Posttraumatic Refractory Intracranial Hypertension and Brain Herniation Syndrome: Cerebral Hemodynamic Assessment before Decompressive Craniectomy

Table 1

Summary of patients’ demographic, clinical, and radiological data*.

Case no.	Age (yrs), Sex	Lesions operated at hospital admission	Interval from admission to TCD	GCS score	Pupils	Midbrain cisterns	Midline shift on CT (mm)	Side of maximal cerebral swelling	CHP	6-Mo GOS score
1	63, F		6 hours	6	Unequal	Absent	12	Right	Oligoemia	1
2	18, M		4 hours	6	Unequal	Absent	16	Right	Nonspecific	1
3	28, M		6 days	6	Unequal	Absent	9	Left	Oligoemia	5
4	39, F		7 hours	6	Unequal	Absent	11	Right	Hyperemia	3
5	28, M		3 hours	7	Unequal	Absent	15	Right	Oligoemia	4
6	25, M		4 days	6	Unequal	Absent	12	Right	Oligoemia	3
7	19, F	ICH	24 hours	6	Unequal			Right	Nonspecific	4
8	28, F		2 hours	6	Unreactive	Absent	9	Left	Oligoemia	4
9	22, M		2 hours	6	Unequal	Absent	14	Right	Hyperemia	2
10	25, F		6 days	5	Unequal	Absent	8	Right	Oligoemia	1
11	30, M	ICH	2 days	6	Unequal	Absent	17	Right	Oligoemia	1
12	27, M	SDH	8 days	6	Unequal	Absent	12	Right	Nonspecific	5
13	17, M	SDH	3 days	10	Unequal	Absent	5	Left	Hyperemia	4
14	39, M	EDH	3 days	12	Unequal			Right	Oligoemia	4
15	61, F	ICH SDH	3 days	9	Unequal	Absent	11	Left	Oligoemia	2
16	51, M	ICH	4 days	9	Unequal	Absent	19	Left	Nonspecific	3
17	43, M	SDH	3 days	6	Unequal	Absent	20	Left	Nonspecific	1
18	46, M	SDH	9 days	4	Unequal	Absent	10	Right	Oligoemia	2
19	23, M	ICH	1 day	6	Unreactive	Absent	15	Left	Nonspecific	3

∗EDH: extradural hematoma; GCS: Glasgow Coma Scale; GOS: Glasgow Outcome Scale; ICH: traumatic contusional intracerebral hemorrhage; SDH: subdural hematoma; Unequal: unequal, at least one reactive; Unreactive: unreactive bilaterally; CHP: cerebral hemodynamic patterns.