Summary
The CSF dynamics were studied in 18 patients with severe head injury who remained comatose over 6 hours after trauma (GCS < 8). Amount of brain oedema was estimated by CT tomodensitometry. In addition, CSF parameters of PVI, Elastance (E), compliance (C) and resorption resistance (R) were calculated from serial bolus infusion tests. We observed a decrease in viscoelastic parameters as indexed by PVI, however, no increase in resistance to CSF outflow. It was noted that patients with lower PVI developed more severe brain oedema during the 3–5 day post traumatic period. From these data, we conclude that buffering capacity in severe head injury is mainly affected by the volume of brain oedema and not by the haematoma volume.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Becker DP, Miller JD, Ward JD et al (1977) The outcome from severe head injury with early diagnosis and intensive management. J Neurosurg 47: 491–502
Frieden HG, Ekstedt J (1983) Volume/pressure relationship of the cerebrospinal space in humans. Neurosurgery 13: 351–366
Marmarou A, Maset AL, Ward JD, Sung Choi, Brooks D, Lutz HA, Moulton RJ, Muizellaar JP, DeSalles A, Young HF et al (1987) Contribution of CSF and vascular factors to elevation of ICP in severely injured patients. J Neurosurg 66: 883–890
Maset A, Marmarou A, Ward JD, Sung Choi, Lutz HA, Brooks D, Moulton RJ, DeSalles A, Muizellaar JP, Turner H, Young HF et al (1987) Pressure-volume index in head injury. J Neurosurg 67: 832–840
Muizellaar JP, Marmarou A, DeSalles A, Ward JD, Zimmerman RS, Zhongchiao Li, Choi SC, Young HF et al (1989) Cerebral blood flow and metabolism in severely head-injured children. J Neurosurg 71: 63–67
Saul TG, Ducker TB (1982) Effect of intracranial pressure monitoring and aggressive treatment on mortality in severe head injury. J Neurosurg 56: 498–503
Tikk A, Eelmae J (1985) CSF Hydrodynamics studied by means of a simple constant volume injection technique. In: Abstracts of the 6th International Symposium on Intracranial Pressure. ICP and Mechanism of brain damage. June 13th, 1985. Glasgow, Scotland. Glasgow, pp 11–12
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag
About this paper
Cite this paper
Tjuvajev, J., Eelmäe, J., Kuklane, M., Tomberg, T., Tikk, A. (1990). Correlations Between Brain Oedema Volume on CT and CSF Dynamics in Severely Head Injured Patients. In: Reulen, HJ., Baethmann, A., Fenstermacher, J., Marmarou, A., Spatz, M. (eds) Brain Edema VIII. Acta Neurochirurgica, vol 51. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9115-6_103
Download citation
DOI: https://doi.org/10.1007/978-3-7091-9115-6_103
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-9117-0
Online ISBN: 978-3-7091-9115-6
eBook Packages: Springer Book Archive