Intraoperative Ultrasound in Neurotraumatology: Brain, Spinal Cord and Cauda equina
Recently, real-time ultrasound imaging has been developed for use in the neurosurgical operating room to allow the neurosurgeon to “explore” the brain or spinal cord/cauda equina without opening the dura1 10 The major applications for ultrasound imaging intraoperatively have been in patients with tumors, cysts or abscesses; ultrasound has been used for localization, characterization and instrumentation of these lesions3–5, 7, 9. In neurotrauma, ultrasound can also be of help to the neurosurgeon in localizing intracerebral hematomas as well as indriven bone fragments or foreign bodies (including radiolucent glass and plastic). The purpose of this chapter is to describe the technique of intraoperative ultrasound scanning in the operating room and to illustrate its utility in patients with traumatic lesions involving brain or spinal cord/cauda equina.
KeywordsUltrasound Imaging Ultrasound Scanner Ultrasound Wave Intracerebral Hematoma Bullet Fragment
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