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Acta Neurochir. Suppl. · Jan 2021
Use of Direct Intracranial Pressure and Brain Tissue Oxygen Monitoring in Perioperative Management of Patients with Moyamoya Disease.
- Maya Kommer, Michael Canty, Emer Campbell, Meharpal Sangra, Anthony Amato-Watkins, Simon Young, Christopher Hawthorne, Laura Moss, Ian Piper, Martin Shaw, and Roddy O'Kane.
- Institute of Neurological Sciences, Queen Elizabeth University Hospital, Glasgow, UK. mayakommer@nhs.net.
- Acta Neurochir. Suppl. 2021 Jan 1; 131: 115-117.
AbstractIntracranial pressure monitoring and brain tissue oxygen monitoring are commonly used in head injury for goal-directed therapies, but there may be more indications for its use. Moyamoya disease involves progressive stenosis of the arterial circulation and formation of collateral vessels that are at risk of hemorrhage. The risk of ischemic events during revascularization surgery and postoperatively is high. Impaired cerebral autoregulation may be one of the factors that are implicated. We present our experience with monitoring of cerebral oxygenation and autoregulation in the pathological hemisphere during the perioperative period in four patients with moyamoya disease.
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