Abstract
Sixty-two patients with a spontaneous supratentorial haemorrhage had continuous Intracranial Pressure (ICP) and Cerebral Perfusion Pressure (CPP) monitoring. In addition to the recordings of physiological data their past medical history, presenting neurological state, Computed Tomograph (CT) findings, daily Glasgow Coma Score (GCS) and outcome were noted. The mean age was 57.6 years (sd 13.3). Onset of recording, after ictus was at a mean of 32.6 hours (sd 26.0). Average length of recording was 62.0 hours (sd 39.8). Thirty-one patients had evacuation of haematoma, 6 insertion of External Ventricular Drain (EVD).
Preoperative measures of ICP were significantly related to delayed neurological deterioration, death within three days and Glasgow Outcome Scale (GOS) at neurosurgical discharge. No such relationships existed with preoperative measures of CPP and neither ICP nor CPP was related to outcome at 6 months.
Post-operative measures of both ICP and CPP demonstrated a significant relationship with death within three days of ictus and GOS at neurosurgical discharge. Again no relationship existed with these parameters and outcome at six months.
Surgical evacuation of haematoma acted to significantly reduce ICP and improve CPP. Given that these factors seem to be related to deterioration, death and early outcome, it would seem that surgery could play a role in reducing mortality and improving outcome following Intra cerebral Haemonhage (ICH).
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References
Miller J, Becker DP, Ward JD, Sullivan HG, Adams WE, Rosner MJ (1977) Significance of intracranial hypertension in severe head injury. J Neurosurgery 47: 503–516
Janny P, Papo I, Chazal J, Colnet G, Barretto LC (1982) Intracranial hypertension and prognosis of spontaneous intracerebral haematomas. A correlative study of 60 patients. Acta Neurochir (Wien) 61 (1–3): 181–186
Rosner M, S Daughton (1990) Cerebral perfusion pressure. J Trauma 30: 933–941
Robertson CS et al (1998) Prevention of secondary ischaemic insults after severe head injury. J Neurosurg
Duff TA, Ayeni S, Levin AB, Javid M (1981) Nonsurgical management of spontaneous intracerebral haemorrhage. Neurosurgery 9: 387–393
Ropper AH, RB King (1984) Intracranial pressure monitoring in comatose patients with cerebral haemorrhage. Arch Neurol 41: 725–728
Papo I, Janny P, Caruselli G, Coluet G, Luongo A (1979) Intracranial pressure time course in primary intracerebral haemorrhage. Neurosurgery 4: 504–511
Hankey GJ, Hon C (1997) Surgery for primary intracerebral hemorrhage. Stroke 28: 2126–2132
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© 2000 Springer-Verlag Wien
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Fernandes, H.M. et al. (2000). Continuous Monitoring of ICP and CPP Following ICH and its Relationship to Clinical, Radiological and Surgical Parameters. In: Mendelow, A.D., et al. Brain Edema XI. Acta Neurochirurgica Supplements, vol 76. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6346-7_96
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DOI: https://doi.org/10.1007/978-3-7091-6346-7_96
Publisher Name: Springer, Vienna
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