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KMID : 1143720170130020137
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Korean Journal of Neurotrauma
2017 Volume.13 No. 2 p.137 ~ p.140
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Intraoperative Transcranial Sonography for Detection of Contralateral Hematoma Volume Change in Patients with Traumatic Brain Injury
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Kim Pil-Soo
Yu Seung-Han
Lee Jung-Hwan
Choi Hyuk-Jin
Kim Byung-Chul
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Abstract
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The authors present two clinical cases, in which intraoperative transcranial sonography (TCS) was used to detect a change in contralateral hematoma volume. A 51-year-old female and a 5-year-old male underwent osteoplastic craniotomy for epidural hematoma removal. Scant contralateral hematoma was evident by preoperative computed tomography in both patients. Intraoperative TCS was used to detect changes in contralateral hematomas. After observing a volume change in one case, a second operation was performed immediately. Based in this experience, the authors recommend intraoperative TCS for the detection of contralateral hematoma volume changes.
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KEYWORD
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Brain injuries, traumatic, Intracranial pressure, Ultrasonography
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