Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Cerebral Aneurysm

  • Alp Tankisi
  • Georg E. Cold


Patients with cerebral aneurisms are frequently presented to the neuroanaesthesiologist, although the number is decreasing due to intravascular coiling. In the intensive care setting a significant correlation between ICP and Hunt & Hess gradation has been described in patients with subarachnoid haemorrhage. The relationship between H&H gradation and perioperative ICP is an important issue because measures to decrease ICP may prevent brain swelling and improve surgical access. It therefore seems reasonable to investigate this issue, taking both patient positioning and anaesthetic technique into consideration. In this chapter two studies are presented. In the first study we investigated the subdural ICP and cerebral perfusion pressure in patients with cerebral aneurysm anaesthetized with either propofol-fentanyl or isoflurane- fentanyl. In the second study the effect of 10 degrees reverse Trendelenburg position on subdural ICP and cerebral perfusion pressure in patients subjected to craniotomy for cerebral aneurysm were investigated.


Cerebral Blood Flow Intracranial Pressure Cerebral Perfusion Pressure Cerebral Blood Volume Cerebral Aneurysm 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • Alp Tankisi
    • 1
  • Georg E. Cold
    • 2
  1. 1.Department of NeuroanaesthesiaAarhus University HospitalAarhus CDenmark
  2. 2.Aarhus VDenmark

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