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KMID : 1144620230360010008
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Journal of Trauma and Injury
2023 Volume.36 No. 1 p.8 ~ p.14
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Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography
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Ha Mahn-Jeong
Yu Seung-Han
Lee Jung-Hwan
Choi Hyuk-Jin
Kim Byung-Chul
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Abstract
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Purpose: The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomog￢raphy (CT) in patients with traumatic brain injuries.
Methods: We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020.
Results: The mean difference between TCS and CT in measuring the midline shift was ?1.33 mm (95% confidence inter￢val, ?2.00 to ?0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001).
Conclusions: TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries.
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KEYWORD
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Traumatic brain injuries, Intracranial pressure, Decompressive craniectomy, Ultrasonography
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