IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
Monitoring of cerebrospinal fluid flow by intraoperative ultrasound in patients with Chiari I malformation
Cui, Li-Gang1; Jiang, Ling1; Zhang, Hua-Bin1; Liu, Bin2; Wang, Jin-Rui1; Jia, Jian-Wen1; Chen, Wen1
关键词Ultrasonography Intraoperative monitoring CSF Chiari Type I malformation
刊名CLINICAL NEUROLOGY AND NEUROSURGERY
2011-04-01
DOI10.1016/j.clineuro.2010.10.011
113期:3页:173-176
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Surgery
研究领域[WOS]Neurosciences & Neurology ; Surgery
关键词[WOS]SYRINGOMYELIA ; ULTRASONOGRAPHY ; DECOMPRESSION ; DYNAMICS
英文摘要

Objective: To investigate the feasibility of intraoperative ultrasound (IOUS) for monitoring cerebrospinal fluid (CSF) flow in patients with Chiari I malformation.

Methods: Twenty patients with Chiari I were scanned by IOUS with color Doppler flow imaging (CDFI). CSF flow status and flow velocity were monitored at different times during the surgery.

Results: CSF flow was detected in all 20 cases by IOUS-CDFI in real time. CSF flow was extremely slow or even ceased following bony decompression (craniectomy + laminectomy) in 19 patients; however, bidirectional flow was observed in the systolic phase and cranially directed flow in the diastolic phase. The maximum flow rate ranged from 4 to 13 cm/s after duraplasty, and this varied with respiratory rhythm. Only 1 patient showed typical CSF flow after craniectomy, suggesting sufficient decompression, and without further duraplasty. All surgeries were terminated when bi-directional CSF flow was observed using IOUS-CDFI. With the exception of 1 patient, all the patients′ symptoms were significantly relieved.

Conclusion: IOUS-CDFI can monitor CSF flow during posterior fossa decompression, provide information about the re-circulation of CSF flow, and objectively evaluate the efficacy of surgery. (C) 2010 Elsevier B.V. All rights reserved.

语种英语
WOS记录号WOS:000288977100001
Citation statistics
Cited Times:10[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58730
Collection北京大学第三临床医学院
作者单位1.Peking Univ, Hosp 3, Dept Diagnost Ultrasound, Beijing 100191, Peoples R China
2.Peking Univ, Hosp 3, Dept Neurosurg, Beijing 100191, Peoples R China
Recommended Citation
GB/T 7714
Cui, Li-Gang,Jiang, Ling,Zhang, Hua-Bin,et al. Monitoring of cerebrospinal fluid flow by intraoperative ultrasound in patients with Chiari I malformation[J]. CLINICAL NEUROLOGY AND NEUROSURGERY,2011,113(3):173-176.
APA Cui, Li-Gang.,Jiang, Ling.,Zhang, Hua-Bin.,Liu, Bin.,Wang, Jin-Rui.,...&Chen, Wen.(2011).Monitoring of cerebrospinal fluid flow by intraoperative ultrasound in patients with Chiari I malformation.CLINICAL NEUROLOGY AND NEUROSURGERY,113(3),173-176.
MLA Cui, Li-Gang,et al."Monitoring of cerebrospinal fluid flow by intraoperative ultrasound in patients with Chiari I malformation".CLINICAL NEUROLOGY AND NEUROSURGERY 113.3(2011):173-176.
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