Evidence map›Paper›PMID 41030396›Full record

ArticleSurgical neurology international2025

Comparison of midline shift and ventricular size measured by transcranial ultrasound and non-contrast computed tomography in patients with acute subdural hemorrhage undergoing decompressive craniectomy: A prospective observational study.

Adethen Gunasekaran, Jerry Jame Joy, Rajasekar Ramadurai, VivekChandar Chinnarasan, Srinivasan Swaminathan, Gopikrishnan Rajasekar, Krishnan Nagarajan, Prasanna Udupi Bidkar

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Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Adethen GunasekaranDepartment of Anaesthesiology, Velammal Medical College and Hospital, Madurai, Tamil Nadu, India.
Jerry Jame JoyDepartment of Anaesthesiology and Critical Care, Malankara Orthodox Syrian Church Medical College and Hospital, Kochi, Kerala, India.
Rajasekar RamaduraiDepartment of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
VivekChandar ChinnarasanDepartment of Anaesthesiology, Kauvery Hospital, Bengaluru, Karnataka, India.
Srinivasan SwaminathanDepartment of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Gopikrishnan RajasekarDepartment of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Krishnan NagarajanDepartment of Radio-diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Prasanna Udupi BidkarDepartment of Anaesthesiology and Critical Care, Division of Neuroanaesthesiology and Neurocritical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Managing traumatic brain injury (TBI) involves complex monitoring, especially of elevated intracranial pressure. Transcranial ultrasound (TCUS) is emerging as a useful bedside tool for assessing optic nerve sheath diameter, cerebral blood flow velocities, midline shift, ventricle size, and complications. This study compares midline shift and ventricle size measurements obtained using TCUS and non-contrast computed tomography (NCCT) in patients with acute subdural hematoma (SDH) who underwent emergency decompressive craniectomy (DC). Methods: Sixty consecutive patients who underwent DC for acute SDH were enrolled. TCUS was performed before NCCT, which was done 12-24 h post-surgery. Midline shift and ventricular size (lateral and third ventricles) were assessed on both imaging modalities. Secondary parameters, including hematoma, contusion, parenchymal changes, and basal cistern patency, were also evaluated. Results: TCUS demonstrated a strong correlation with NCCT for midline shift (r = 0.984, Conclusion: TCUS shows excellent correlation with NCCT in evaluating midline shift and good correlation for ventricular size post-DC. It is a reliable, non-invasive bedside modality for postoperative monitoring in TBI patients.

Indexed as

Decompressive craniectomyMidline shiftSubdural hemorrhageTranscranial ultrasoundTraumatic brain injuryVentricular size

Identifiers

PMID41030396
PMCPMC12477973

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.