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Intra cranial volume fluctuations the importance of exact cerebro spinal fluid measurements in cerebro spinal fluid drainages

Intra cranial volume fluctuations the importance of exact cerebro spinal fluid measurements in cerebro spinal fluid drainages

Acta Neurochirurgica 38(3-4): 233-244

The significance of simultaneous ICP [intracranial pressure] measurements together with exact CSF volume measurements [in man] through the same ventricular catheter was emphasized. A new method using an electronic device was introduced. Volume fluctuations were shown as correlations of plateau waves. The fluctuating amount of CSF (the probable equivalent of a plateau wave) ranges between 16-32 ml. Only with disturbed autoregulation was there a close correlation between the SAP [systemic arterial pressure] and the ICV (intracranial volume) change. Simultaneous ICP measurements up to a maximum pressure, determined by the level of the drainage system and corresonding to the primary brain dysfunction, together with electronic measurement of the drained CSF, seemed to be ideal for the patient and for scientific purposes.

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Accession: 005738524

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