Intracranial Pressure V pp 501-507 | Cite as
Intracranial Pressure, Primary/Secondary Brain Stem Injury and Prognosis in Cerebral Trauma
Abstract
Deep coma after trauma is usually regarded as a sign of intracranial hypertension with brain stem compression (“secondary brain stem injury”, Gerstenbrand 1967, Unterharn-scheid 1972, Plum and Posner 1972). A primary brain stem damage after trauma is thought to be rare and is associated with a bad prognosis. However, the routine use of CT scan in all patients with head injuries leaves room for doubt, as we often found even “classical” midbrain syndromes without any morphological sign of brain stem compression (Gaab et al. 1982, Lanksch et al. 1979). We therefore investigated the ICP, the clinical course, morphology and prognosis in patients with severe head injuries, in a prospective study.
Keywords
Brain Stem Intracranial Hypertension Severe Head Injury Deep Coma Diffuse Brain InjuryPreview
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