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Bedside Monitoring of Vascular Mechanisms in CNS Trauma: The Use of Near-Infrared Spectroscopy (NIRS) and Transcranial Doppler (TCD)

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Vascular Mechanisms in CNS Trauma

Part of the book series: Springer Series in Translational Stroke Research ((SSTSR,volume 5))

Abstract

Ischemia and adequacy of regional and global cerebral blood flow are important determinants of outcome in traumatic brain injury (TBI). Although brain ischemia may be a major common pathway of secondary brain damage following TBI, hyperemia and reperfusion injury may also occur and lead to elevated intracranial pressure and decreased cerebral perfusion pressure. Bedside monitors of cerebral ischemia include near-infrared spectroscopy (NIRS), transcranial Doppler ultrasound (TCD), continuous electroencephalography, and brain tissue microdialysis. This chapter will describe how NIRS and TCD enhance our understanding of vascular pathology following a brain injury and their potential applications in the acute management of TBI.

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Authors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, Charlestown, MA, 02129, USA

    David A. Boas

  2. Department of Pediatrics, Division of Pediatric Critical Care Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

    Sarah A. Murphy, Brian M. Cummings & Natan Noviski

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  1. Sarah A. Murphy
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  2. Brian M. Cummings
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  3. David A. Boas
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  4. Natan Noviski
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Correspondence to David A. Boas .

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Editors and Affiliations

  1. Departments of Neurology and Radiology, Massachusetts General Hospital Harvard Medical School, Boston, Massachusetts, USA

    Eng H. Lo

  2. Department of Pediatrics, Massachusetts General Hospital Harvard Medical School, Boston, Massachusetts, USA

    Josephine Lok

  3. Department of Neurology, Massachusetts General Hospital Harvard Medical School, Boston, Massachusetts, USA

    MingMing Ning

  4. Department of Pediatrics, Massachusetts General Hospital Harbard Medical School, Boston, Massachusetts, USA

    Michael J. Whalen

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Murphy, S.A., Cummings, B.M., Boas, D.A., Noviski, N. (2014). Bedside Monitoring of Vascular Mechanisms in CNS Trauma: The Use of Near-Infrared Spectroscopy (NIRS) and Transcranial Doppler (TCD). In: Lo, E., Lok, J., Ning, M., Whalen, M. (eds) Vascular Mechanisms in CNS Trauma. Springer Series in Translational Stroke Research, vol 5. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8690-9_28

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