


Intracranial Hypertension
Iencean, S. — Ciure, A.
1ª Edición Octubre 2009
Inglés
Tapa dura
255 pags
1200 gr
18 x 26 x 2 cm
ISBN 9781607418627
Editorial NOVA SCIENCE PUBLISHERS INC. U.S.
Recíbelo en un plazo De 2 a 3 semanas
Book Description:
Intracranial hypertension (ICH) is the most common cause of clinical deterioration
and death for neurological and neurosurgical patients. There are a lot of causes
of raised intracranial pressure (ICP) and increased ICP can produce intracranial
hypertension syndromes. Monitoring of intracranial pressure and advances in
investigations of the central nervous system have led to new concepts and systemizations
in intracranial hypertension.The descriptive classification of the intracranial
hypertension has been replaced by an etio-pathogenic classification with four
main groups:
1. Parenchymatous Intracranial Hypertension, in the extending intracranial processes
(cerebral tumors, intracranial haematoma, cerebral abscesses, etc.), in traumatic
brain edema, in hypotoxic brain edema, in general intoxications with neurotoxins
(endogenous or exogenous), etc.
2.Vascular Intracranial Hypertension, caused by the disorders of cerebral blood
circulation and then the brain edema or / and brain swelling appears. The vascular
intracranial hypertension occurs in : I. - vascular cerebral diseases : cerebral
venous thrombosis or in in cerebral ischaemic stroke and in II. - extracerebral
vascular diseases as hypertensive encephalopathies.
3.Intracranial Hypertension caused by the Disorders of the CSF dynamics ( hydrocephalus
etc)
4.Idiopathic Intracranial Hypertension.
The treatment of intracranial hypertension depends on the type of intracranial
hypertension and on the stage of the illness.
Authors: Stefan Mircea Iencean, (Emergency Hospital "Prof
Dr Nicolae Oblu" Iasi, Romania); Alexandru Vladimir Ciurea, (The University
of Medicine and Pharmacy, Bucharest, Romania)
Table of Contents:
Preface
I.Intracranial Hypertension - General Approach
1.General Approach and Short History
2.Classification of Intracranial Hypertension
II.Introduction to Anatomy and Physiology
1.Craniospinal Space
2.Nervous Parenchyma
3.Ventricular System
4.Vessels of the Brain and Cerebral Hemodynamics
5.Brain Blood Barrier
Structure and Functions
Alteration of Brain Blood Barrier
6.Cerebrospinal Fluid
Cerebrospinal Fluid Production
Cerebrospinal Fluid Circulation
Cerebrospinal Fluid Absorbtion
7.Dynamics of Intracranial Fluids
III.Intracranial Pressure
1.General Considerations
2.Intracranial pressure relationships
3.Intracranial Pressure Waves
4.Intracranial Pressure Increase
5.Compensating Mechanisms
6.Intracranial Pressure Measurement
IV. Pathogenesis of Intracranial Hypertension
1. General Considerations
2. Alteration of Nervous Parenchyma
Brain Edema
3. Alteration of CSF Physiology
Hydrocephalus
4. Cerebrovascular Reactivity
5. Decompensation of Intracranial Hypertension
Brain Ischemia
Brain Herniations
V. Clinical Presentation
1.Headache
2.Papilledema.
3.Nausea and Vomiting
4.Psychic Disorders
5.Intracranial Hypertension in Infants and Children
6.Intracranial Hypertension in Elderly Patients
VI.Decompensation of Intracranial Hypertension
1. General Considerations
2. Consciousness Disorders and Coma
3. Focal Neurological Deficit
4. Cranial Nerves Palsies
5. Vegetative disorders
6. Decompensated intracranial hypertension
VII. Paraclinical Explorations
1. Ophtalmological Examination
2. X-ray
3.Computerised tomography scanning
4.Magnetic resonance imaging
5.Intracranial Pressure Monitoring
VIII. Intracranial Hypertension Classification
1. Parenchymatous Intracranial Hypertension
2.Vascular Intracranial Hypertension
3.Intracranial Hypertension caused by the Disorders of the CSF Dynamics
4.Idiopathic Intracranial Hypertension
IX. Differential Diagnosis
1.Clinical Different Diagnosis
2.Ethiological Different Diagnosis
3.Evolutive Diagnosis
X. Parenchymatous Intracranial Hypertension
1.Acute Parenchymatous Intracranial Hypertension
Intracranial Hypertension in Traumatic Brain Injury
Acute Non-traumatic Intracranial Hypertension
2.Progressive Parenchymatous Intracranial Hypertension
Low-grade Gliomas
High-grade Gliomas
Brain Metastases
Benign Intracranial Tumors
Intracranial Hematomas
XI. Vascular Intracranial Hypertension
1. Cerebral Venous Thrombosis
2. Hypertensive Encephalopathy
3. Ischaemic Stroke
XII. Intracranial Hypertension Due to Disorders in the Cerebrospinal Fluid
Dynamics
1. Obstruction of CSF Pathways and Obstructive Hydrocephalus
2. Decreased Absorption of CSF
XIII. Idiopathic Intracranial Hypertension
1. Diagnosis Criteria
2. Clinical Presentation
3. Investigations
4. Treatment
XIV. Evolution and prognosis
XV. Treatment of Intracranial Hypertension
1. Etiologic treatment
2. Pathogenic Treatment
3. Symptomatic Treatment
XVI.Intracranial Hypotension
Index
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