Surgical treatment of increased intracranial pressure

1926 ◽  
Vol 22 (3) ◽  
pp. 363
Author(s):  
I. Churaev
Keyword(s):  
Blood Pressure ◽  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Brain Tumors ◽  
Endocrine Glands ◽  
Cerebral Ventricles ◽  
Increased Intracranial Pressure ◽  
Normal Relationship

Disharmony in the growth of the bones of the skull and brain, which is a consequence of a violation of the correlation of the endocrine glands, brain tumors, vascular nodes on the walls of the cerebral ventricles, and finally, a violation of the normal relationship between the blood pressure of the cranial fluid - all this can serve as the cause of increased intracranial pressure.

Seizure Disorders

2016 ◽  
pp. 633-638
Author(s):  
Lily C. Wong-Kisiel
Keyword(s):  
Intracranial Pressure ◽  
Brain Tumors ◽  
Behavioral Changes ◽  
Increased Intracranial Pressure ◽  
Primary Brain Tumors ◽  
Seizure Disorders ◽  
Neurologic Deficits ◽  
New Onset

Brain tumors may manifest with focal progressive neurologic deficits, increased intracranial pressure (causing headache, vomiting, and papilledema), new-onset seizures, or progressive cognitive and behavioral changes. The most common primary brain tumors in adults are meningioma, astrocytoma, oligodendroglioma, and lymphoma.

scholarly journals Manajemen Anestesi untuk Seksio Sesarea pada Pasien Eklampsia dengan Perdarahan Intrakranial

2021 ◽  
Vol 10 (2) ◽  
pp. 119-126
Author(s):  
Chrismas Gideon Bangun ◽  
◽  
Sudadi Sudadi ◽  
Siti Chasnak Saleh ◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intracranial Pressure ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Intracranial Hemorrhage ◽  
Rapid Sequence Induction ◽  
Fetal Distress ◽  
Definitive Treatment ◽  
Increased Intracranial Pressure ◽  
Post Surgery

Intracranial haemorrhage in pregnancy is the leading cause of death in eclampsia patients. Hypertension, which is associated with both ischemic and hemorrhagic strokes, is the main feature. Definitive treatment is termination of pregnancy with cesarean section. However, it is not appropriate to start labor in an unstable mother, despite fetal distress. Once seizures can be controlled, severe hypertension is treated and hypoxia is corrected, labor may begin. The first anesthesia management goals are seizure control, blood pressure control, and prevention of increased intracranial pressure. General anesthesia is an option in the unconscious patient, or decreased consciousness with signs of increased intracranial pressure. Anesthesia is achieved with inhalation, opioids, relaxation and hyperventilation techniques carefully. In this case a 31-year-old mother, 55 kg, 36-37 weeks' gestation comes to the hospital with a decrease in consciousness and a history of seizures. Found sensorium E2M5V2, blood pressure 180/100mmHg and proteinuria 3+. Immediately, a cesarean section with general anesthesia and rapid sequence induction with fentanyl 50 mcg, propofol 100 mg and rocuronium 50 mg intravenously were performed. Post surgery the patient was treated in the ICU, head CT-Scan was performed and intracranial hemorrhage in the right temporoparietal was encountered. Management of intracranial hemorrhage was decided conservatively. The 3rd day postoperative the patient was extubated and on the 5th day the patient was transferred with E3M5V2 sensorium.

Headache in Intracranial Tumors

Cephalalgia ◽  
1999 ◽  
Vol 19 (9) ◽  
pp. 787-790 ◽  
Author(s):  
Z Pfund ◽  
L Szapáry ◽  
O Jászberényi ◽  
F Nagy ◽  
J Czopf
Keyword(s):  
Intracranial Pressure ◽  
Brain Tumors ◽  
Intracranial Tumors ◽  
Metastatic Brain Tumors ◽  
Increased Intracranial Pressure ◽  
Close Relationship ◽  
History Of ◽  
Intraventricular Tumors ◽  
Intracranial Neoplasm ◽  
Headache Patients

The clinical data of 279 consecutive patients with brain tumors were analyzed pre- and postoperatively in the period of 1994-95. No headache had been recorded in the history of 115 patients, neither pre- nor postoperatively. Only in 139 of the remaining 164 headache patients was there a probable connection between headache and intracranial neoplasm. In the headache group the most frequent findings were metastatic brain tumors and different astrocytomas. Hypophysis adenomas and glioblastoma multiforme were frequent in the no-headache group. Progressive headache was found in 110 patients (67% of the headache group). The progressive character of the headache showed a close relationship with the prevailing edema, but not with the size of the tumor. Infratentorial and intraventricular tumors were more frequently accompanied by headache than those located supratentorially, probably due to the disturbance of CSF circulation and midline dislocation with increased intracranial pressure. Only in one-third of the patients did the site of the tumor coincide with the lateralization of headache. In half of the headache patients, pain was the first complaint. Headaches caused by tumor were characterized by pain lasting for hours, developing for weeks or months. The headache was never permanent and there was no regular daily recurrence.

SURGICAL TREATMENT OF CEREBELLAR SCHISTOSOMIASIS

Neurosurgery ◽  
2009 ◽  
Vol 64 (5) ◽  
pp. 941-944 ◽  
Author(s):  
Kai Shu ◽  
Suojun Zhang ◽  
Lin Han ◽  
Ting Lei
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Mass Effect ◽  
Posterior Cranial Fossa ◽  
Increased Intracranial Pressure ◽  
Therapeutic Measures ◽  
Cranial Fossa ◽  
Pathological Focus

Abstract OBJECTIVE To explore the surgical treatment of cerebellar schistosomiasis. METHODS Twelve cases of cerebellar schistosomiasis treated in our department were analyzed retrospectively. RESULTS All cases were cured. At the 2-year follow-up examination, all patients could perform physical tasks normally. CONCLUSION Cerebellar schistosomiasis tends to cause mass effect of the posterior cranial fossa and increased intracranial pressure. Microresection of the pathological focus and decompression of the posterior cranial fossa should be effective therapeutic measures.

Ketamine Induced Anesthesia in Hemorrhagic Shock and Increased Intracranial Pressure

1985 ◽  
Vol 1 (S1) ◽  
pp. 284-286
Author(s):  
Hans-Joachim Hartung ◽  
Roderich Klose ◽  
R. Kotsch ◽  
Th. Walz
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Hemorrhagic Shock ◽  
Cerebral Perfusion Pressure ◽  
Cerebral Perfusion ◽  
Perfusion Pressure ◽  
Craniocerebral Trauma ◽  
The Other ◽  
Increased Intracranial Pressure ◽  
Craniocerebral Injuries

In a considerable number of cases, many polytraumatized patients in a state of hemorrhagic shock, who require immediate surgical treatment, there is craniocerebral trauma. Ketamine is viewed, on one hand, as an appropriate induction anesthetic, due to its circulatory stimulating effect in treating shock victims, and, on the other hand, it is rejected for treating patients with craniocerebral injuries, because of the danger of possible increase in intracranial pressure (ICP). Therefore, we examined the effects of ketamine on ICP and calculated the cerebral perfusion pressure, using test animals in a state of hemorrhagic shock and a space occupying intracranial process.

scholarly journals Management Strategies for Brain Tumors Diagnosed during in Pregnancy: A Case Report and Literature Review

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 613
Author(s):  
Reona Shiro ◽  
Kosuke Murakami ◽  
Masaharu Miyauchi ◽  
Yasuhiro Sanada ◽  
Noriomi Matsumura
Keyword(s):  
Brain Tumor ◽  
Intracranial Pressure ◽  
Brain Tumors ◽  
Case Reports ◽  
Termination Of Pregnancy ◽  
Comprehensive Treatment ◽  
Increased Intracranial Pressure ◽  
Maternal Brain ◽  
Group A ◽  
Group B

Background and Objectives: Maternal brain tumors diagnosed during pregnancy are very rare, and their clinical course remains incompletely understood. We recently experienced a case of a brain tumor diagnosed at 30 weeks of gestation, and the treatment was initiated after delivery at 32 weeks of gestation. In this study, we reviewed case reports of brain tumors diagnosed during pregnancy, focusing on whether the brain tumor was treated during pregnancy or after termination of pregnancy and on the timing of therapeutic intervention. Materials and Methods: We searched PubMed and Ichushi-Web for articles published after January 2000 that reported cases of maternal brain tumors diagnosed during pregnancy. The patients were divided into two groups according to whether the tumor was treated during pregnancy (Group A) or after termination of pregnancy (Group B). Results: In total, 42 patients were included in the study (13 (31%) in Group A and 29 (69%) in Group B). The most common symptoms before diagnosis were those caused by increased intracranial pressure (57.1%). The diagnosis was made at 18 ± 6 weeks of gestation in Group A and 26 ± 9 weeks of gestation in Group B (p = 0.007). In all cases diagnosed after 34 weeks of gestation, termination of pregnancy was followed by treatment. Treatment was initiated within two weeks of diagnosis in 50% of patients in Group A and 30% in Group B. Conclusions: When severe symptoms caused by increased intracranial pressure last for several weeks, imaging tests should be considered. Termination of pregnancy is a good option for a brain tumor diagnosed after 34 weeks of gestation, while comprehensive treatment decisions should be made based on the severity of symptoms and the course of pregnancy in other cases.

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