颅内压
蛛网膜下腔出血
血肿
质量效应
脑出血
脑疝
医学
麻醉
外科
作者
Alejandro A. Rabinstein
出处
期刊:Neurology
[Ovid Technologies (Wolters Kluwer)]
日期:2022-05-04
卷期号:: 10.1212/WNL.0000000000200802-10.1212/WNL.0000000000200802
标识
DOI:10.1212/wnl.0000000000200802
摘要
Patients with severe intracerebral hemorrhage (ICH) often experience delayed neurologic worsening because of mass effect leading to brain compression.1 However, mass effect in patients with unilateral hemispheric brain lesions, such as a large intraparenchymal hematoma, causes a pressure gradient that can result in subfalcine and transtentorial herniation without global intracranial hypertension.2,3 Consequently, intracranial pressure (ICP) monitoring is a less established practice for patients with ICH than it is for patients with diffuse brain injury, such as those with severe trauma or poor-grade subarachnoid hemorrhage.
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