The relationship between brain surface elastance and brain reexpansion after evacuation of chronic subdural hematoma

被引:65
作者
Fukuhara, T [1 ]
Gotoh, M [1 ]
Asari, S [1 ]
Ohmoto, T [1 ]
Akioka, T [1 ]
机构
[1] MIZUSHIMA CENT HOSP,DEPT NEUROL SURG,OKAYAMA,JAPAN
来源
SURGICAL NEUROLOGY | 1996年 / 45卷 / 06期
关键词
brain-surface elastance; chronic subdural hematoma; ophthalmodynamometer; subdural space;
D O I
10.1016/0090-3019(95)00471-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND Brain stiffness has been thought to be a factor affecting brain re-expansion after the evacuation of chronic subdural hematoma. METHODS As an index of brain stiffness, the pressure for compressing the brain using an ophthalmodynamometer was defined as brain-surface elastance. This elastance in 14 patients was measured and analyzed in relation to brain re-expansion. RESULTS Patients with an enlarged subdural space on computed tomography 1 month after the operation had higher elastance. There was a correlation between high elastance and high age. CONCLUSIONS Measuring the elastance after evacuation of the hematoma may help predict the persistence of a subdural space.
引用
收藏
页码:570 / 574
页数:5
相关论文
共 15 条
[1]  
BATKO KA, 1979, ANN OPHTHALMOL, V11, P1499
[2]   NONSURGICAL TREATMENT OF SUBDURAL HEMATOMAS [J].
BENDER, MB ;
CHRISTOFF, N .
ARCHIVES OF NEUROLOGY, 1974, 31 (02) :73-79
[3]  
FUJIMOTO S, 1982, Neurologia Medico-Chirurgica, V22, P893, DOI 10.2176/nmc.22.893
[4]  
Fukuhara Toru, 1994, Neurologia Medico-Chirurgica, V34, P734, DOI 10.2176/nmc.34.734
[5]  
HAMILTON MG, 1993, NEUROSURGERY, V33, P67
[6]   IMPLANTATION OF A RESERVOIR FOR RECURRENT SUBDURAL-HEMATOMA DRAINAGE [J].
LAUMER, R ;
SCHRAMM, J ;
LEYKAUF, K .
NEUROSURGERY, 1989, 25 (06) :991-996
[7]   INFLUENCE OF NEOMEMBRANOUS ORGANIZATION, CORTICAL EXPANSION AND SUBDURAL PRESSURE ON THE POSTOPERATIVE COURSE OF CHRONIC SUBDURAL-HEMATOMA - AN ANALYSIS OF 201 CASES [J].
MARKWALDER, TM ;
REULEN, HJ .
ACTA NEUROCHIRURGICA, 1986, 79 (2-4) :100-106
[8]   THE COURSE OF CHRONIC SUBDURAL HEMATOMAS AFTER BURR-HOLE CRANIOSTOMY AND CLOSED-SYSTEM DRAINAGE [J].
MARKWALDER, TM ;
STEINSIEPE, KF ;
ROHNER, M ;
REICHENBACH, W ;
MARKWALDER, H .
JOURNAL OF NEUROSURGERY, 1981, 55 (03) :390-396
[9]  
MICHEDLISHVILI G, 1989, ACTA NEUROCHIR WIEN, V96, P137
[10]   CHRONIC SUBDURAL HEMATOMAS TREATED BY ENLARGED BURR-HOLE CRANIOTOMY AND CLOSED SYSTEM DRAINAGE RETROSPECTIVE STUDY OF 120 PATIENTS [J].
RICHTER, HP ;
KLEIN, HJ ;
SCHAFER, M .
ACTA NEUROCHIRURGICA, 1984, 71 (3-4) :179-188