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

被引:66
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.
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页码:570 / 574
页数:5
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