当前位置： SCI文献检索 > ACTA NEUROCHIRURGICA期刊下所有文献 > Hyperaemia prior to acute cerebral swelling in severe head injuries: the role of transcranial Doppler monitoring.

Hyperaemia prior to acute cerebral swelling in severe head injuries: the role of transcranial Doppler monitoring.

Abstract：

:Acute cerebrovascular congestion after a closed head injury is significantly related to intracranial hypertension. As an indirect method of cerebral blood flow measurement; transcranial doppler sonography (TCD) provides a rapid and noninvasive assessment of cerebral haemodynamics, including hyperaemic conditions. TCD examinations was serially performed in 35 patients with severe head injury with intact cerebral circulation; i.e. the mean flow velocity (MFV) patterns of the middle cerebral artery (MCA) did not show signs of cerebral circulatory arrest such as systolic spike, to and fro, or no flow. The results showed that the MFV of the MCAs and ipsilateral extracranial internal carotid arteries (ICAs) in 9 of these patients increased sharply and pulsatility index (PI) decreased during 48-96 hours after the injury. This was soon followed by patterns of high intracranial resistance, consistent with elevated intracranial pressure (ICP) in monitored patients and acute brain swelling on repeated computed tomographic (CT) scans. The correlation between increased MFVs, decreased PIs, and cerebral haemodynamic changes leading to acute brain swelling is discussed. The number of patients who ended with severe disability, vegetative state, or death was 66% in this group of 9 patients, compared to only 34% for the 35 patients overall with severe head injury. Though the morbidity and mortality rates largely depend on the primary injury, the presence of acute cerebral swelling aggravate the grave course in these patients. And the ability of TCD to monitor the hyperaemic state prior to oedema should lead us to adjust the therapy in order to minimize the secondary insult related to intracranial hypertension.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Muttaqin Z,Uozumi T,Kuwabara S,Arita K,Kurisu K,Ohba S,Kohno H,Ogasawara H,Ohtani M,Mikami T

doi

10.1007/BF01476289

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

76-81

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

123

pub_type

杂志文章

相关文献

ACTA NEUROCHIRURGICA文献大全
  • The posterior subtemporal keyhole approach combined with the transchoroidal approach to the ambient cistern: microsurgical anatomy and image-guided quantitative analysis.

    abstract：PURPOSE:The aim of this study is to describe microsurgical anatomy and to quantitatively analyze exposure using the posterior subtemporal keyhole (PSK) approach combined with the transchoroidal keyhole (TCK) approach to the ambient cistern. METHODS:We determined the proper location of craniotomy of such combined keyho...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-010-0800-9

    authors： Wang H,Zhang R,Yu W,Zhong P,Tan D

    更新日期：2010-11-01 00:00:00

  • Accumulation of PN1 and PN3 sodium channels in painful human neuroma-evidence from immunocytochemistry.

    abstract：BACKGROUND:The axolemmal distribution and density of voltage-gated sodium channels largely determines the electrical excitability of sprouting neurites. Recent evidence suggests that accumulation of sodium channels at injured axonal tips may be responsible for ectopic axonal hyperexcitability and the resulting abnormal...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-002-0970-1

    authors： Kretschmer T,Happel LT,England JD,Nguyen DH,Tiel RL,Beuerman RW,Kline DG

    更新日期：2002-08-01 00:00:00

  • Migration of ventriculoperitoneal shunt into the stomach, presenting with gastric bleeding.

    abstract：:We present an extremely rare complication after ventriculoperitoneal shunting. The peritoneal tube migrated into the stomach 8 months after the operation and patient presented with gastric bleeding. ...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-007-1413-9

    authors： Cheng JY,Lo WC,Liang HH,Kun IH

    更新日期：2007-12-01 00:00:00

  • Giant intracranial aneurysm of the anterior communicating artery treated by direct surgery using A3-A3 side-to-side anastomosis and A3-RA graft-STA anastomosis.

    abstract：:We describe a giant aneurysm of the anterior communicating artery (ACoA) which was treated with a STA-RA graft-A3 bonnet bypass and A3-A3 side-to-side anastomosis. A giant and partially thrombosed ACoA aneurysm was partially coated 3 years before his current presentation, its gradual increase producing visual field di...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-005-0685-1

    authors： Kim K,Mizunari T,Mizutani N,Kobayashi S,Takizawa K,Kamiyama H,Murai Y,Teramoto A

    更新日期：2006-03-01 00:00:00

  • Relation of cerebral vasospasm to operative findings of subarachnoid blood around ruptured aneurysms.

    abstract：:An investigation was carried out in 28 patients in order to evaluate the relationship between angiographically documented vasospasm, amount of subarachnoid blood found at surgery around ruptured intracranial aneurysms, and delayed ischaemic deficits. Angiography was performed at time intervals ranging between 5 and 17...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01401750

    authors： Tomasello F,Albanese V,Picozzi P,Spadaro A,Conforti P

    更新日期：1982-01-01 00:00:00

  • Intracranial clear-cell meningioma.

    abstract：:Intracranial clear-cell meningioma (CCM) is rarely reported in the literature since it has to be distinguished from other subtypes of meningioma. Most of the CCMs are intraspinal, according to the related literature. We report a case of occipital parietal CCM in a 6-year-old child, review all the 35 intracranial CCMs ...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章,评审

    doi：10.1007/s00701-009-0236-2

    authors： Ma L,Liu WK,Wang K,Shrestha B,Zhang YK

    更新日期：2009-04-01 00:00:00

  • Cytotoxic immune response of meningioma patients towards allogeneic and autologous tumour cells before and after surgery.

    abstract：:Cell-mediated cytotoxicity (CTX) of meningioma patients towards meningioma cells and fibroblasts was studied in vitro before and after surgery, using the 3H-proline microcytotoxicity test. When incubated with allogeneic target cells before surgery, lymphocytes from three out of seven donors showed a specific destructi...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01808518

    authors： Pees HW

    更新日期：1979-01-01 00:00:00

  • Urinary incontinence following deep brain stimulation of the pedunculopontine nucleus.

    abstract：:Low-frequency deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN) has been reported to improve akinesia and gait difficulties in patients with Parkinson's disease (PD). We report on a patient with PD and L: -dopa refractory gait symptoms who developed detrusor over-activity immediately after right PPN D...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-011-1155-6

    authors： Aviles-Olmos I,Foltynie T,Panicker J,Cowie D,Limousin P,Hariz M,Fowler CJ,Zrinzo L

    更新日期：2011-12-01 00:00:00

  • Comparison of surgical exposure and maneuverability associated with microscopy and endoscopy in the retrolabyrinthine and transcrusal approaches to the retrochiasmatic region: a cadaveric study.

    abstract：BACKGROUND:The retrolabyrinthine and transcrusal approaches (RLA and TCA, respectively) are the two most often used posterior transpetrosal approaches that are used to treat lesions in the retrochiasmatic region. Endoscopes are increasingly used in neurosurgical practice. To determine whether a difference exists betwee...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-016-2733-4

    authors： Yang J,Zhang F,Xu A,Li H,Ding Z

    更新日期：2016-04-01 00:00:00

  • Ventricular shunt survival in children with neural tube defects.

    abstract：:Ventricular shunting has dramatically improved the care of children with hydrocephalus. Yet shunt malfunctions are extremely common and cause significant morbidity. To document shunt problems in children with a neural tube defect and hydrocephalus, 67 children born since 1973 were studied via life-table analysis. 28% ...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01418798

    authors： Liptak GS,Masiulis BS,McDonald JV

    更新日期：1985-01-01 00:00:00

  • Middle fossa transpetrosal-transtentorial approaches for petroclival meningiomas. Selective pyramid resection and radicality.

    abstract：:Forty-two patients with petroclival meningioma were operated upon by the middle fossa transpetrosal-transtentorial approaches since 1977. Half of those showed tumour extension into the middle fossa and one-third in the cavernous sinus. Seventeen (40%) had a large tumour of 40 mm in diameter or larger, and 8 of those h...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01406489

    authors： Kawase T,Shiobara R,Toya S

    更新日期：1994-01-01 00:00:00

  • Clinical implications and radiographic characteristics of the relation between giant intracranial aneurysms of the posterior circulation and the brainstem.

    abstract：BACKGROUND:Giant intracranial aneurysms of the posterior circulation (GPCirA) are rare entities compressing the brainstem and adjacent structures. Previous evidence has shown that the amount of brainstem shift away from the cranial base is not associated with neurological deficits. This raises the question whether othe...

    journal_title：Acta neurochirurgica

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00701-019-04016-x

    authors： Haemmerli J,Lenga P,Hong B,Kursumovic A,Maldaner N,Burkhardt JK,Bijlenga P,Rüfenacht DA,Schmidt NO,Vajkoczy P,Dengler J

    更新日期：2019-09-01 00:00:00

  • Retrospective feasibility analysis of modified posterior partial vertebrectomy with 360-degree decompression in destructive thoracic spondylodiscitis.

    abstract：BACKGROUND:Advanced states of vertebral osteomyelitis accompanied by spinal instability, epidural abscess formation, and neurological deficits require surgical decompression, stabilization, and often reconstruction of the anterior and posterior columns. The efficacy of a posterolateral approach with resection of inflam...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-015-2507-4

    authors： Dreimann M,Viezens L,Hoffmann M,Eicker SO

    更新日期：2015-09-01 00:00:00

  • A step-wise approach to deep brain stimulation in mice.

    abstract：BACKGROUND:Studies of deep brain stimulation (DBS) in mice are rare due to their small size, agility, aversion to handling, and high anxiety compared to larger species. Studying DBS modulation of neural circuitry in murine models of human behavior may ensure safety, guide stimulatory parameters for clinical trials in h...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-014-2062-4

    authors： Halpern CH,Attiah MA,Tekriwal A,Baltuch GH

    更新日期：2014-08-01 00:00:00

  • Cerebral vasospasm diagnosis by means of angiography and blood velocity measurements.

    abstract：:We investigated 76 patients with known subarachnoid haemorrhage (SAH) in order to compare the results of angiography and non-invasive Doppler recordings of cerebral artery blood velocity in the diagnosis of cerebral vasospasm. One radiologist and one neurovascular surgeon assessed angiographic spasm visually on a four...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01405268

    authors： Lindegaard KF,Nornes H,Bakke SJ,Sorteberg W,Nakstad P

    更新日期：1989-01-01 00:00:00

  • STA-MCA anastomosis in patients with skull base tumours involving the internal carotid artery--haemodynamic assessment by ultrasonic Doppler flowmeter.

    abstract：:The role of superficial temporal artery--middle cerebral artery (STA-MCA) anastomosis was investigated with an ultrasonic Doppler flowmeter in 3 patients with sphenoid ridge meningiomas and one with a parasellar malignant teratoma, all of which involved the intracranial internal carotid artery. The intraoperative Dopp...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01406817

    authors： Moritake K,Handa H,Yamashita J,Takeuchi J,Taki W,Takebe Y,Konishi T

    更新日期：1984-01-01 00:00:00

  • Wedge-technique for transposition of the vertebral artery in microvascular decompression for hemifacial spasm: technical nuances and surgical outcomes.

    abstract：BACKGROUND:Transposition of the vertebral artery (VA) for microvascular decompression for hemifacial spasm (HFS) is often challenging. Various procedures have been proposed to transpose the immobile tortuous VA that cannot be decompressed satisfactorily in the usual manner. METHODS:A Teflon piece that is cut into a we...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-018-03793-1

    authors： Nonaka Y,Hayashi N,Matsumae M,Fukushima T

    更新日期：2019-07-01 00:00:00

  • Surgical management of giant pituitary tumours--a review of 30 cases.

    abstract：:An experience with surgical management of 30 giant pituitary tumours is analysed in this report. The clinical features, anatomical spread and relationship of these tumours with the cavernous sinus and other parasellar and basal forebrain structures is analysed. The problem encountered in the surgical treatment are rev...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01412306

    authors： Goel A,Nadkarni T

    更新日期：1996-01-01 00:00:00

  • Transparent equine collagen biomatrix as dural repair. A prospective clinical study.

    abstract：AIM:Numerous materials have been used to replace defects in the dura mater as result of neurosurgical and spinal procedures. Tissudura is a biomatrix made of cross-linked equine collagen fibrils, mainly of the interstitial type I. The specially engineered dura-like layered structure provides a non porous primary water ...

    journal_title：Acta neurochirurgica

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1007/s00701-009-0290-9

    authors： Gazzeri R,Neroni M,Alfieri A,Galarza M,Faiola A,Esposito S,Giordano M

    更新日期：2009-05-01 00:00:00

  • Incidence and clinical relevance of cage subsidence in anterior cervical discectomy and fusion: a systematic review.

    abstract：BACKGROUND:The placement of intervertebral cages in anterior cervical discectomy (ACDF) supposedly maintains foraminal height. The most commonly reported cage-related complication is subsidence, although it is unknown whether a correlation between subsidence and clinical outcome exists. AIM:To assess the incidence and...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-018-3490-3

    authors： Noordhoek I,Koning MT,Jacobs WCH,Vleggeert-Lankamp CLA

    更新日期：2018-04-01 00:00:00

  • Systemic and cerebral haemodynamics during craniotomy under mild hypothermia in patients with acute subarachnoid haemorrhage.

    abstract：BACKGROUND:Mild hypothermia provides cerebral protection against ischaemic insults in various animal models. We compared systemic and cerebral oxygenation between mild hypothermic and normothermic management in 60 patients with acute subarachnoid haemorrhage who underwent clipping of cerebral aneurysms. METHOD:The tem...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s007010070056

    authors： Sato K,Sato K,Yoshimoto T

    更新日期：2000-01-01 00:00:00

  • Corpus callosotomy in the treatment of secondary generalizing intractable epilepsy.

    abstract：:Over the past 5 years 9 patients underwent partial or complete corpus callosotomy for treatment of medically intractable epileptic seizures. A beneficial effect of the procedure was observed in 8 patients. Criteria for performance of the procedure included CT evidence of unilateral cerebral damage and non-localized ep...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01406608

    authors： Rappaport ZH,Lerman P

    更新日期：1988-01-01 00:00:00

  • Molecular pathogenesis of astrocytoma and glioblastoma multiforme.

    abstract：:Our understanding of the complexity of genetic abnormalities involved in the tumourigenesis of malignant gliomas is as yet rudimentary. However, we can discern distinctive patterns of loss of genetic material and amplification of chromosomal regions that characterize both the different types of gliomas as well as the ...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章,评审

    doi：10.1007/BF01411992

    authors： Van de Kelft E

    更新日期：1997-01-01 00:00:00

  • Frontal skull osteoblastoma with aneurysmal bone cyst-like changes associated with trauma during pregnancy: a case report.

    abstract：:We report the case of a large osteoblastoma arising in the frontal bone of a 20-year-old female. The lesion was first noted after a fall, and grew steadily in size following further head injury during pregnancy. Initial plain radiography demonstrated an area of radiolucency, with subsequent cross-sectional imaging rev...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-016-3024-9

    authors： Toescu SM,Alalade AF,Steele L,Bhargava D,Hunter R

    更新日期：2017-02-01 00:00:00

  • Meningioma manifesting intracerebral haemorrhage: a possible mechanism of haemorrhage.

    abstract：:We present a possible mechanism of intracerebral peritumoural haemorrhage in meningioma based on the clinical data of three of our cases. A meningioma manifesting intracerebral haemorrhage is uncommon and some sporadic case reports have been presented, but without any proven mechanisms. We are presenting three cases o...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s007010050019

    authors： Kim DG,Park CK,Paek SH,Choe GY,Gwak HS,Yoo H,Jung HW

    更新日期：2000-01-01 00:00:00

  • Linear array ultrasound in low-grade glioma surgery: histology-based assessment of accuracy in comparison to conventional intraoperative ultrasound and intraoperative MRI.

    abstract：INTRODUCTION:In low-grade glioma (LGG) surgery, intraoperative differentiation between tumor and most likely tumor-free brain tissue can be challenging. Intraoperative ultrasound can facilitate tumor resection. The aim of this study is to evaluate the accuracy of linear array ultrasound in comparison to conventional in...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-014-2314-3

    authors： Coburger J,Scheuerle A,Thal DR,Engelke J,Hlavac M,Wirtz CR,König R

    更新日期：2015-02-01 00:00:00

  • Intradural variant of cervical nerve root fibres. Potential cause of misinterpreting the segmental location of cervical disc prolpases from clinical evidence.

    abstract：:In 40 postmortem specimens the cervical posterior roots were examined under the surgical microscope, and intradural communicating fibres between neighbouring segments were demonstrated. The implications of these frequent variants for the diagnosis of prolapsed cervical discs are discussed. ...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01400951

    authors： Perneczky A,Sunder-Plassmann M

    更新日期：1980-01-01 00:00:00

  • Regional cerebral blood flow after omental transposition to the ischaemic brain in man. A five year follow-up study.

    abstract：:Regional cerebral blood flow, recorded by the 133Xenon inhalation method, was measured preoperatively and over a five years postoperative period in six patients with completed stroke and stabilized neurological deficits, who had undergone omental transposition for revascularization of the ischaemic brain. Comparisons ...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/BF01809458

    authors： Goldsmith HS,Bacciu P,Cossu M,Pau A,Rodriguez G,Rosadini G,Ruju P,Sehrbundt Viale E,Turtas S,Viale GL

    更新日期：1990-01-01 00:00:00

  • Clinical features of postoperative cerebral venous infarction.

    abstract：:There is a potential risk of sacrificing the cortical vein during neurosurgical operations, particularly in the interhemispheric or subtemporal approach. An impaired cortical vein might cause cerebral venous circulatory disturbances (CVCDs) resulting in venous infarction. In this article, we have reviewed the manageme...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-005-0501-y

    authors： Nakase H,Shin Y,Nakagawa I,Kimura R,Sakaki T

    更新日期：2005-06-01 00:00:00

  • Metabolic changes and factors influencing base deficit in infants undergoing craniosynostosis surgery: a retrospective study.

    abstract：BACKGROUND:Corrective craniosynostosis surgery is often associated with a large amount of blood loss and metabolic disturbances. In the present study, we investigated the severity, duration of metabolic disturbances, and causal risk factors in infants. METHODS:A retrospective analysis was performed of 36 infants who u...

    journal_title：Acta neurochirurgica

    pub_type： 杂志文章

    doi：10.1007/s00701-015-2441-5

    authors： Ali A,Basaran B,Tanirgan G,Aydoseli A,Sabanci PA,Sencer A,Telci L,Akinci IO

    更新日期：2015-07-01 00:00:00