الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Brain midline shift (MLS) in traumatic brain injury is a life-threatening condition that requires urgent diagnosis and treatment.
The early detection of a MLS in severe traumatic brain injury patients is thus very important because it allows starting an appropriate treatment plan. Head CT is considered to be the gold standard to diagnose MLS.
Transcranial B-mode sonography (TCS) is a bedside neuroimaging technique which is safe, painless, and accurate.
The aim of the present study is to monitor the effect of hyperosmolar solutions on brain mid line shift by using transcranial ultrasonography in severe traumatic brain injury.
The current study is a prospective observational study conducted on 60 adult male and female admitted to the Critical Care Medicine Departments in Alexandria Main University Hospital with the diagnosis of severe traumatic brain injury.
In the current study, there was a positive correlation between APACHE II and ICU stay and mortality.
We also found that brain edema, midline shift, glasgow coma score were improved after the use of hyperosmolar solution.
The most important finding in this study was that transcranial ultrasonography can detect and monitor MLS with only a small difference in comparison to CT brain so it provide a cheap accurate non invasive and bedside tool for diagnosis and monitoring MLS.