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Cerebral protection during neurosurgical operations

  • J. Hamer
Conference paper

Abstract

The neurosurgeon is not infrequently confronted with cerebral complications after cadio-vascular surgery. This is mainly due to intracranial hematoma which developed after cardiac emboli, cerebral infarction and secondary hemorrhage or to the sometimes disastrous effects of anticoagulants. Cerebral protection is therefore a challenge to both the cardiovascular surgeon and the neurosurgeon. Neuroprotection encompasses three aspects:
  1. 1)

    Neuromonitoring for early detection of factors which cause “secondary brain trauma” (see Table 1)

     
  2. 2)

    Pharmacological therapy to raise the threshold of ischemic damage (see Table 2)

     
  3. 3)

    Preliminary procedures to prevent a primary lesion during neurosurgical dissection.

     

Keywords

Cerebral Blood Flow Intracranial Pressure Cerebral Perfusion Pressure Circulatory Arrest Giant Aneurysm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt 1997

Authors and Affiliations

  • J. Hamer
    • 1
  1. 1.Department of NeurosurgeryUniversity of HeidelbergHeidelbergGermany

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