The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury
Background. Continuous electroencephalography (CEEG) monitoring is used for detection of convulsive and nonconvulsive seizures and assessing the degree of encephalopathy in critically ill patients. A commonly seen encephalopathic pattern on CEEG is generalized periodic discharges with triphasic wave...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/4742026 |
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| author | Nakul Katyal Aarti Sarwal Pravin George Biswajit Banik Christopher R. Newey |
| author_facet | Nakul Katyal Aarti Sarwal Pravin George Biswajit Banik Christopher R. Newey |
| author_sort | Nakul Katyal |
| collection | DOAJ |
| description | Background. Continuous electroencephalography (CEEG) monitoring is used for detection of convulsive and nonconvulsive seizures and assessing the degree of encephalopathy in critically ill patients. A commonly seen encephalopathic pattern on CEEG is generalized periodic discharges with triphasic wave (TW) morphology. The underlying role and prognostic significance of TW in relationship to intracranial pressure (ICP) remain unknown. We present a case highlighting the relationship of TW with ICP in a case with severe traumatic brain injury (TBI). Method. Case report. Results. A patient with severe TBI and no underlying metabolic abnormalities was admitted to the neurocritical care unit. TW were seen on CEEG. The TW diminished during episodes of intracranial hypertension but reappeared with reduction of the intracranial pressure. Conclusion. This study highlights a possible favorable prognostic marker of finding TW in a patient with intracranial hypertension. We have proposed a preliminary understanding of the relationship between TW and intracranial hypertension, which may be helpful in formulating future studies involving larger cohorts. |
| format | Article |
| id | doaj-art-8d776e68baca44c0a4edb168a4526a8a |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-8d776e68baca44c0a4edb168a4526a8a2025-02-03T06:11:39ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/47420264742026The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain InjuryNakul Katyal0Aarti Sarwal1Pravin George2Biswajit Banik3Christopher R. Newey4Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USAWake Forest University School of Medicine, Neurology and Critical Care (Anesthesia), Reynolds M, Medical Center Blvd, Winston-Salem, NC 27157, USACleveland Clinic, Cerebrovascular Center, 9500 Euclid Avenue, Cleveland, OH 44195, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USABackground. Continuous electroencephalography (CEEG) monitoring is used for detection of convulsive and nonconvulsive seizures and assessing the degree of encephalopathy in critically ill patients. A commonly seen encephalopathic pattern on CEEG is generalized periodic discharges with triphasic wave (TW) morphology. The underlying role and prognostic significance of TW in relationship to intracranial pressure (ICP) remain unknown. We present a case highlighting the relationship of TW with ICP in a case with severe traumatic brain injury (TBI). Method. Case report. Results. A patient with severe TBI and no underlying metabolic abnormalities was admitted to the neurocritical care unit. TW were seen on CEEG. The TW diminished during episodes of intracranial hypertension but reappeared with reduction of the intracranial pressure. Conclusion. This study highlights a possible favorable prognostic marker of finding TW in a patient with intracranial hypertension. We have proposed a preliminary understanding of the relationship between TW and intracranial hypertension, which may be helpful in formulating future studies involving larger cohorts.http://dx.doi.org/10.1155/2017/4742026 |
| spellingShingle | Nakul Katyal Aarti Sarwal Pravin George Biswajit Banik Christopher R. Newey The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury Case Reports in Neurological Medicine |
| title | The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury |
| title_full | The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury |
| title_fullStr | The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury |
| title_full_unstemmed | The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury |
| title_short | The Relationship of Triphasic Waves with Intracranial Pressure as a Possible Prognostic Marker in Traumatic Brain Injury |
| title_sort | relationship of triphasic waves with intracranial pressure as a possible prognostic marker in traumatic brain injury |
| url | http://dx.doi.org/10.1155/2017/4742026 |
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