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- Title
Acute intracranial hemorrhage during the installation of the LICOX microdialysis system: A case report.
- Authors
Fotakopoulos, George; Siasios, Ioannis; Gatos, Charalampos; Georgakopoulou, Vasiliki Epameinondas; Trakas, Nikolaos; Sklapani, Pagona; Fountas, Konstantinos N.
- Abstract
Neuro-monitoring is widely employed for the evaluation of intubated patients in the intensive care unit with stroke, severe head trauma, subarachnoid hemorrhage and/or hepatic encephalopathy. The present study reports the case of a patient with acute intracranial hemorrhage following the insertion of neuromonitoring catheters, which required surgical management. The patient was a 14-year-old male who sustained a severe traumatic brain injury and underwent a right-sided hemicraniectomy. During the installation of the neuromonitoring catheters, an acute hemorrhage was noted with a rapidly elevating intracranial pressure. A craniotomy was performed to identify and coagulate the injured cortical vessel. As demonstrated herein, the thorough evaluation of the clotting profile of the patient, a meticulous surgical technique and obtaining a post-insertion computed tomography scan may minimize the risk of any neuromonitoring-associated hemorrhagic complications.
- Subjects
GREECE; INTRACRANIAL hemorrhage; ACUTE diseases; DECOMPRESSIVE craniectomy; TRAFFIC accidents; INTRACRANIAL hypertension; COMPUTED tomography; BLOOD vessels; SEVERITY of illness index; CENTRAL venous catheterization; GLASGOW Coma Scale; TREATMENT effectiveness; SURGICAL complications; INTENSIVE care units; SKULL fractures; BRAIN injuries; SKULL surgery
- Publication
Medicine International (2754-3242), 2024, Vol 4, Issue 4, pN.PAG
- ISSN
2754-3242
- Publication type
Article
- DOI
10.3892/mi.2024.163