Abstract
The wick catheter was applied successfully to the measurement of the brain interstitial fluid pressure (BIFP) (I). BIFP is high within the edema fluid territory as compared to that of CSF and of normal brain tissue (6). This pressure gradient induces a propagation of the edema fluid into the surrounding extracellular space (7). The decrease in Hounsefield number in CT scan is directly proportional to the increased water content of the brain tissue and in turn reflects the intracompartmental pressure gradients (4). These recent developments led us to try the simultaneous monitoring of CSF pressure and the BIFP within the brain parenchyma of acute head injury patients, to compare with the printed-out Housefield numbers in CT scan. This study proposed to find out which of the internal or external decompression is more rational treatment in the early management of head injury.
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References
Brock M, Winkelmüller W, Poöll W, Markakis E, Dietz H (1972) Measurement of brain-tissue pressure. Lancet 11:595–596
Nakatani S, Ommaya AK (1972) A critical rate of cerebral compression. In: Brock M, Dietz H (eds) Intracranial Pressure. Springer, Berlin Heidelberg New York, p 144
Nakatani S, Ommaya AK (1977) Fluid movement in the brain: Is decompressive craniectomy rational in the management of head trauma? Excerpta Medica Internat Congr Series 418:230
Penn RD, Kurts D (1977) Cerebral edema, mass effects and regional blood volume in man. J Neurosurg 46:181–189
Poöll w, Brock M, Markakis W, Winkelmüller W, Dietz H (1972) Brain tissue pressure. In: Brock M, Dietz H (eds) Intracranial Pressure. Springer, Berlin Heidelberg New York, p 188
Reulen HJ, Kreysch HG (1973) Measurement of brain tissue pressure in cold induced cerebral edema. Acta neurochir 29:29–40
Reulen HF, Graham R, Spats M, Klatzo I (1977) Role of pressure gradients and bulk flow in dynamics of vasogenic brain edema. J Neurosurg 46:24–35
Shulman K (1965) Small artery and vein pressures in the subarachnoid space of the dog. J Surg Res 5:56–61
Shutta HS, Kassel NF, Langfitt TW (1968) Brain swelling produced by injury aggravated by arterial hypertension. Brain 91:281–294
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© 1980 Springer-Verlag Berlin Heidelberg
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Nakatani, S., Koshino, K., Mogami, H., Sawada, Y., Sugimoto, T. (1980). Brain Interstitial Fluid Pressure Measurement in Head Injury Patients. In: Shulman, K., Marmarou, A., Miller, J.D., Becker, D.P., Hochwald, G.M., Brock, M. (eds) Intracranial Pressure IV. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67543-0_9
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DOI: https://doi.org/10.1007/978-3-642-67543-0_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-67545-4
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