Table 1.
Tools for Pathoanatomic and Pathophysiologic Sequelae
|
Acute monitoring and diagnostic tools |
|
---|---|---|
Common pathoanatomic and pathophysiologic sequelae | Available | Additional validation needed |
Hematoma, contusion, subarachnoid hemorrhage | Imaging,a clinical exam | Biomarkers of coagulopathy, assessment of ischemia/perfusion (Xenon CT, CT perfusion), risk for hemorrhage expansion, risk for malignant intracranial hypertension |
Diffuse axonal injury | Imaging,a clinical exam | Biomarkers, imaging (susceptibility weighted imaging, diffusion tensor imaging) |
Intracranial hypertension | ICP monitoring, clinical exam | Non-invasive ICP monitoring |
Cerebral hypoxia/ischemiab | PET, clinical exam, Xenon CT | Continuous bedside measurements (PbtO2, SjvO2, near-infrared Spectroscopy, TCD), microdialysis |
Cerebral swellingc | Imaging,a clinical exam | Continuous bedside measurements (CBF, brain compliance, tissue water content) |
See Table 2.
Includes post-traumatic vasospasm.
Cerebral swelling due to increased blood volume or edema.
CBF, cerebral blood flow; CT, computed tomography; ICP, intracranial pressure; PET, positron emission tomography; PbtO2, brain tissue oxygen tension; SjVO2, jugular venous oxygen tension; TCD, transcranial Doppler.