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Abstrakty
The objective was to assess changes in the width of the subarachnoid space (SAS) and amplitude of cerebrovascular pulsation (CVP) during acute elevation of intracranial pressure (ICP) using Near Infrared Transillumination/Back Scattering Sounding (NIR-T/BSS). Changes in the width of the SAS and amplitude of CVP were observed in rabbits during experimental ICP elevation induced by: (1) quick injections of saline into the subdural space of the spinal cord, and (2) distension of a surgical catheter balloon placed intracranially in the subdural space. The amplitude of CVP was also assessed during acute elevation of blood pressure in the intracranial portion of the internal carotid artery (ICA) induced by adrenaline. Each of the injections of saline caused a transient rise in the width of the SAS and amplitude of CVP. The amplitude of the increase in CVP was dependent on changes in blood pressure in the ICA (r=-0.82, P<0.01). Distension of the intracranial balloon resulted in elimination of the respiratory oscillations in the CVP and increased its systolic-diastolic amplitude. An increase in the amplitude of CVP was evoked by adrenaline without an increase in the carotid blood flow. We demonstrated that during elevation of ICP the amplitude of CVP depends on blood pressure rather than on blood flow in large cerebral vessels. Elimination of the respiratory oscillations by a minute ("sub-critical") ICP increase may be used as an early indicator of rising ICP. The direction of changes recorded using NIR-T/BSS was consistent with changes recorded using tensometric transducers.
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Opis fizyczny
p.313-321,fig.,ref.
Twórcy
autor
- Institute of Human Physilogy, Faculty of Health Sciences, Medical University of Gadnsk, Gdansk, Poland
autor
- Institute of Human Physilogy, Faculty of Health Sciences, Medical University of Gadnsk, Gdansk, Poland
autor
- Department of Computer Communications, Faculty of Electronics, Telecommunications and Informatics, Technical University of Gdansk, Gdansk, Poland
autor
- Department of Physiology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland
autor
- Department of Physiology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland
autor
- Institute of Human Physilogy, Faculty of Health Sciences, Medical University of Gadnsk, Gdansk, Poland
Bibliografia
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- Carrera E, Kim DJ, Castellani G, Zweifel C, Czosnyka Z, Kasparowicz M, Smielewski P, Pickard JD, Czosnyka M (2010) What shapes pulse amplitude of intracranial pressure? J Neurotrauma 27: 317-324.
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- Czosnyka M, Smielewski P, Piechnik S, Pickard JD (2002) Clinical significance of cerebral autoregulation. Acta Neurochir 81: 117-119.
- Czosnyka M, Pickard JD (2004) Monitoring and interpretation of intracranial pressure. J Neurol Neurosurg Psychiatry 75: 813-821.
- Frydrychowski AF, Rojewski M, Guminski W, Kaczmarek J, Juzwa W (2001a) Near infrared transillumination-back scattering (NIRT-BS) - a new method for non-invasive monitoring of changes in width of subarachnoid space and magnitude of cerebrovascular pulsation. Opto- Electron Rev 9: 397-402.
- Frydrychowski AF, Rojewski M, Guminski W, Kaczmarek J, Juzwa W (2001b) Aplication of transillumination quotient for monitoring of the instantaneous width of the subarachnoid space. Opto-Electron Rev 9: 403-411.
- Frydrychowski AF, Rojewski M, Guminski W, Kaczmarek J, Juzwa W (2002a) Technical foundation for non-invasive assessment of changes in the width of the subarachnoid space with near-infrared transillumination-back scattering sounding (NIR-TBSS). IEEE Trans Biomed Eng 49: 887-904.
- Frydrychowski AF, Rojewski M, Guminski W (2002b) Spectral analysis of mechanical and respiratory influences on width of subarachnoid space assessed with noninvasive method of near-infrared transillumination/back scattering sounding. Opto-Electron Rev 10: 151-157.
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