Cerebral Oedema in Head-Injured Patients

  • J. D. Miller
Conference paper
Part of the Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine book series (A+I, volume 167)

Abstract

Strictly defined, cerebral oedema is an increase in brain volume that is due to an increase in brain water content. The adverse effects of cerebral oedema are produced by local brain dis- tortion, local reduction in regional cerebral blood flow and, eventually, raised intracranial pressure. If this is unchecked a global reduction in cerebral blood flow will follow with widespread brain damage [1 ].

Keywords

Catheter Dexamethasone Glucocorticoid Mannitol Nial 

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References

  1. 1.
    Miller JD (1979) Clinical management of cerebral oedema. Brit J Hosp Med 20:152–166Google Scholar
  2. 2.
    Miller JD, Butterworth JF, Gudeman SK, Faulkner JE, Choi SC, Selhorst JB, Harbison JW, Lutz H, Young HF, Becker DP (1981) Further experience in the management of severe head injury. J Neuro-surg 54:289–299Google Scholar
  3. 3.
    Tornheim PA, McLaurin RL (1978) Effect of dexamethasone on cerebral oedema from cranial impact in the cat. J Neurosurg 48:220–227PubMedCrossRefGoogle Scholar
  4. 4.
    Miller JD, Corales RL (1981) Brain edema as a result of head injury: Fact or fallacy? In: de Vlieger M, de Lange, SA, Beks JWF (eds) Brain Edema. Wiley, New York, pp 99–115Google Scholar
  5. 5.
    Miller JD (1978) Intracranial pressure monitoring. Brit J Hosp Med 19:497–503Google Scholar
  6. 6.
    Gudeman SK, Miller JD, Becker DP (1979) Failure of high dose steroid therapy to influence intracranial pressure in patients with severe head injury. J Neurosurg 51:301–306PubMedCrossRefGoogle Scholar
  7. 7.
    Cooper PR, Moody S, Clark WK, Kirkpatrick J, Maravilla K, Gould AL, Drane W (1979) Dexamethasone and severe head injury. A prospective double-blind study. J Neurosurg 51:307–316PubMedCrossRefGoogle Scholar
  8. 8.
    Braakman R, Schouten HJA, Blaauw-van Dishoeck M, Minderhoud JM (1983) Megadose steroids in severe head injury: Results of a prospective double-blind clinical trial. J Neurosurg 58 :326–330PubMedCrossRefGoogle Scholar
  9. 9.
    Miller JD (1979) Barbiturates and raised intracranial pressure. Annals of Neurology 6:189–183PubMedCrossRefGoogle Scholar
  10. 10.
    Cooper PR, Hagler H (1979) Enhancement of cerebral oedema after decompressive craniectomy:implications for the management of severe head injuries. Neurosurgery 4:296–300PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • J. D. Miller

There are no affiliations available

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