Can CT Scan Findings Predict Intracranial Pressure in Closed Head Injury Patients?

Long-term ICP recording was carried out in 151 acute head injury patients- 131 comatose patients admitted to ICU, and 20 non-comatose patients harbouring intracerebral mass lesions (lacerations or haematomas) in whom a decision to operate was doubtful. CSF withdrawal was used in 39 cases: by intermittent subtraction in 23 patients, and by continuous ventricular drainage (VD) in the remainder. In the acute stage, within 72 hours or injury, CSF subtraction proved of little use in influencing ICP or clinical time course. Conversely, at a latter stage, CSF withdrawal either by repeated intermittent subtraction or by continuous VD could very often control raised ICP. However, some patients had to undergo permanent shunting eventually. Elevated ICP was also safely controlled in four out of eight patients with intracerebral mass lesions and stationary symptoms. Such patients recovered quickly, and operation was avoided.

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“…However, to Auer et al ~ and Haar et al 7 there is no reliable correlation between ventricular size on CT scan and ICP values.…”

Section: Discussionmentioning

confidence: 86%

CSF withdrawal for the treatment of intracranial hypertension in acute head injuries

1981

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“…McCullough DC, Fox JL (1974) Negative intracranial pressure hydrocephalus in adults with shunts and its relationship to the production of subdural hematoma. In: Ishii S, Nagai H, Brock M (eds) Several studies have been published that attempted to determine if any correlations exist between elevated intracranial pressure (ICP) (Lobato et al 1979;Narayan et al 1982), as occurs in acute head trauma, and morphological changes in the brain, as determined by examining computed tomography scans (CTs) Fasol et al 1980;Haar et al 1980;Papo et al 1980). Neurol Surg (Tokyo) 8:811-817 Osaka K et al (1983) Experiences with a New Telemetric Pressure Meter.…”

Section: Resultsmentioning

confidence: 99%

Intracranial Pressure VII

Hoff¹,

Betz²

1989

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The Value of Intracranial Pressure (ICP) Measurement in Acute Severe Head Injury Showing Diffuse Cerebral Swelling

Kobayashi

Nakazawa

Yano

et al. 1983

Intracranial Pressure V

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Can CT Scan Findings Predict Intracranial Pressure in Closed Head Injury Patients?

Cited by 14 publications

References 4 publications

CSF withdrawal for the treatment of intracranial hypertension in acute head injuries

CSF withdrawal for the treatment of intracranial hypertension in acute head injuries

Intracranial Pressure VII

The Value of Intracranial Pressure (ICP) Measurement in Acute Severe Head Injury Showing Diffuse Cerebral Swelling

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