Abstracts
Generalised post-operative cerebral vasospasm is a major factor in delineating poor operative results following direct ruptured intracranial aneurysms. Continuous monitoring of intracranial pressure seems to be particularly helpful on such occasions, and intracranial compliance determination as well. High intracranial compliance values suggest that even small intracranial volume increases may induce rapid intracranial pressure increase and situations likely to produce neurological deterioration.
Vasospasmo cerebral post-operatório é um fator extremamente importante como causa de insucessos cirúrgicos após abordagem direta de aneurismas intracranianos rotos. Contínua monitorização da pressão intracraniana como também a determinação da complascência intracraniana parecem ser de particular ajuda nessas circunstâncias. Valores de complascência intracraniana elevados sugerem que mesmo pequenos aumentos do volume intracraniano podem ser causa de rápido aumento da pressão intracraniana e ocasionar deterioração do quadro neurológico.
Intracranial compliance during the post-operative period after surgery for intracranial aneurysms
Complascência intracraniana no período post-operatório após cirurgia para abordagem de aneurismas intracranianos
Hildo R. C de Azevedo Filho, MD, MSs; Christopher B. T. Adams Mchir. FRCS; John Kerr DM, FFA, RCS
From the Department of Neurological Surgery and Nuffield Department of Anaesthetics, The Radcliffe Infirmary, Oxford. England
SUMMARY
Generalised post-operative cerebral vasospasm is a major factor in delineating poor operative results following direct ruptured intracranial aneurysms. Continuous monitoring of intracranial pressure seems to be particularly helpful on such occasions, and intracranial compliance determination as well. High intracranial compliance values suggest that even small intracranial volume increases may induce rapid intracranial pressure increase and situations likely to produce neurological deterioration.
RESUMO
Vasospasmo cerebral post-operatório é um fator extremamente importante como causa de insucessos cirúrgicos após abordagem direta de aneurismas intracranianos rotos. Contínua monitorização da pressão intracraniana como também a determinação da complascência intracraniana parecem ser de particular ajuda nessas circunstâncias. Valores de complascência intracraniana elevados sugerem que mesmo pequenos aumentos do volume intracraniano podem ser causa de rápido aumento da pressão intracraniana e ocasionar deterioração do quadro neurológico.
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Address reprints request to: Dr. Hildo R. C. Azevedo Filho - Rua Padre Roma 375, apto. 202 - Parnamirim - 50000 Recife, PE - Brazil.
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Publication Dates
-
Publication in this collection
21 Aug 2012 -
Date of issue
Sept 1979
