Summary
Intraventricular pressure was recorded in 60 patients with intracerebral haemorrhage, and correlated with their clinical conditions and prognosis. The results show that an elevated intraventricular pressure is statistically linked with the most serious situations, and with the most severe prognosis.
However, two thirds of the deceased patients had died with an almost normal pressure, suggesting that intracranial hypertension is not always the immediate cause of death, but only an aggravating factor.
From these results, it is proposed that intracranial pressure should be monitored only in stuporous or comatose patients, and always compared with CT scan images, which give better information regarding the harmful effect of midline structure displacement.
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Arana-Iniguez, R., Wilson, E., Basforrica, E., Medici, M., Cerebral hematomas. Surg. Neurol.5 (1976), 45–52.
Brock, M., Personnal communication (1975)—see also: Brock, M., Furuse, M., Weber, R., Dietz, H., Changes in intracranial blood flow distribution following circumscribed hemispheric lesions as studied by the “single dye passage” technique. In: J. Cervos-Navarro, Pathology of cerebral microcirculation, pp. 342–353. Berlin-New York: Walter de Gruyter. 1974.
Cuatico, W., Adib, S., Gaston, Ph., Spontaneous intracerebral hematomas. J. Neurosurg.22 (1965), 569–575.
David, M., Nouvelle contribution à l'étude clinique et thérapeutique des hématomes intracérébraux spontanés. Presse Méd. 27 (1945), 371–372.
Guillaume, J., Ribadeau-Dumas, Ch., Rogé, R., Mazars, G., Hémorragie cérébrale aiguë guérie chirurgicalement. Rev. Neurol.78 (1946), 30–32.
Janny, P., Colnet, G., Georget, A. M., Chazal, J., Intracranial pressure with intracerebral hemorrhages. Surg. Neurol.10 (1978), 371–375.
Lazorthes, G., Surgery of cerebral hemorrhage, report on the results of 52 surgically treated cases. J. Neurosurg.16, 4 (1959), 355–364.
Luessenhop, A. J., Shevlin, W. A., Ferrero, A. A., McCullough, D. C., Barone, B. M., Surgical management of primary intracerebral hemorrhage. J. Neuro-surg. 27 (1967), 419–427.
Mitsuno, T., Kanaya, H., Shirakata, S., Ohsawa, K., Ishikawa, Y., Surgical treatment of hypertensive intracerebral hemorrhage. J. Neurosurg.24 (1966), 70–76.
Paillas, J., Serratrice, G., Problèmes et solutions actuels dans le diagnostic et le traitement des hémorragies cérébrales spontanées. La Sem. des Hôp.20 (1962), 1203–1210.
Paillas, J. E., Alliez, B., Surgical treatment of spontaneous intracerebral hemorrhage. J. Neurosurg.39 (1973), 145–151.
Papo, I., Janny, P., Caruselli, G., Colnet, G., Luongo, A., Intracranial pressure time course in primary intracerebral hemorrhage. Neurosurgery4 (1979), 504–511.
Pecker, J., L'hématome intracerebral spontané. Presse Méd.68 (1960), 367–370.
Ransohoff, J., Derby, B., Kricheff, I., Spontaneous intracerebral hemorrhage. Clin. Neurosurg.18 (1970), 247–266.
Tedeschi, G., Bernini, F. P., Cerillo, A., Indication for surgical treatment of intracerebral hemorrhage. J. Neurosurg.43 (1975), 590–595.
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Janny, P., Papo, I., Chazal, J. et al. Intracranial hypertension and prognosis in spontaneous intracerebral haematomas. Acta neurochir 61, 181–186 (1982). https://doi.org/10.1007/BF01740083
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DOI: https://doi.org/10.1007/BF01740083