Local Shift of the Brain and Its Relation to the Tentorial Edge

  • N. Misu
  • H. Kuchiwaki
  • N. Hirai
  • H. Ishiguri
  • S. Takada
  • N. Kageyama
Conference paper

Abstract

During expansion of a supratentorial mass lesion, it is important to analyze the local brain shift together with the intracranial pressure (ICP). Differences in intracranial shift, caused by tissue pressure gradients and local tissue plastic properties, play an essential role in the functional dynamics within the cranium and the formation of hernias. A local shift of the brain stem, which is associated with transtentorial herniation, has direct effects on brain stem function. This study was designed to examine the mutual relations between local shift of the brain stem, the change in brain stem function and transtentorial herniation during the process of gradual expansion of an intracerebral balloon.

Keywords

Respiration Thiamylal 

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References

  1. Howell DA (1961) Longitudinal brain stem compression with buckling. Arch Neurol 4; 572–579PubMedCrossRefGoogle Scholar
  2. Johnson RT, Yates PO (1956) Brain stem hemorrhage in expanding supratentorial condition. Acta Radiol 46; 250–256PubMedCrossRefGoogle Scholar
  3. Thompson RK, Malina S (1959) Dynamic axial brainstem distortion as a mechanism explaining the cardiorespiratory changes in increased intracranial pressure. J Neurosurg 6; 664–675Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • N. Misu
    • 1
  • H. Kuchiwaki
    • 1
  • N. Hirai
    • 1
  • H. Ishiguri
    • 1
  • S. Takada
    • 1
  • N. Kageyama
    • 1
  1. 1.Department of NeurosurgeryNagoya University, School of MedicineNagoyaJapan

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