Skip to main content
SpringerLink
Log in

Monitoring and Treatment of Acute Head Injury

  • Chapter
The Integrated Approach to Trauma Care

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 22))

Abstract

Head injury is still one of the leading causes of mortality and disability in young persons. After a period of dissatisfaction and frustration in treating these patients, the past few years have brought new insights in the pathophysiology of head trauma. These developments have provided new impulses for monitoring and treatment modalities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Graham DJ, Adams JH, Genarelli TA (1988) Mechanisms of non penetrating head injury. Prog Clin Biol Res 264:159–68

    PubMed  CAS  Google Scholar 

  2. Ommaya AK, Genarelli TA (1974) Cerebral concussion and traumatic unconsciousness. Brain 97:633–54

    Article  PubMed  CAS  Google Scholar 

  3. Marshall LF, Gautille T, Klauber MR et al (1991) The outcome of severe closed head injury. J Neurosurg 75:28–36

    Google Scholar 

  4. Genarelli TA (1993) Mechanisms of brain injury. J Emerg Med 11:5–11

    Google Scholar 

  5. Graham DI, Adams JH et al (1971) Ischaemic brain damage in fatal head injuries. Lancet 1:265–266

    Article  PubMed  CAS  Google Scholar 

  6. Graham DI, Ford I, Adams JH et al (1989) Ischaemic brain damage is still common in fatal nonmissile head injury. J Neurol Neurosurg Psychiatry 52:346–350

    Article  PubMed  CAS  Google Scholar 

  7. Sullivan MGO, Statham PF, Jones PA et al (1994) Role of intracranial pressure monitoring in severely head-injured patients without signs of intracranial hypertension on initial computerized tomography. J Neurosurg 80:46–50

    Article  Google Scholar 

  8. Miller JD, Piper IR, Dearden NM (1993) Management of intracranial hypertension in head injury. Acta Neurochir (Wien) 57:152–159

    CAS  Google Scholar 

  9. Jenett B, Teasdale G (1991) The management of head injuries, 2nd edn. Saunders, Philadelphia

    Google Scholar 

  10. Wahl M, Schilling L, Underberg A, Baethmann A (1993) Mediators of vascular and parenchymal mechanisms in secondary brain damage. Acta Neurochir (Wien) 57:64–72

    CAS  Google Scholar 

  11. Bullock R, Fujisawa H (1992) The role of glutamate antagonists for the treatment of CNS injury. J Neurotrauma 9:443–462

    Google Scholar 

  12. Feldman Z, Narayan RJ, Robertson CS (1992) Secondary insults associated with severe closed head injury. Contemp Neurosurg 14:1–8

    Google Scholar 

  13. Clifton GL, Robertson CS, Grossmann RG et al (1984) The metabolic response to severe head injury. J Neurosurg 60:687–696

    Article  PubMed  CAS  Google Scholar 

  14. Mc Leod AA, Neil-Dwyer G, Meyer CHA et al (1992) Cardiac sequelae of acute head injury. Br Heart J 47:221–226

    Article  Google Scholar 

  15. Takashima S, Koga M, Tanaka K (1969) Fibrinolytic activity of human brain and cerebrospinal fluid. Br J Exp Pathol 50:533–539

    PubMed  CAS  Google Scholar 

  16. Beisel WR (1987) Humoral mediators of cellular response and altered metabolism. In: Siegel JH (ed) Trauma emergency surgery and critical care. Churchill Livingstone, New York, pp57–78

    Google Scholar 

  17. Sheinberg M, Kanter MJ, Robertson CS et al (1992) Continuous monitoring of jugular venous oxygen saturation in head-injured patients. J Neurosurg 76:212–217

    Article  PubMed  CAS  Google Scholar 

  18. Robertson CS, Grossmann RG, Goodmann JC, Narayan RK (1987) The predictive value of cerebral anaerobic metabolism with cerebral infarction after head injury. J Neurosurg 67:361–368

    Article  PubMed  CAS  Google Scholar 

  19. Stocker R, Mangold K, Kohn D et al (1993) Bulbusoxymetrie und arterio-venöse Lactatdifferenz: Spiel- oder Werkzeug in der Behandlung des akuten Schädel-Hirn-Traumas? (Abstract). Schweiz Med Wochenschr 123:6

    Google Scholar 

  20. Imhof HG, Gütling E, Rüttner B et al (1993) Prognostische Bedeutung der früh abgeleiteten somatosensorischen evozierten Potentiale bei neurologisch nicht beurteilbaren Patienten nach Schädel-Hirn-Trauma. Aktuel Traumatol 23:7–13

    PubMed  CAS  Google Scholar 

  21. Imhof HG, Wacker J, Käch K, Platz A, Trentz O (1993) Computertomographische Verlaufskontrollen in der Akutphase nach Schädel-Hirn-Traumen. Helv Chir Acta 60:195–200

    PubMed  CAS  Google Scholar 

  22. Kossmann T, Morganti-Kossmann MC, Hans V et al (1994) Acute phase responses in isolated human traumatic brain injury are triggered by intracerebral IL-6. (Abstract). Seventeenth Annual Conference on Shock, Big Sky, Montana, June 5–8

    Google Scholar 

  23. Kossmann T, Morganti Kossmann MC, Hans V et al (1994) Intracerebral IL-6 levels after isolated human brain injury correlate to the clinical outcome (abstract). 7th European congress on intensive care medicine, Insbruck, June 14–17

    Google Scholar 

  24. Morganti-Kossmann MC, Kossmann T, Imhof HG, Stocker R, Trentz O (1993) Interleukin-6: a possible regulator of astrocyte function after brain injury (abstract). XXXVIII congress of the European Society for Surgical Research (ESSR), Turku, Finland, 23–26 May

    Google Scholar 

  25. Jaskulka R, Weinstabl C, Schedl R (1993) The course of intracranial pressure during respirator weaning after severe craniocerebral trauma. Unfallchirurg 96:138–141

    PubMed  CAS  Google Scholar 

  26. Williams G, Roberts PA, Smith S et al (1991) The effect of apnea on brain compliance and intracranial pressure. Neurosurgery 29:242–246

    Article  PubMed  CAS  Google Scholar 

  27. Marmarou A, Shulman K, LaMorgese J (1975) Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid system. J Neurosurg 43:523–534

    Article  PubMed  CAS  Google Scholar 

  28. Marmarou A, Shulman K, Rosende RM (1978) A nonlinear analysis of the cerebrospinal fluid system and intracranial pressure dynamics. J Neurosurg 48:332–344

    Article  CAS  Google Scholar 

  29. Bouma GJ, Muizelaar JP, Bandoh K, Marmarou A (1992) Blood pressure and intracranial pressure-volume dynamics in severe head injury: relationship with cerebral blood flow. J Neurosurg 77:15–19

    Article  PubMed  CAS  Google Scholar 

  30. Marmarou A, Maset AL, Ward JD et al (1987) Contribution of CSF and vascular factors to elevation of ICP in severely head-injured patients. J Neurosurg 66:883–890

    Article  PubMed  CAS  Google Scholar 

  31. Shapiro K, Marmarou A (1982) Clinical applications of the pressure-volume index in treatment of pediatric head injuries. J Neurosurg 56:819–825

    Article  PubMed  CAS  Google Scholar 

  32. Wachi A, Sato K, Inao S, Maset AL, Marmarou A (1990) PVI in analyzing pressure volume relationship effect of a bolus mannitol administration. No To Shinkei 42:661–667

    PubMed  CAS  Google Scholar 

  33. Maset AL, Marmarou A, Ward JD et al (1987) Pressure-volume index in head injury. J Neurosurg 67:832–840

    Article  PubMed  CAS  Google Scholar 

  34. Muizelaar JP, Ward JD, Marmarou A, Newlon PG, Wachi A (1989) Cerebral blood flow and metabolism in severely head-injured children. II. Autoregulation. J Neurosurg 71:72–76

    Article  PubMed  CAS  Google Scholar 

  35. Stocchetti N, Mattioli C, Mainini P, Furlan A, Paparella A, Zuccoli P (1993) Clinical use of cerebral elastance and intracranial dynamics measurements. Minerva Anestesiol 59:1–9

    PubMed  CAS  Google Scholar 

  36. Tans JT, Poortvliet DC (1983) Intracranial volume-pressure relationship in man. II. Clinical significance of the pressure-volume index. J Neurosurg 59:810–816

    Article  PubMed  CAS  Google Scholar 

  37. Christensen L, Borgesen SE (1989) Single pulse pressure wave analysis by fast fourier transformation. Neurol Res 11:197–200

    PubMed  CAS  Google Scholar 

  38. Bernays RL, Bischoff T, Stocker R, Imhof HG (1994) PVI-timed wake up in head injured patients. Intracranial pressure IX. Springer, Berlin Heidelberg New York, pp 160–163

    Google Scholar 

  39. Bouma GJ, Muizelaar P, Choi SC, Newlon PG, Young HF (1991) Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg 75:685–693

    Article  PubMed  CAS  Google Scholar 

  40. Muizelaar JP, Wei EP, Kontos HA, Becker DP (1983) Mannitol causes compensatory cerebral vasoconstriction and vasodilation in response to blood viscosity changes. J Neurosurg 59:822–828

    Article  PubMed  CAS  Google Scholar 

  41. Shiozaki T, Sugimoto H, Taneda M et al (1993) Effect of mild hypothermia on uncontrollable intracranial hypertension after severe head injury. J Neurosurg 79:363–368

    Article  PubMed  CAS  Google Scholar 

  42. Marion DW, Obrist WD, Carlier PM, Penrod LE, Darby JM (1993) The use of moderate therapeutic hypothermia for patients with severe head injuries: a preliminary report. J Neurosurg 79:354–362

    Article  PubMed  CAS  Google Scholar 

  43. Eisenberg HM, Frankowsky RF, Contant CF, Marshall LF, Walker MD (1988) High-dose barbiturate control of elevated intracranial pressure in patients with severe head injury. J Neurosurg 69:15–23

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. R. Stocker
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Bernays
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Kossmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. G. Imhof
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospital, University of Nijmegen, Geert Grooteplein 14, NL-6500 HB, Nijmegen, The Netherlands

    Rene Jan Albert Goris

  2. Department of Surgery, University Hospital, University of Zürich, Rämistrasse 100, CH-8091, Zürich, Switzerland

    Otmar Trentz

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Stocker, R., Bernays, R., Kossmann, T., Imhof, H.G. (1995). Monitoring and Treatment of Acute Head Injury. In: Goris, R.J.A., Trentz, O. (eds) The Integrated Approach to Trauma Care. Update in Intensive Care and Emergency Medicine, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79272-4_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-79272-4_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79274-8

  • Online ISBN: 978-3-642-79272-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation