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Patient: This patient was a 57 year old man with multiple contusions, a traumatic subarachnoid hemorrhage and a subdural hemorrhage after a fall.

Monitored Data: A trend display on CNS Envision was configured to show intracranial pressure (ICP), brain tissue oxygen (PbtO2), and cerebral blood flow (Perfusion). Trended EEG was collected from depth electrodes. One hour of data is displayed.

Clinical Scenario:

  • The initial Glasgow Coma Score was 13, but shortly after admission deteriorated to 8.
  • ICP was quickly refractory despite sedation, hypertonic saline and paralysis.
  • Spreading depolarizations appeared in the depth recording within the first 12 hours of admission. The green arrows in Figure 2 denote the occurrence of spreading depolarizations
  • Effects of the spreading depolarizations can be appreciated in Perfusion and PbtO2.

FIGURE 1: CT scan of the patient at admission.

CT scan

FIGURE 2: CNS Envision display shows four occurrences of spreading depolarizations and their effects on the patient’s physiology.

First occurrence of spreading depolarization
Second occurrence of spreading depolarization
Third occurrence of spreading depolarization
Fourth occurrence of spreading depolarization

Discussion:

In this case, CNS Envision displayed the effects on cerebral physiology of recurring spreading depolarizations recorded using depth electrodes. This highlights the importance to concurrently monitor and review brain electrical activity and physiology.

Reference: Courtesy of Brandon Foreman, MD; University of Cincinnati. Used with permission. Educational purposes only.

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Moberg’s Data Integration Solutions Featured in AANS Presidential Address

Ambler, PA - April 15, 2019 - In her opening address, Dr. Shelly Timmons, President of the American Association of Neurological Surgeons (AANS), gave the Presidential Address on data connectivity and integration to thousands of conference attendees. Highlighted in her presentation were Moberg’s solutions for multimodal data integration, the result of years of hard work and innovation in overcoming the challenges of collecting and unifying multimodal data.

Moberg Launches a New Informatics Division

Ambler, PA - August 8, 2018 - We are pleased to announce a new division, Moberg Informatics, that will focus on developing a platform for advanced analytics and data exploration as well as for decision support. In collaboration with multiple organizations, our mission is to facilitate the development of a more meaningful medical record for the brain.

CNS Monitor Software Update Brings Four New Device Interfaces and Other Features

Ambler, PA - July 31, 2018 - Moberg ICU Solutions has released a software update for the CNS Monitor that adds support for four new device interfaces along with a number of other features and improvements.