373500
ORCID: 0000-0003-3874-4147

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Kravchuk A.D.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Potapov A.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Prх-monitoring based decision-making about decompressive craniectomy in a patient with severe traumatic brain injury. A case report

Authors:

Oshorov A.V., Popugaev K.A., Savin I.A., Gavrilov A.G., Kravchuk A.D., Potapov A.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2015;79(6): 92‑99

DOI: 10.17116/neiro201579692-99

Read: 1932 times

To cite this article:

Oshorov AV, Popugaev KA, Savin IA, Gavrilov AG, Kravchuk AD, Potapov AA. Prх-monitoring based decision-making about decompressive craniectomy in a patient with severe traumatic brain injury. A case report. Burdenko's Journal of Neurosurgery. 2015;79(6):92‑99. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201579692-99

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

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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.

Keywords:

intracranial hypertension

extended neuromonitoring

Prx-monitoring

decompressive craniectomy

Authors:

Oshorov A.V.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

SPIN RSCI: 6630-6008
Scopus AuthorID: 24478016900
ORCID: 0000-0002-3674-252X

Popugaev K.A.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow, Russia

ORCID: 0000-0002-6240-820X

Savin I.A.

SPIN RSCI: 1342-7065
Scopus AuthorID: 35974373500
ORCID: 0000-0003-3874-4147

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Kravchuk A.D.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Potapov A.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

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