Document Detail

Interhemispheric pressure gradients in severe head trauma in humans.
MedLine Citation:
PMID:  9779144     Owner:  NLM     Status:  MEDLINE    
Interhemispheric pressure gradients may occur following severe head trauma in patients even in the absence of intracranial space occupying lesions. A higher ICP of the contralateral hemisphere may escape routine unilateral ICP monitoring. Clinical signs and CT scans do not seem to predict reliably a lateralized ICP. According to our data with a limited number of patients, interhemispheric pressure gradients seem to occur in the initial posttraumatic phase in some patients, and they seem to resolve following adequate ICP treatment after several hours. Therefore, simultaneous bilateral ICP measurement may be warranted in the initial posttraumatic phase.
T Mindermann; O Gratzl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  71     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  1998  
Date Detail:
Created Date:  1999-01-14     Completed Date:  1999-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  56-8     Citation Subset:  IM    
University Hospitals Basel, Switzerland.
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MeSH Terms
Brain Injuries / physiopathology*
Dominance, Cerebral / physiology*
Glasgow Coma Scale
Intracranial Hypertension / diagnosis*,  physiopathology
Intracranial Pressure / physiology*
Middle Aged
Sensitivity and Specificity
Tomography, X-Ray Computed

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