medigraphic.com
SPANISH

Medicina Interna de México

Colegio de Medicina Interna de México.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2014, Number 6

<< Back Next >>

Med Int Mex 2014; 30 (6)

Brain edema II: Medical and surgical treatment

Esqueda-Liquidano MA, Gutiérrez-Cabrera JJ, Cuéllar-Martínez S, Vargas-Tentori N, Ariñez-Barahona E, Flores-Álvarez E, Ruiz-Pérez J, Esqueda-Liquidano L, Loo-Salomé S
Full text How to cite this article

Language: Spanish
References: 22
Page: 687-695
PDF size: 554.50 Kb.


Key words:

brain edema, intracranial hypertension, hydrocephalus, lateral ventricles.

ABSTRACT

The treatment of cerebral edema depends on its underlying cause; it is necessary to identify the type of edema of the patient to provide appropriate treatment. The goal of treatment is aimed at reducing intracranial pressure to establish an adequate cerebral perfusion, oxygenation and venous drainage, minimizing brain metabolic demands and avoiding interventions that may exacerbate osmolar and ionic gradients in the brain. The aim of this second part is to achieve a proper understanding of the different treatment levels established for cerebral edema management in order to reduce the morbidity and mortality of this disease.


REFERENCES

  1. Mavrocordatos P, Bissonnette B, Ravussin P. Effects of neck position and head elevation on intracranial pressure in anaesthetized neurosurgical patients. J Neurosurg Anesthesiol 2000;12:10-14.

  2. Brain Trauma Foundation, American Association of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care. Guidelines for cerebral perfusion pressure. J Neurotrauma 2000;17:507-511.

  3. Vespa PM, O’Phelan K, Shah M, et al. Acute seizures after intracerebral hemorrhage: a factor in progressive midline shift and outcome. Neurology 2003;60:1441-1446.

  4. Bruno A, Williams LS, Kent TA. How important is hyperglycemia during acute brain infarction? Neurologist 2004;10:195-200.

  5. van den Berghe G, Wouters P, Weekers F, Verwaest C, et al. Intensive insulin therapy in critically ill patients. N Engl J Med 2001;345:1359-1367.

  6. Nau R. Osmotherapy for elevated intracranial pressure: a critical reappraisal. Clin Pharmacokinet 2000;38:23-40.

  7. Diringer MN, Zazulia AR. Osmotic therapy: fact or fiction? Neurocrit Care 2004;1:219-234.

  8. Brain Trauma Foundation: Hyperosmolat therapy. J Neurotrauma 2007;24.

  9. Thenuwara K, Todd MM, Brian JE Jr. Effect of mannitol and furosemide on plasma osmolality and brain water. Anesthesiology 2002;96:416-421.

  10. White H, Cook D, Venkatesh B. The use of hypertonic saline for treating intracranial hypertension after traumatic brain injury. Anesth Analg 2006;102:1836-1846.

  11. Roberts I. Aminostereoids for acute traumatic brain injury. Cochrane Database of Systematic Reviews. 1999;Issue 3. Art. No. CD001527.

  12. Kaal EC, Vecht CJ. The management of brain edema in brain tumors. Curr Opin Oncol 2004;16:593-600.

  13. Diringer M. Hyperventilation in head injury: what have we learned in 43 years? Crit Care Med 2002;30:2142-2143.

  14. Marion DW, Puccio A, Wisniewski SR, et al. Effect of hyperventilation on extracellular concentrations of glutamate, lactate, pyruvate, and local cerebral blood flow in patients with severe traumatic brain injury. Crit Care Med 2002;30:2619-2625.

  15. Shibuta S, Varathan S, Mashimo T. Ketamine and thiopental sodium: individual and combined neuroprotective effects on cortical cultures exposed to NMDA or nitric oxide. Br J Anaesth 2006;97:514-524.

  16. Sahuquillo J, Vilalta A. Cooling the injured brain: how does moderate hypothermia influence the pathophysiology of traumatic brain injury. Curr Pharm Des 2007;13:2310-2322.

  17. Hutchinson P, Timofeev I, Kirkpatrick P. Surgery for brain edema. Neurosurg Focus 2007;22:14.

  18. Vega SA, Zepeda FE. Craniectomía descompresiva. En: Traumatismo craneoencefálico. Mexico: Alfil, 2010;357- 361.

  19. Winkler PA, Stummer W, Linke R, Krishnan KG, Tatsch K. Influence of cranioplasty on postural blood flow regulation, cerebrovascular reserve capacity, and cerebral glucose metabolism. J Neurosurg 2000;93:53-61.

  20. Sahuquillo J, Arikan F. Craniectomía descompresiva frente a la hipertensión intracraneal resistente al tratamiento en la lesión cerebral traumática. Cochrane Database Syst Rev 2006;25.

  21. Cooper JD, et al. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med 2011;364:1493-1502.

  22. Vahedi K, Hoffmeijer J, Juettler E, Vicaut E, et al. Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomised controlled trials. Lancet Neurology 2007;6:215-222.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Int Mex. 2014;30