By Anish Bhardwaj, Jeffrey R. Kirsch
The medical administration of sufferers with acute mind and spinal twine harm has advanced considerably with the appearance of recent diagnostic and healing modalities. Editors Bhardwaj and Kirsch give you administration of Acute mind and Spinal twine harm, a brand new stand-alone connection with aid brand new neurologists and neurosurgeons continue abreast of all of the fresh developments in mind and spinal twine damage. Divided into 5 sections, mind damage, ischemic stroke, intracerebral and subarachnoid hemorrhage, anxious harm and clinical administration of spinal wire accidents, this article provide you with a precis of the most up-tp-date scientific technology for the medical administration of sufferers with acute mind and spinal twine accidents.
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Extra info for Acute Brain and Spinal Cord Injury: Evolving Paradigms and Management (Neurological Disease and Therapy)
J Neurosurg Spine 2005; 3(4):302–307. 4. Chen JR, Wang YJ, Tseng GF. The effects of decompression and exogenous NGF on compressed cerebral cortex. J Neurotrauma 2004; 21(11):1640–1651. 5. Taylor A, Butt W, Rosenfeld J, et al. A randomized trial of very early decompressive craniectomy in children with traumatic brain injury and sustained intracranial hypertension. Childs Nerv Syst 2001; 17(3):154–162. 6. Yamakami I, Yamaura A. Effects of decompressive craniectomy on regional cerebral blood flow in severe head trauma patients.
Bor-Seng-Shu E, Hirsch R, Teixeira MJ, et al. Cerebral hemodynamic changes gauged by transcranial Doppler ultrasonography in patients with posttraumatic brain swelling treated by surgical decompression. J Neurosurg 2006; 104(1):93–100. 9. Bor-Seng-Shu E, Teixeira MJ, Hirsch R, et al. Transcranial Doppler sonography in two patients who underwent decompressive craniectomy for traumatic brain swelling: report of two cases. Arq Neuropsiquiatr 2004; 62(3A):715–721. 10. Vogel R, Indermuhle A, Reinhardt J, et al.
Figure 4 Stepwise protocol for management of intracranial pressure. Abbreviation: pCO2, partial pressure of carbon dioxide. CBV is to be differentiated from CBF. CBV represents the total amount of blood in the intracranial space and affects ICP, while CBF is the physiologic parameter that governs adequate brain tissue oxygenation. A reduction in CBV does not a priori suggest a reduction in CBF; it is possible to maintain adequate CBF and CPP while reducing CBV. While some advocate keeping the head of the bed flat to maximize CPP (82), other data have shown that CPP and CBF may be preserved and ICP reduced by elevating the head of the bed to 308 (83–85).