Intracranial pressure in nontraumatic ischemic and hypoxic cerebral insults.

Abstract:

:Intracranial pressure (ICP) and cerebral perfusion pressure were monitored in 12 patients who were comatose secondary to hypoxic (five cases) or hypotensive (seven cases) nontraumatic cerebral insults. Patients who were hypotensive but not hypoxic developed significant increased ICP. In patients who were comatose from hypoxic cerebral insults without hypotension, ICP was normal. When an increase in ICP was diagnosed, patients were managed aggressively so as to improve cerebral perfusion and lower ICP. Although a functional salvage rate of 25% was obtained, this may reflect the severity of the initial cerebral insult rather than the effect of treatment. In order to prevent the potential deleterious effects of raised ICP, it is concluded that monitoring ICP and maintaining adequate perfusion may be warranted in comatose patients who have suffered nontraumatic diffuse ischemic but not purely hypoxic cerebral insults.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Senter HJ,Wolf A,Wagner FC Jr

doi

10.3171/jns.1981.54.4.0489

subject

Has Abstract

pub_date

1981-04-01 00:00:00

pages

489-93

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

54

pub_type

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