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Acta Neurochirurgica

, Volume 116, Issue 1, pp 60–61 | Cite as

Significant lateralisation of supratentorial ICP after blunt head trauma

  • Th. Mindermann
  • H. Reinhardt
  • O. Gratzl
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Summary

After blunt head trauma simultaneous left and right hemispheric intracranial pressure (ICP) monitoring revealed a pressure gradient of about 30 mmHg persisting until the 5th day after the accident equilibrating thereafter. ICP was elevated over the radiologically more compressed hemisphere. The supratentorial space seems to allow considerable interhemispheric pressure gradients. As a consequence epidural ICP monitoring should be performed over the hemisphere with signs of greater compression.

Keywords

Blunt head trauma ICP supratentorial pressure gradient 

References

  1. 1.
    Rosenwasser RH, Kleiner LI, Krzeminski JP, Buchheit WA (1989) Intracranial pressure monitoring in the posterior fossa: a preliminary report. J Neurosurg 71: 503–505Google Scholar
  2. 2.
    Symon L, Dorsch NWC (1975) The distribution of pressures within the intracranial cavity. In: Lundberg Net al (eds) Intracranial pressure II. Springer, Berlin Heidelberg New York, pp 203–208Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Th. Mindermann
    • 1
  • H. Reinhardt
    • 1
  • O. Gratzl
    • 1
  1. 1.Neurochirurgische Universitätsklinik Kantonsspital BaselSwitzerland

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