This book contains the papers delivered at the Fourth International Symposium on Intracranial Pressure, held at Williamsburg, Virginia, USA, June 10-14, 1979. Divided into 12 sessions, they reflect the most recent developments in areas such as head injuries, pressure volume studies, cerebrovascular complications, intracranial hemor rhage, brain edema, systemic factors and infectious processes, data recording and analysis, CSF formation and absorption, hydroce phalus, clinical aspects of ICP monitoring, anesthesia and intra cranial pressure, treatment with barbiturates and steroids, and os motherapy. The book concludes with a summary of the present state-of-the-art in the field as a whole by Dr. Langfitt. There were two innovations at this Symposium. The first of these was poster sessions, the second, breakfast seminars. This volume contains all papers read plus all those presented as posters, and for this reason contains more pages than the three previous volumes. The organizers wish to thank the Advisory Committee for the work done in paper selection and focus of the Conference. Appreciation is also given to the Chairmen and Co-chairmen of the sessions for the preparation of summary statements. Manuscript preparation was performed by Ms. Lucille Browne, and gratitude is expressed to her. The next Symposium, the Fifth International Conference on ICP, will be held in Japan in 1982. We also wish to acknowledge the technical help of Springer-Verlag and their celerity in producing this volume. The Editors VII Contents Session I. Head Injury Chairman: D. P. BECKER; Co-chairman: I. PAPO 3 Summary . . . . . . . . . . . ..
Erscheinungsdatum: 21.01.2012

lgrsnf/A:\Springer\bok%3A978-3-642-67543-0.pdf

nexusstc/Intracranial Pressure IV/53c298690753df6ece4565a49a408807.pdf

zlib/Medicine/L. H. Pitts, J. V. Kaktis, R. Juster, D. Heilbron (auth.), Kenneth Shulman M.D., Anthony Marmarou Ph.D., J. Douglas Miller M.D., Ph.D., FRCS, Donald P. Becker M.D., Gerald M. Hochwald M.D., Prof. Dr. Mario Brock (eds.)/Intracranial Pressure IV_2265015.pdf

Intracranial Pressure IV Proceedings of the Fourth International Symposium on Intracranial Pressure. Held at Williamsburg Virginia, USA, June 10-14 1979

K. Shulman, A. Marmarou, J. D. Miller, D. P. Becker, G. M. Hochwald, J. Douglas Miller

Spektrum Akademischer Verlag. in Springer-Verlag GmbH

Springer Berlin Heidelberg : Imprint : Springer

Steinkopff. in Springer-Verlag GmbH

Springer; Springer-Verlag

Springer Nature, Berlin, Heidelberg, 2012

1st ed. 1980, Berlin, Heidelberg, 1980

Germany, Germany

Jan 21, 2012

lg1096055

{"edition":"1","isbns":["3642675433","364267545X","9783642675430","9783642675454"],"last_page":698,"publisher":"Springer"}

Front Matter....Pages I-XVIII
Front Matter....Pages 1-3
ICP and Outcome in Patients with Severe Head Injury....Pages 5-9
Prognostic Significance of Intracranial Pressure and Neurological Condition in Acute Brain Lesions....Pages 10-16
Role of ICP Monitoring in Patients Suffering from Severe Brain Injuries....Pages 17-19
Brain Damage in Fatal Non-Missile Head Injury without Neuropathological Evidence of High ICP....Pages 20-23
Relations of Cerebral Perfusion Pressure and Hematocrit with Hemispheric Cerebral Blood Flow during Post — Traumatic Coma....Pages 24-27
ICP in Experimental Head Injury....Pages 28-32
Time Course in Intracerebral Traumatic Hematomas....Pages 33-35
Operate or Observe? ICP and the Management of the ‘Silent’ Traumatic Intracranial Haematoma....Pages 36-38
Brain Interstitial Fluid Pressure Measurement in Head Injury Patients....Pages 39-44
Relevance of Cat-Scan for the Level of ICP in Patients with Severe Head Injury....Pages 45-47
Can CT Scan Findings Predict Intracranial Pressure in Closed Head Injury Patients?....Pages 48-53
Factors Influencing Survival and Quality of Survival in Patients Treated for Elevated Intracranial Pressure....Pages 54-55
The Prognostic Value of Intracranial Pressure (ICP) Measurement in Relation to the Different Factors that can Affect ICP....Pages 56-59
Does the Pressure-Volume Relationship Exist?....Pages 60-65
Experimental Brain Injury in the Dog: Pathophysiological Correlation....Pages 66-69
Correlations between Intracranial Pressure, Neurologic Deficit and Computer Tomographic Findings in Patients with Acute Severe Head Injury....Pages 70-72
Continuous Measurement of Intracranial Pressure in 127 Severe Head Injuries....Pages 73-75
Front Matter....Pages 77-79
The Pressure-Volume Function of Brain Elasticity and its Relationship with Ventricular Size....Pages 81-84
A Method for Predicting PVI in Normal Patients....Pages 85-87
Drastic Dehydration as a Treatment of Intracranial Hypertension in Severe Head Injuries....Pages 88-90
Front Matter....Pages 77-79
The CSF Pressure-Volume Relationship before and after Cardiac Arrest....Pages 91-92
CSF Pressure-Volume Relation and Pulse Related CSF Pressure Variations in Man....Pages 93-96
Effects of Cerebral Edema upon Viscoelastic Properties of Brain Tissue....Pages 97-101
Parameters for Identifying Brain Response Properties in Vivo....Pages 102-105
Dynamics of Transtentorial Herniation....Pages 106-110
Intrabrain Pressure, Cerebrospinal Fluid Pressure and the PV Function of Craniospinal System Elasticity in Patients after the Extraction of Tumors from the Basal Region and Posterior Fossa....Pages 111-115
Clinical Experiences with Intracranial Volume-Pressure Response....Pages 116-119
A Diagrammatic, Two-Dimensional Model for Interpretation of Craniospinal P/V Interactions....Pages 120-122
Etiology of B-Waves....Pages 123-125
Front Matter....Pages 127-129
Intracranial Pressure and Regional Cerebral Blood Flow Responses to Experimental Brain Retraction Pressure....Pages 131-135
Electrophysiological Changes Associated with Local Brain Compression....Pages 136-138
Influence of Mild Hypercapnia on Intracranial Pressure in Ischemic, Non-Infarcted Brain Tissues....Pages 139-141
Simultaneous Subacute Measurement of ICP and Brain O 2 Availability....Pages 142-146
Intracranial Dynamics Associated with Experimentally Induced Pressure Waves....Pages 147-149
Sympathetic Role of Posterior Hypothalamus in the Development of Acute Brain Swelling....Pages 150-152
The CSF Pulse Pressure in Relation to Intracranial Elastance and Failure of Autoregulation....Pages 153-158
Effects of Hypercapnia and Systemic Arterial Hypo- and Hypertension on the Interrelation between CSF Pulse Pressure and Volume-Pressure Response....Pages 159-162
The Effect of Blood Pressure and PaCO 2 upon Bulk Compliance (PVI)....Pages 163-166
Spectral Analysis of Intracranial Pressure....Pages 167-172
The Analogy between CSF Pulse Pressure and Volume-Pressure Response....Pages 173-176
Front Matter....Pages 127-129
Brain Stem — Cerebellar and Hemispheric Blood Flow in Stupor and Impaired States of Responsiveness with and without Intracranial Hypertension....Pages 177-179
Measurement of Regional Cerebral Blood Volume by Photoelectric Method....Pages 180-182
ICP and EEG in Various Forms of Cerebral Seizures....Pages 183-187
Analysis of the Wave Pattern of CSF Pulse Wave....Pages 188-190
Study of the CSF Pulsation Transfer: Application to the Frequency Analysis....Pages 191-194
Blood Pressure Factors Causing Raised ICP....Pages 195-197
Front Matter....Pages 199-201
ICP Time Course in Primary Intracerebral Hemorrhage....Pages 203-206
The Effect of Experimentally Produced Intracranial Hematoma upon ICP....Pages 207-210
Intraventricular Pressure, CSF Lactate and Vasospasm in Ruptured Intracranial Aneurysm....Pages 211-214
Intracranial Pressure Changes in Patients with Diffuse Cerebral Vasospasm....Pages 215-219
Continuous Monitoring of CSF Pressure in Acute Subarachnoid Hemorrhage....Pages 220-228
Polygraphic Study of CSF Pressure Waves During Coma....Pages 229-234
Hydrocephalus Following Early Operation on Ruptured Cerebral Aneurysms: Significance of Long-Term Monitoring of Intracranial Pressure....Pages 235-240
Alterations of CSF Hydrodynamics Following Meningitis and Subarachnoid Hemorrhage....Pages 241-244
Impaired Absorption of CSF during Experimental Subarachnoid Hemorrhage: Effects of Blood Components on Vesicular Transport in Arachnoid Villi....Pages 245-248
Front Matter....Pages 249-252
The Time Course of Brain Tissue Compliance and Resistance in a Controlled Model of Brain Edema....Pages 253-256
The Role of Brain Tissue Pressure in Autoregulation of CBF in Areas of Brain Edema....Pages 257-260
Quantified Regional Cerebral Glucose Consumption, rCBF and Edema, and the Effects of Papaverine, in Cats with Cortical Cold Injury....Pages 261-267
Evolution of Intracranial Pressure and Cerebral Blood Flow in Cryogenic Cerebral Edema....Pages 268-271
The Response to Multiple Therapeutic Modalities in Experimental Vasogenic Edema....Pages 272-276
Front Matter....Pages 249-252
Decompressive Craniectomy, ICP and Brain Edema....Pages 277-279
Intracranial Pressure and Brain Water Content in Acute Graded Experimental Cerebral Trauma....Pages 280-283
Brain Edema in Ischemic Stroke and Air Embolism....Pages 284-290
CSF-Pressure of Rats During Ventriculo-Cisternal Perfusion with Potential Brain Edema Factors....Pages 291-297
ICP Changes Following Sudden Decompression of the Cat Brain....Pages 298-301
Different Aspects of a New Model of Intracranial Hypertension on the Dog Induced by a Blood Shift....Pages 302-306
Brain Free Fatty Acids after Transient Global Brain Ischemia with Postinsult Thiopental Therapy....Pages 307-311
An Autoradiographic Study of Capillary Permeability during Hyperosmotic Opening....Pages 312-313
Freeze Lesion of the Cerebrum: Local Capillary Permeability, Blood Flow and Bulk Flow of Edema Fluid....Pages 314-316
Inhibition of Oxygen Diffusion as a Major Cause of Prolonged Cell Anoxia and Postishemic ICP Elevation....Pages 317-322
Front Matter....Pages 323-325
Systemic Vasopressor Responses and the Arterial Hypoxemia Associated with Increased Intracranial Pressure....Pages 327-332
Sequential Hemodynamic Changes in Experimental Neurogenic Pulmonary Edema....Pages 333-336
Separate and Combined Effects on Intracranial Pressure of Changes in PO 2 and PCO 2 ....Pages 337-339
The Role of the Hypothalamo-Hypophysial Neurosecretory Adrenergic System in Cushing Reflex....Pages 340-343
Intracranial Pressure, Brain Edema and Regional Metabolism in Experimental Brain Abscess in Cats....Pages 344-349
Bacterial Meningitis: Changes in Cerebrospinal Fluid Outflow Resistance....Pages 350-353
Experiences with ICP Monitoring in India....Pages 354-357
ICP and Compliance in Chronic Subdural Hematoma....Pages 358-361
Pathognesis of Chronic Subdural Hematoma. ICP, Biochemical and Morphological Findings....Pages 362-366
Front Matter....Pages 367-370
Extradural, Ventricular and Subdural Pressure Recording Comparative Clinical Study....Pages 371-376
Front Matter....Pages 367-370
Simultaneous Epidural and Intraventricular Pressure Measurement During the Occurrence of Supratentorial Expanding Lesions....Pages 377-380
Measurement of Intracranial Force Vector and Its Significance....Pages 381-385
Clinical Evaluation of a New Epidural Pressure Transducer....Pages 386-389
Intracranial Pressure Monitoring: Chronic Animal Implantation and Preliminary Patient Experience with an Implantable Telemetered System....Pages 390-391
Intracranial Pressure Studies in Acutely Ill Neonates Using a Noninvasive Technique: A Three Year Experience....Pages 392-394
The Control of ICP Using Three Asynchronous Closed Loops....Pages 395-399
A Combination of Bed Side ICP Recordings; Histogram, Trend-Graph, and Digital Print....Pages 400-403
Intracranial Pressure Registration Administrated by a Microprocessor....Pages 404-408
A Microcomputer System for ICP Analysis....Pages 409-412
Epidural Measurement of Intracranial Pressure....Pages 413-416
A Newly Devised Transducer for Epidural Pressure Measurement and Its Clinical Use....Pages 417-418
Spectral Analysis of the ICP Signal — Practical Application in Computer-Assisted Long-Term Patient Care....Pages 419-422
Chronic ICP Monitoring Utilizing an in Vivo Calibrating Sensor....Pages 423-425
Data Display for Intracranial Pressure Monitoring....Pages 426-428
The Integration of ICP with Other Monitoring Signals on a Single Computer Data Base....Pages 429-431
Long Term Study of ICP with Implanted Sensors in Patients with Brain Tumor....Pages 432-435
Clinical Application of Telemetric Intracranial Pressure Monitoring....Pages 436-438
Front Matter....Pages 439-441
Neurogenic Control of CSF Production from the Choroid Plexus....Pages 443-450
Changes in Resistance to Cerebrospinal Fluid Absorption during Prolong Infusion Studies....Pages 451-455
Lumbar Sac Infusion Test Revisited....Pages 456-459
Front Matter....Pages 439-441
Comparison of CSF Outflow Resistance Determined by Bolus and Steady-State Techniques....Pages 460-461
The Correlation of Overnight Ventricular Fluid Pressure Recording with Serial Metrizamide Ventriculography in Hydrocephalus....Pages 462-465
Differential Effects of Pentobarbital, Ketamine Hydrochloride, and Enflurane Anesthesia on CSF Formation Rate and Outflow Resistance in the Rat....Pages 466-471
Cerebrospinal Fluid Formation Rate in Cold Induced Brain Edema....Pages 472-474
Cortical Bulk Flow in Normal and Hyposmolar Edema....Pages 475-477
Front Matter....Pages 479-482
Hydrodynamic Properties of CSF Shunt Systems....Pages 483-488
A Device for Telemetric Pressure Measurement in Shunt Systems....Pages 489-491
Intracranial Pressure Changes in “Arrested” Hydrocephalus....Pages 492-493
Predicting the Results of Ventricular Shunting in Normal Pressure Hydrocephalus by Lumbo-Ventricular Perfusion Test....Pages 494-497
Intraventricular Pressure Waves — the Best Predictive Test for Shunting in Normal Pressure Hydrocephalus....Pages 498-500
ICP, Cat Scans and Psychometric Assessment in Dementia: a Prospective Analysis....Pages 501-504
Long-Term Intraventricular Pressure Measurement in Chronic Communicating Hydrocephalus....Pages 505-510
Intraventricular Pressure Monitoring and CSF Dynamics in Non-Tumor Aqueductal Stenosis....Pages 511-514
Quantitative Determination of CSF-Flow in Diagnosis of CSF-Resorption Disorders....Pages 515-516
The Pathophysiology of Intracranial Hypertension/Hypotension....Pages 517-519
Outflow Possibilities of Ventriculolymphatic Shunt....Pages 520-524
Plateau Waves: Production in the Rat and Simulation by Means of a Mechanical Model....Pages 525-529
Front Matter....Pages 531-533
Benign Intracranial Hypertension: A Clinical Evaluation of the CSF Absorption Mechanisms....Pages 535-539
Benign Intracranial Hypertension Secondary to Vitamin a Deficiency in Rat and Man: Reversible Collagenous Obstruction of CSF Outflow by Metabolically Deranged Fibroblasts....Pages 540-543
Benign Intracranial Hypertension: Therapeutical Approach and Pathophysiological Implications....Pages 544-548
Front Matter....Pages 531-533
ICP Monitoring in Benign Intracranial Hypertension....Pages 549-552
Experience in Management of Critical Patients with Reye-Johnson Syndrome....Pages 553-556
Intracranial Hypertension in Patients with Reye Syndrome....Pages 557-558
The Effect of Decerebrate Rigidity on ICP as Modified by Brain Elastance....Pages 559-564
Relationship of Nurse/Patient Activity and ICP Variation....Pages 565-568
Pathological Intracranial Pressure Waves in Arnold Chiari Malformations....Pages 569-574
Continuous Recording of ICP in the Normal Monkey....Pages 575-578
The Results of ICP and EEG Monitoring of Sleep in Cases of Patients with Supratentorial Brain Tumors....Pages 579-583
Relationship Between Rapid ICP Variation, Respiratory Pattern and Wakefulness in Neurological Patients....Pages 584-587
Selection of Patients for Intracranial Pressure Monitoring and Control....Pages 588-590
Front Matter....Pages 591-593
Lidocaine Prevents Increased ICP after Endotracheal Intubation....Pages 595-598
Incompatibility of Halogenated Anesthetics with Brain Surgery....Pages 599-604
The Effects of Nitrous Oxide, Althesin and Thiopentone on Intracranial Pressure During Chest Physiotherapy in Patients with Severe Head Injuries....Pages 605-609
Effect of Althesin on Intracranial Hypertension in Patients with Severe Head Injury....Pages 610-612
Nitroprusside and Nitroglycerin Induced Intracranial Pressure Changes....Pages 613-616
Effects of Enflurane and Halothane on ICP in Dogs....Pages 617-618
Effect of some Analgesics, Sedatives and I.V. Anesthetics on ICP in Man....Pages 619-622
Front Matter....Pages 623-626
Barbiturates for Intracranial Hypertension: A Ten Year Perspective....Pages 627-629
The Effectiveness of Iatrogenic Barbiturate Coma in Controlling Increased ICP in 61 Children....Pages 630-632
Effects of Barbiturates on Intracranial Pressure and the Amount of Mannitol Required to Control the Intracranial Pressure....Pages 633-635
Front Matter....Pages 623-626
Cerebral Vasospasm, ICP and Barbiturate Coma....Pages 636-637
Effect of Megadose Steroids on ICP In Traumatic Coma....Pages 638-642
Influence of Large Doses of Steroids on Brain Compression, Epidurally....Pages 643-646
Mannitol Response and Histogram Analysis in Raised ICP....Pages 647-652
Methodology for the Control of Intracranial Pressure with Hypertonic Mannitol....Pages 653-655
Effect of Infusion Rate of Glycerol, Mannitol and Urea on Regional Brain Dehydration in the Rat....Pages 656-659
The Effects of Furosemide on CSF Dynamics in Patients with Pseudotumor Cerebri....Pages 660-663
Effect of Tham on ICP, EEG and Tissue Edema Parameters in Experimental and Clinical Brain Edema....Pages 664-668
Closing Discussion: “Where Have We Been, Where are We Now, and Where Do We Go From Here?”....Pages 669-676
Back Matter....Pages 677-698

This book contains the papers delivered at the Fourth International Symposium on Intracranial Pressure, held at Williamsburg, Virginia, USA, June 10-14, 1979. Divided into 12 sessions, they reflect the most recent developments in areas such as head injuries, pressureƯ volume studies, cerebrovascular complications, intracranial hemorƯ rhage, brain edema, systemic factors and infectious processes, data recording and analysis, CSF formation and absorption, hydroceƯ phalus, clinical aspects of ICP monitoring, anesthesia and intraƯ cranial pressure, treatment with barbiturates and steroids, and osƯ motherapy. The book concludes with a summary of the present state-of-the-art in the field as a whole by Dr. Langfitt. There were two innovations at this Symposium. The first of these was poster sessions, the second, breakfast seminars. This volume contains all papers read plus all those presented as posters, and for this reason contains more pages than the three previous volumes. The organizers wish to thank the Advisory Committee for the work done in paper selection and focus of the Conference. Appreciation is also given to the Chairmen and Co-chairmen of the sessions for the preparation of summary statements. Manuscript preparation was performed by Ms. Lucille Browne, and gratitude is expressed to her. The next Symposium, the Fifth International Conference on ICP, will be held in Japan in 1982. We also wish to acknowledge the technical help of Springer-Verlag and their celerity in producing this volume. The Editors VII Contents Session I. Head Injury Chairman: D.P. BECKER; Co-chairman: I. PAPO 3 Summary ... ..

2013-12-12