Spontaneous Intracranial Hemorrhage, Intracranial Pressure and Indications for Operation: A Clinical Follow-Up Study

  • A. Brawanski
  • M. R. Gaab
  • U. Fuhrmeister
  • I. Haubitz
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 11)

Abstract

The indications for operation in spontaneous intracranial hemorrhage (ICH) are often questionable, especially in typical white-matter or basal ganglia hemorrhages in stroke patients where spontaneous resorption may yield a better functional result than an acute operation (9). However, any delay in the operation until clinical signs of decompensation appear, adversely affects the prognosis by additional brain compression.

Keywords

Ischemia Respiration Dehydration Neurol Sorbitol 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Beks, J.W.: Intracranial pressure in ICH. In: Spontaneous Intracerebral haematomas, Pia, H.W., Langmaid, C., Zierski, J. (eds.), pp. 116–119. Berlin, Heidelberg, New York: Springer 1980Google Scholar
  2. 2.
    Brawanski, A., Gaab, M.R.: Continuous analysis of vasoregulation and intracranial compliance by ICP amplitude analysis. In: Neurological Surgery, Abstracts of the 7th International Congress of Neurological Surgery, Dietz, H., Metzel, E., Langmaid, C. (eds.), pp. 176. Stuttgart, New York: Thieme 1981Google Scholar
  3. 3.
    Cuatico, W., Adip, S., Gaston, Ph.: Spontaneous intracerebral hematomas. J. Neurosurg. 22, 569–575 (1965)CrossRefGoogle Scholar
  4. 4.
    Gaab, M.R.: Habil. Schrift 1981Google Scholar
  5. 5.
    Gaab, M.R., Knoblich, O.E., Dietrich, K.: Miniaturisierte Methoden zur Überwachung des intrakraniellen Druckes. Techniken und klinische Ergebnisse. Langenbecks Arch. Chir. 350, 13–31 (1979)CrossRefGoogle Scholar
  6. 6.
    Ingvar, D.H.: Cerebral metabolism, cerebral blood flow and EEG. Electroenceph. clin. Neurophysiol. Suppl. 25, 102–106 (1967)Google Scholar
  7. 7.
    Janny, P., Colnet, G., Georget, A.-M., Chazal, J.: Intracranial pressure with intracerebral hemorrhage. Surg. Neurol. 10, 371–375 (1978)Google Scholar
  8. 8.
    Lazorthes, G.: Surgery of cerebral hemorrhage. Report on the results of 52 surgically treated cases. J. Neurosurg. 16, 355–364 (1959)CrossRefGoogle Scholar
  9. 9.
    McKissock, W., Richardson, A., Taylor, J.: Primary intracerebral haemorrhage, a controlled trial of surgical and conservative treatment in 180 unselected cases. Lancet 2, 221–226 (1961)CrossRefGoogle Scholar
  10. 10.
    Pertuiset, B., Yacoubi, J., Sichez, J.P., Cardeur, D.: Prognostic factors in the first 48 hours in spontaneous ICH and spreading haemorrhages. In: Spontaneous Intracerebral Haematomas. Pia, H.W., Langmaid, C., Zierski, J. (eds.), pp. 294–301. Berlin, Heidelberg, New York: Springer 1980Google Scholar
  11. 11.
    Suzuki, J., Ebina, T.: Sequential changes in tissue surrounding ICH. In: Spontaneous intracerebral haematomas. Pia, H.W., Lang-maid, C., Zierski, J. (eds.), pp. 121–128. Berlin, Heidelberg, New York: Springer 1980Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1983

Authors and Affiliations

  • A. Brawanski
    • 1
  • M. R. Gaab
    • 2
  • U. Fuhrmeister
    • 1
  • I. Haubitz
    • 3
  1. 1.Neurochirurgische Klinik der UniversitätWürzburgGermany
  2. 2.Neurochirurgische Universitäts-KlinikWienAustria
  3. 3.Rechenzentrum der Universität WürzburgWürzburgGermany

Personalised recommendations