Effect of Mannitol on Experimental Infusion Edema

  • S. Inao
  • P. P. Fatouros
  • A. Marmarou
Conference paper

Abstract

The effect of mannitol in reducing brain water has been under considerable scrutiny since the work of Takagi et al. (1983) who reported that mannitol reduced ICP but did not reduce tissue water measured gravimetrically. These results directly contradicted earlier findings by other workers. Further controversy arose with the reports by Muizelaar et al. (1983) which showed that the pressure reducing properties of mannitol act primarily through a vasoconstrictive effect and not by water reduction. This study was designed to document the acute and chronic effects of mannitol in reducing ICP, measuring tissue water by MRI and specific gravity methods.

Keywords

Catheter Mannitol 

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References

  1. Marmarou A, Tanaka K, Shulman K (1982) The brain response to infusion edema: Dynamics of fluid resolution. In: Hartmann A, Brock M (eds) Treatment of cerebral edema. Springer, Berlin Heidelberg New York, pp 11–18CrossRefGoogle Scholar
  2. Muizelaar JP, Wei EP, Kontos HA et al. (1983) Mannitol causes compensatory cerebral vasoconstriction and vasodilation in response to blood viscosity changes. J Neurosurg 59:822–828PubMedCrossRefGoogle Scholar
  3. Takagi H, Saitoh T, Kitahara T et al. (1983) The mechanism of ICP reducing effect of mannitol. In: Ishi H, Nagai H, Brock M (eds) Intracranial pressure V. Springer, Berlin Heidelberg New York, pp 729–733CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • S. Inao
    • 1
  • P. P. Fatouros
    • 2
  • A. Marmarou
    • 1
  1. 1.Richard Reynolds Neurosurgical Research Laboratories, Division of NeurosurgeryMedical College of VirginiaRichmondUSA
  2. 2.Department of RadiologyMedical College of Virginia, Virginia Commonwealth UniversityRichmondUSA

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