Summary
Intracranial 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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References
Nagaraja D, Verma A, Taly AB, Kumar MV, Jayakumar PN (1994) Cerebrovascular disease in children. Acta Neurol Scand 90:251–255
Ravindran K, Wellons JC, Dewan MC (2019) Surgical outcomes for pediatric moyamoya: a systematic review and meta-analysis. J Neurosurg Pediatr 13:1–10
Depreitere B, Güiza F, Van den Berghe G, Schuhmann M, Maier G, Piper I, Meyfroidt G (2014) Pressure autoregulation monitoring and cerebral perfusion pressure target recommendation in patients with severe traumatic brain injury based on minute-by-minute monitoring data. J Neurosurg 120:1451–1457
Czosnyka M, Smielewski P, Kirkpatrick P et al (1997) Continuous assessment of the cerebral vasomotor reactivity in head injury. Neurosurgery 4:11–19
Steiner LA, Czosnyka M, Piechnik SK, Smielewski P, Chatfield D, Menon DK, Pickard JD (2002) Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury. Crit Care Med 30(4):733–738
Aries MJ, Czosnyka M, Budohoski KP, Steiner LA, Lavinio A, Kolias AG, Hutchison PJ, Brady KM, Menon DK, Pickard JD, Smielewski P (2012) Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury. Crit Care Med 40(8):2456–2463
Suzuki J, Takaku A (1969) Cerebrovascular “moyamoya” disease: disease showing abnormal net-like vessels in base of brain. Arch Neurol 20(3):288–299
Nangunoori R, Maloney-Wilensky E, Stiefel M, Park S, Kofke WA, Levine JM, Yang W, Le Roux PD (2012) Brain tissue oxygen–based therapy and outcome after severe traumatic brain injury: a systematic literature review. Neurocrit Care 17(1):131–138
Ogawa A, Yoshimoto J, Suzuki J, Sakurai Y (1990) Cerebral blood flow in moyamoya disease. Acta Neurochir 105:30–34
Lassen N (1959) Cerebral blood flow and oxygen consumption in man. Physiol Rev 39(2):183–238
Scott RM, Smith ER (2009) Moyamoya disease and moyamoya syndrome. N Engl J Med 360(12):1226–1237
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Kommer, M. et al. (2021). Use of Direct Intracranial Pressure and Brain Tissue Oxygen Monitoring in Perioperative Management of Patients with Moyamoya Disease. In: Depreitere, B., Meyfroidt, G., Güiza, F. (eds) Intracranial Pressure and Neuromonitoring XVII. Acta Neurochirurgica Supplement, vol 131. Springer, Cham. https://doi.org/10.1007/978-3-030-59436-7_24
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DOI: https://doi.org/10.1007/978-3-030-59436-7_24
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