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Titolo:
Subdural pressure measurement during posterior fossa surgery. Correlation studies of brain swelling/herniation after dural incision with measurement of subdural pressure and tactile estimation of dural tension
Autore:
Jorgensen, HA; Bundgaard, H; Cold, GE;
Indirizzi:
Aarhus Univ Hosp, Dept Neuroanaesthesiol, DK-8000 Aarhus C, Denmark AarhusUniv Hosp Aarhus Denmark C naesthesiol, DK-8000 Aarhus C, Denmark
Titolo Testata:
BRITISH JOURNAL OF NEUROSURGERY
fascicolo: 5, volume: 13, anno: 1999,
pagine: 449 - 453
SICI:
0268-8697(199910)13:5<449:SPMDPF>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRACRANIAL-PRESSURE; CRANIOTOMY; GRADIENTS;
Keywords:
craniotomy; dural tension; intracranial pressure monitoring; posterior fossa surgery; subdural pressure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Cold, GE Aarhus Univ Hosp, Dept Neuroanaesthesiol, DK-8000 Aarhus C, Denmark Aarhus Univ Hosp Aarhus Denmark C ol, DK-8000 Aarhus C, Denmark
Citazione:
H.A. Jorgensen et al., "Subdural pressure measurement during posterior fossa surgery. Correlation studies of brain swelling/herniation after dural incision with measurement of subdural pressure and tactile estimation of dural tension", BR J NEUROS, 13(5), 1999, pp. 449-453

Abstract

Thirty-two patients with posterior fossa rumours or arteriovenous malformations were subjected to elective craniotomy in the prone position. The intracranial pressure (ICP) was measured by a subdural approach in the open area of the exposed dura. Estimation of dural tension before dural incision and the degree of brain swelling/herniation after opening the dura were correlated with the subdural pressure measured with intact dura. The results indicate that at ICP < 10 mmHg, brain swelling/herniation rarely occurred, while at ICP greater than or equal to 10 mmHg some degree of brain swelling/herniation was always present. The neurosurgeon's tactile estimation of duraltension correlated poorly with any tendency to brain swelling/herniation. It is concluded that measurement of subdural pressure is a better predictorof the risk of brain swelling/herniation than the tactile estimation of dural tension during posterior fossa surgery.

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Documento generato il 11/07/20 alle ore 10:10:41