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Relation of false localizing signs and remote hyperaemia in patients with intracranial mass lesions

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Summary

Seventeen patients with intracranial mass lesions underwent rCBF measurements with the xenon-133 carotid injection technique. In 11 patients remote areas of hyperaemia were found. There was a relation between location of the remote hyperaemia and the site of the mass lesion. In 10 of 11 patients with remote hyperaemia autoregulation was focally lost, and in 5 of 7 patients there was focal impairment of arterial pCO2-reactivity. In 8 of 11 patients with remote hyperaemia false localizing signs were found, related to the hyperaemic areas. It is suggested that the remote hyperaemic areas may be the result of brain bulk shifting due to the mass lesion and represent the initial stage of brain herniation.

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References

  • Beks, J. W. F., Effects of increased supratentorial pressure in cats. J. Neurol. Neurosurg. Psychiat.37 (1974), 627–630.

    Google Scholar 

  • Brock, M., Experimental “luxury perfusion” in the cerebral cortex of the cat. Prog. Brain Res.30 (1968), 125.

    Google Scholar 

  • Endo, H., Larsen, B., Lassen, N. A., Regional cerebral blood flow alterations from the site of intracranial tumors. J. Neurosurg.46 (1977), 271–281.

    PubMed  Google Scholar 

  • Gelmers, H. J., Regional cerebral blood flow. Thesis, van Gorcum, Assen, 1978.

    Google Scholar 

  • —, Measurement of regional cerebral blood flow. Neurosurg. Rev.2 (1979), 133–141.

    Google Scholar 

  • Hoedt-Rasmussen, K., Sveinsdottir, E., Lassen, N. A., Regional cerebral blood flow in man determined by intra-arterial injection of radioactive inert gas. Circ. Res.3 (1966), 237–247.

    Google Scholar 

  • Langfitt, T. W., Weinstein, J. D., Kassell, N. F., Simeone, F. A., Transmission of increased intracranial pressure I. J. Neurosurg.21 (1964), 989–997.

    PubMed  Google Scholar 

  • Olesen, J., The effect of intracarotid epinephrine, norepinephrine and angiotensine on the regional cerebral blood flow in man. Neurology22 (1972), 978–987.

    PubMed  Google Scholar 

  • —, Paulson, O. B., Lassen, N. A., Regional cerebral blood flow in man determined by the initial slope of the clearance of intra-arterially injected133Xe. Stroke2 (1971), 519–539.

    PubMed  Google Scholar 

  • Palvölgyi, R., Regional cerebral blood flow in patients with intracranial tumors. J. Neurosurg.31 (1969), 149–163.

    PubMed  Google Scholar 

  • Pia, H. W., Die Schädigung des Hirnstammes bei den raumfordernden Prozessen des Gehirns. Acta neurochir. (Wien) Suppl. 4 (1957).

  • Roland, P. E., Larsen, B., Focal increase of cerebral blood flow during stereognostic testing in man. Arch. Neurol.33 (1976), 551–558.

    PubMed  Google Scholar 

  • Schneider, R. C., Remote cerebral hemisphere symptoms from surgically treated patients with posterior fossa brain tumors. Clin. Neurosurg.25 (1978), 57–95.

    PubMed  Google Scholar 

  • Seeger, W., Atemstörungen bei intrakraniellen Massenverschiebungen. Acta neurochir. (Wien) Suppl. 17 (1968).

  • Sveinsdottir, E., Larsen, B., Rommer, P., Lassen, N. A., A multidetector scintillation camera with 254 channels. J. Nucl. Med.18 (1977), 168–174.

    PubMed  Google Scholar 

  • Zülch, K. J., Über die Entstehung und Lokalisation der Hirninfarkte. Zbl. Neurochir.21 (1961), 158–178.

    Google Scholar 

  • - Mennel, H. D., Zimmerman, V., Intracranial hypertension. In: Handbook of Clinical Neurology, Vol.16 (Vinken, P. J., Bruyn, G. W., eds.), pp. 89–149.

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Author notes

  1. H. J. Gelmers M.D., Ph. D

    Present address: Department of Neurosurgery, Academisch Ziekenhuis, 59, Oostersingel, Groningen, The Netherlands

Authors and Affiliations

  1. Department of Neurosurgery, University Hospital, Groningen, The Netherlands

    H. J. Gelmers M.D., Ph. D & J. W. F. Beks

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  1. H. J. Gelmers M.D., Ph. D
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  2. J. W. F. Beks
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Gelmers, H.J., Beks, J.W.F. Relation of false localizing signs and remote hyperaemia in patients with intracranial mass lesions. Acta neurochir 60, 81–89 (1982). https://doi.org/10.1007/BF01401753

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  • DOI: https://doi.org/10.1007/BF01401753

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