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Transcranial color-coded duplex sonography for bedside monitoring of central nervous system infection as a consequence of decompressive craniectomy after traumatic brain injury

  • Chiara Robba
  • Francesca Simonassi
  • Lorenzo Ball
  • Paolo Pelosi
Imaging in Intensive Care Medicine

Notes

Funding

None.

Compliance with ethical standards

Conflicts of interest

The authors have no conflict of interest.

Ethical approval

Ethical requirement adhered to ethical standards according to local institutional protocol.

Supplementary material

134_2018_5405_MOESM1_ESM.tiff (1.5 mb)
ESM 1. Daily TCCDs performed on the right temporal window showed persistent enlargement of both lateral ventricles and third ventricle. The ventricles were dilated in both the horizontal and vertical plane. TCCD enabled measuring the size of the ventricles: lateral ventricles [vertical diameter > 4 cm (Panel A) and horizontal diameter > 2.5 (panel B) bilaterally], and third ventricle (vertical diameter > 1 cm (panel 1; horizontal diameter > 2 cm (panel B). Panel C shows in details the dilated posterior horns of the lateral ventricles (horizontal diameters > 2.5 cm bilaterally)

ESM 2. Altered brain anatomy with hydrocephalus (dilated lateral and third ventricles, with EVD tip positioned in the anterior horn of the left lateral ventricle). In the posterior horns, the two hyperechogenic endovascular vegetations can be easily appreciated

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.Anesthesia and Intensive Care, Department of Surgical Sciences and Integrated DiagnosticsSan Martino Policlinico Hospital, IRCCS for OncologyGenoaItaly
  2. 2.Policlinico San Martino, IRCCS per l’Oncologia, Dipartimento di Scienze Chirurgiche e Diagnostiche IntegrateUniversità degli Studi di GenovaGenoaItaly

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