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Midline Shift

A Change in the Brain!
by

Nadiah Wahba

on 11 December 2012

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Transcript of Midline Shift

Midline Shift A change of mind Midline Shift Syndrome: How can this happen?? What does it look like? What's it good for? How is MLS determined? Diagnoses applicable: Computed Tomography, Magnetic Resonance Imaging, Sonography Midline shift is used as a measurement of the severity of brain trauma. MLS can be used to predict further symptoms and complications, it's also an important factor in determining whether surgery is necessary. Most importantly, the midline line shift measurement is used to diagnose a variety of pathologies that would have caused the compression. a physical shift in the brain passed its center line. possible causes:
-stroke
-traumatic brain injury
-diseases causing inflammation, compression, or an increase in intracranial pressure in the brain Can you see the difference? MRI has a greater sensitivity for diagnosis than CT, but for MLS assessment CT is most commonly used. In emergency cases, beside sonography can be performed, but shows no promise to replace the CT Gold Standard. -acute subdermal hematoma
-epidural hematoma
-subarachnoid hemorrage
-intracerebral hemorrage
-infarction
-intraventricular hemorrage
-and more! 1)Kim, Jane J., and Gean, Alisa D. “Imaging for the diagnosis and management of traumatic brain injury” Neurotherapeutics. 2011; 8:39-53. doi:10.1007/s13311-010-0003-3
2)Tu, Hsun-Po et. al. “Postoperative midline shift as secondary screening for the long-term outcomes of surgical decompression of malignant middle cerebral artery infarcts” Journal of Clinical Neuroscience. 2012; 19(5):661-664
3)Motuel, J., Biette, I., Cognard, C., Fourcade, O., Geeraerts, T. “Brain midline shift assessment using sonography in neurocritical care patients” Critical Care. 2011; 15(1): 343. doi: 10.1186/cc9763
4)Xiao, Furen, Chiang, I-Jen, Wong, Jau-Min, Tsai, Yi-Hsin, Huang, Ke-Shun, Liao, Chun-Chih. “Automatic measurement of midline shift on deformed brains using multiresolution binary set method and Hough transform” Computers in Biology and Medicine.2011; 41:756-762.doi: 10.1016/j.compbiomed.2011.06.011
Thanks for the Info:
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