Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography

  • Mahn Jeong Ha (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Seung Han Yu (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Jung Hwan Lee (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Hyuk Jin Choi (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Byung Chul Kim (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
  • Received : 2021.11.01
  • Accepted : 2021.12.22
  • Published : 2023.03.31
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Abstract

Purpose: The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (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 interval, -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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References

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