Intracranial Pressure and Neuromonitoring in Brain Injury: Proceedings of the Tenth International ICP Symposium, Williamsburg, Virginia, May 25–29, 1997

Front Matter....Pages I-XVI
Cerebral Hemodynamic Changes during Sustained Hypocapnia in Severe Head Injury: Can Hyperventilation Cause Cerebral Ischemia?....Pages 1-4
Use of Vasopressors to Raise Cerebral Perfusion Pressure in Head Injured Patients....Pages 5-9
Effects on Intracranial Pressure of Fentanyl in Severe Head Injured Patients....Pages 10-12
The Possible Role of CSF Hydrodynamic Parameters Following in Management of SAH Patients....Pages 13-15
Decompressive Craniectomy in Patients with Uncontrollable Intracranial Hypertension....Pages 16-18
A Comparison of the Effects of Norepinephrine, Epinephrine, and Dopamine on Cerebral Blood Flow and Oxygen Utilisation....Pages 19-21
Comparative Effects of Hypothermia, Barbiturate, and Osmotherapy for Cerebral Oxygen Metabolism, Intracranial Pressure, and Cerebral Perfusion Pressure in Patients with Severe Head Injury....Pages 22-26
Incidence of Intracranial Hypertension after Severe Head Injury: A Prospective Study Using the Traumatic Coma Data Bank Classification....Pages 27-30
Treatment of Elevated Intracranial Pressure by Infusions of 10% Saline in Severely Head Injured Patients....Pages 31-33
Pharmacokinetics of Serum Glycerol and Changes of ICP: Comparison of Gastric and Duodenal Administration....Pages 34-36
External Lumbar Drainage in Uncontrollable Intracranial Pressure in Adults with Severe Head Injury: A Report of 7 Cases....Pages 37-39
ICP-CBF Trauma Bolt, Laboratory Evaluation....Pages 40-41
Bilateral ICP Monitoring: Its Importance in Detecting the Severity of Secondary Insults....Pages 42-43
Clinical Evaluation of the Codman Microsensor Intracranial Pressure Monitoring System....Pages 44-46
Cerebral Monitoring Devices: Analysis of Complications....Pages 47-49
Comparison of Percutaneous Ventriculostomies and Intraparenchymal Monitor: A Retrospective Evaluation of 156 Patients....Pages 50-52
Anterior Fontanelle Pressure Recording with the Rotterdam Transducer: Variation of Normal Parameters with Age....Pages 53-55
Interhemispheric Pressure Gradients in Severe Head Trauma in Humans....Pages 56-58
An Avoidable Methodological Failure in Intracranial Pressure Monitoring Using Fiberoptic or Solid State Devices....Pages 59-61
Influence of Hyperventilation on Brain Tissue-PO 2 , PCO 2 , and pH in Patients with Intracranial Hypertension....Pages 62-65
Noninvasive Measurement of Pulsatile Intracranial Pressure Using Ultrasound....Pages 66-69
Non-Invasive Measurement of Intracranial Pressure in Neonates and Infants: Experience with the Rotterdam Teletransducer....Pages 70-73
Continuous Monitoring of Cerebrovascular Pressure-Reactivity in Head Injury....Pages 74-77
Real-Time Multiparametric Monitoring of the Injured Human Cerebral Cortex — a New Approach....Pages 78-81
Continuous Intracranial Multimodality Monitoring Comparing Local Cerebral Blood Flow, Cerebral Perfusion Pressure, and Microvascular Resistance....Pages 82-84
Significance of Multimodal Cerebral Monitoring under Moderate Therapeutic Hypothermia for Severe Head Injury....Pages 85-87
Brain-Stem Auditory Evoked Potential Monitoring in Experimental Diffuse Brain Injury....Pages 88-90
Complications and Safety Associated with ICP Monitoring: A Study of 542 Patients....Pages 91-93
Morphological and Hemodynamic Evaluations by Means of Transcranial Power Doppler Imaging in Patients with Severe Head Injury....Pages 94-100
The Effect of Experimental Spinal Cord Edema on the Spinal Evoked Potential....Pages 101-103
Blood Brain Barrier Permeability and Acute Inflammation in Two Models of Traumatic Brain Injury in the Immature Rat: A Preliminary Report....Pages 104-106
Prospective Analysis of Patient Management in Severe Head Injury....Pages 107-110
Effects of Cerebral Perfusion Pressure on Brain Tissue PO 2 in Patients with Severe Head Injury....Pages 111-113
Neuroprotective Properties of Aptiganel HCL (Cerestat © ) following Controlled Cortical Impact Injury....Pages 114-116
Relationship of Neuron Specific Enolase and Protein S-100 Concentrations in Systemic and Jugular Venous Serum to Injury Severity and Outcome after Traumatic Brain Injury....Pages 117-119
Antioxidant, OPC-14117, Attenuates Edema Formation, and Subsequent Tissue Damage Following Cortical Contusion in Rats....Pages 120-122
Failure of Cerebral Autoregulation in an Experimental Diffuse Brain Injury Model....Pages 123-126
Early Cerebral Blood Volume after Severe Traumatic Brain Injury in Patients with early Cerebral Ischemia....Pages 127-130
Moderate Hypothermia and Brain Temperature in Patients with Severe Middle Cerebral Artery Infarction....Pages 131-134
Traumatic Brain Injury in the Developing Rat Pup: Studies of ICP, PVI and Neurological Response....Pages 135-137
Efficiency of the Glasgow Outcome Scale (GOS)-Score for the Long-Term Follow-Up after Severe Brain Injuries....Pages 138-141
Effects of Lecithinized SOD on Sequential Change in SOD Activity after Cerebral Contusion in Rats....Pages 142-145
CSF Antibiotic Prophylaxis for Neurosurgical Patients with Ventriculostomy: a Randomised Study....Pages 146-148
The Effect of Human Corticotrophin Releasing Factor on the Formation of Post-Traumatic Cerebral Edema....Pages 149-152
Monitoring of Brain Tissue PO 2 in Traumatic Brain Injury: Effect of Cerebral Hypoxia on Outcome....Pages 153-156
Bilateral Monitoring of CBF and Tissue Oxygen Pressure in the Penumbra of a Focal Mass Lesion in Rats....Pages 157-161
High Cerebral Perfusion Pressure Improves Low Values of Local Brain Tissue O 2 Tension (PtiO 2 ) in Focal Lesions....Pages 162-165
Determination of the Ischemic Threshold for Brain Oxygen Tension....Pages 166-169
Brain Ischemia Detected by Tissue-PO 2 Measurement and the Lactate-Oxygen Index in Head Injury....Pages 170-171
Bifrontal Measurements of Brain Tissue-PO 2 in Comatose Patients....Pages 172-173
Determining Cerebral Perfusion Pressure Thresholds in Severe Head Trauma....Pages 174-176
Effects of Injury and Therapy on Brain Parenchyma pO 2 , pCO 2 , pH and ICP following Severe Closed Head Injury....Pages 177-182
Simultaneous Continuous Measurement of pO 2 , pCO 2 , pH and Temperature in Brain Tissue and Sagittal Sinus in a Porcine Model....Pages 183-185
Cerebral Oxygenation in Contusioned vs. Nonlesioned Brain Tissue: Moniting of PtiO 2 with Licox and Paratrend....Pages 186-189
Monitoring Brain Oxygen Tension in Severe Head Injury: The Rotterdam Experience....Pages 190-194
Expression of Immediate Early Gene c-fos in Rat Brain Following Increased Intracranial Pressure....Pages 195-199
Leukocyte Adhesion Molecule Profiles and Outcome after Traumatic Brain Injury....Pages 200-202
Relevance of Calcium Homeostasis in Glial Cell Swelling from Acidosis....Pages 203-205
Cerebral Accumulation of β-Amyloid Following Ischemic Brain Injury with Long-Term Survival....Pages 206-208
Diffuse Neuronal Perikaryon Amyloid Precursor Protein Immunoreactivity in a Focal Head Impact Model....Pages 209-211
Blood-Brain Barrier Permeability, Neutrophil Accumulation and Vascular Adhesion Molecule Expression after Controlled Cortical Impact in Rats: A Preliminary Study....Pages 212-214
Intracranial Pressure, Cerebral Perfusion Pressure, and SPECT in the Management of Patients with SAH Hunt and Hess Grades I–II....Pages 215-218
Hyperglycemia Induces Progressive Changes in the Cerebral Microvasculature and Blood-brain Barrier Transport During Focal Cerebral Ischemia....Pages 219-221
Effects of Mild and Moderate Hypothermia on Cerebral Metabolism and Glutamate in an Experimental Head Injury....Pages 222-224
Effects of Systemic Hypothermia and Selective Brain Cooling on Ischemic Brain Damage and Swelling....Pages 225-228
Increase in Transcranial Doppler Pulsatility Index Does Not Indicate the Lower Limit of Cerebral Autoregulation....Pages 229-232
Evaluation of Cerebrovascular CO 2 -Reactivity and Autoregulation in Patients with Post-Traumatic Diffuse Brain Swelling (Diffuse Injury III)....Pages 233-236
Cortical Extracellular Sodium Transients after Human Head Injury: An Indicator of Secondary Brain Damage?....Pages 237-240
Intraoperative Microdialysis and Tissue-pO 2 Measurement in Human Glioma....Pages 241-243
Relationship between Excitatory Amino Acid Release and Outcome after Severe Human Head Injury....Pages 244-246
Selective Hippocampal Damage to Hypoxia after Mild Closed Head Injury in the Rat....Pages 247-249
The Use of Near Infrared Spectroscopy (NIRS) in Children after Traumatic Brain Injury: A Preliminary Report....Pages 250-254
Preliminary Evaluation of a Prototype Spatially Resolved Spectrometer....Pages 255-257
NIRS: Dose Dependency of Local Changes of Cerebral HbO 2 and Hb with pCO 2 in Parietal Cortex....Pages 258-259
Multimodal Hemodynamic Neuromonitoring — Quality and Consequences for Therapy of Severely Head Injured Patients....Pages 260-262
Assessment of Cerebrovascular Reactivity in Patients with Carotid Artery Disease Using Near-Infrared Spectroscopy....Pages 263-265
The Relationship of Pulsatile Cerebrospinal Fluid Flow to Cerebral Blood Flow and Intracranial Pressure: A New Theoretical Model....Pages 266-268
Indices for Decreased Cerebral Blood Flow Control — A Modelling Study....Pages 269-271
Pathogenesis of Traumatic Brain Swelling: Role of Cerebral Blood Volume....Pages 272-275
Subdural Monitoring of ICP during Craniotomy: Thresholds of Cerebral Swelling/Herniation....Pages 276-278
ICP during Anaesthesia with Sevoflurane: A Dose-Response Study. Effect of Hypocapnia....Pages 279-281
Radiation-Induced Blood-Brain Barrier Changes: Pathophysiological Mechanisms and Clinical Implications....Pages 282-284
Correlation Coefficient between Intracranial and Arterial Pressures: A Gauge of Cerebral Vascular Dilation....Pages 285-288
Pathogenesis of the Mass Effect of Cerebral Contusions: Rapid Increase in Osmolality within the Contusion Necrosis....Pages 289-292
Control of ICP and the Cerebrovascular Bed by the Cholinergic Basal Forebrain....Pages 293-296
The Relationship of Vasogenic Waves to ICP and Cerebral Perfusion Pressure in Head Injured Patients....Pages 297-299
CSF Dynamics in a Rodent Model of Closed Head Injury....Pages 300-302
Magnetic Resonance Imaging Studies with Cluster Algorithm for Characterization of Brain Edema after Controlled Cortical Impact Injury (CCII)....Pages 303-305
Estimation of the Main Factors Affecting ICP Dynamics by Mathematical Analysis of PVI Tests....Pages 306-309
Brain Tissue Pressure Gradients are Dependent upon a Normal Spinal Subarachnoid Space....Pages 310-312
Resolution of Experimental Vasogenic Brain Edema at Different Intracranial Pressures....Pages 313-315
Jugular Saturation (SjvO 2 ) Monitoring in Subarachnoid Hemorrhage (SAH)....Pages 316-319
Complications of Internal Jugular Vein Retrograde Catheterization....Pages 320-323
Jugular Bulb Monitoring of Cerebral Oxygen Metabolism in Severe Head Injury: Accuracy of Unilateral Measurements....Pages 324-327
Comparison of P csf Monitoring and Controlled CSF Drainage Diagnose Normal Pressure Hydrocephalus....Pages 328-330
Does CSF Outflow Resistance Predict the Response to Shunting in Patients with Normal Pressure Hydrocephalus?....Pages 331-333
Hydrodynamic Properties of Hydrocephalus Shunts....Pages 334-339
Cine Phase-Contrast MR Imaging in Normal Pressure Hydrocephalus Patients: Relation to Surgical Outcome....Pages 340-342
Cine MR CSF Flow Study in Hydrocephalus: What are the Valuable Parameters?....Pages 343-346
Cerebral Blood Flow in Chronic Hydrocephalus A Parameter Indicating Shunt Failure — New Aspects....Pages 347-349
Quantitative Analysis of CSF Flow Dynamics using MRI in Normal Pressure Hydrocephalus....Pages 350-353
Magnetic Resonance Imaging, Unstable Intracranial Pressure and Clinical Outcome in Patients with Normal Pressure Hydrocephalus....Pages 354-356
Clinical Significance of Ventricular Size in Shunted-Hydrocephalic Children....Pages 357-359
Dual-Switch Valve: Clinical Performance of a New Hydrocephalus Valve....Pages 360-363
CSF Dynamics in a Patient with a Programmable Shunt....Pages 364-367
Evaluation of Shunt Function in Patients Who are Never Better, or Better than Worse after Shunt Surgery for NPH....Pages 368-370
Differential Diagnosis of NPH and Brain Atrophy Assessed by Measurement of Intracranial and Ventricular CSF Volume with 3D FASE MRI....Pages 371-374
Back Matter....Pages 375-432