Skip to main content

The Relationship Between Cerebral Perfusion Pressure and Auditory Nerve Brain Stem Evoked Response — Diagnostic and Prognostic Implications

  • Conference paper
Intracranial Pressure V

Abstract

Cerebral perfusion pressure (CPP), defined as the difference between mean arterial blood pressure (MABP) and intracranial pressure (ICP), determines cerebral blood flow (CBF). In the intact brain, coupling between metabolic demand and substrate supply ensures adequate CBF over a wide range of CPP. Within the range of autoregulation, changes in cerebral vascular resistance (CVR) enable adequate CBF in spite of falling CPP. The minimal adequate CPP in adults has been reported to be 40 mm Hg (Miller et al. 1972) and 30 mm Hg in newborn infants (Raju et al. 1982).

We are endebted to Michael Gafni for her expert technical assistance in the cat experiments

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

Access this chapter

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 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

  • Amit Y, Goitein KJ, Fainmesser P, Sohmer H (1982) Diagnostic and prognostic value of auditory nerve brain stem evoked responses in comatose children. Crit Care Med (submitted for publication)

    Google Scholar 

  • Gotein KJ, Amit Y (1982) Percutaneous placement of subdural catheter for measurement of intracranial pressure in small children. Crit Care Med 10:46–48

    Article  Google Scholar 

  • Miller JD, Stanek A, Langfitt TW (1972) Concept of cerebral perfusion pressure and vascular compression during intracranial hypertension. Prog Brain Res 35:411–432

    Article  PubMed  CAS  Google Scholar 

  • Raju TNK, Doshi UV, Vidyasagar D (1982) Cerebral perfusion pressure studies in healthy preterm and term newborn infants. J Pediat 100:139–142

    Article  PubMed  CAS  Google Scholar 

  • Sohmer H, Gafni M, Fainmesser P, Goitein KJ, Chishin R, Deutsch E (1981) Resistance of the auditory nerve brain stem evoked response (ABR) to disturbances in homeostasis. Proceedings of the International Symposium on the ABR and Facial Reflexes, Ohatan, Japan pp 44–45

    Google Scholar 

  • Sohmer H, Gafni M, Chishin R (1982) Auditory nerve brain stem potentials in man and cat under hypoxia and hypercapnia conditions. Electroenceph Clin Neurophysiol (in press)

    Google Scholar 

  • Star A, Achor LJ (1975) Auditory brain stem evoked response in neurological disease. Arch Neurol 32:761–768

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer-Verlag Berlin · Heidelberg

About this paper

Cite this paper

Goitein, K.J., Fainmesser, P., Sohmer, H. (1983). The Relationship Between Cerebral Perfusion Pressure and Auditory Nerve Brain Stem Evoked Response — Diagnostic and Prognostic Implications. In: Ishii, S., Nagai, H., Brock, M. (eds) Intracranial Pressure V. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69204-8_79

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-69204-8_79

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69206-2

  • Online ISBN: 978-3-642-69204-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics