Acute Brain and Spinal Cord Injury: Evolving Paradigms and by Anish Bhardwaj, Jeffrey R. Kirsch

By Anish Bhardwaj, Jeffrey R. Kirsch

The scientific administration of sufferers with acute mind and spinal wire harm has developed considerably with the arrival of latest diagnostic and healing modalities. Editors Bhardwaj, Ellegala, and Kirsch current Acute mind and Spinal wire Injury , a brand new stand-alone connection with support today’s neurologists and neurosurgeons maintain abreast of all of the fresh developments in mind and spinal twine damage. Divided into 5 sections, irritating mind damage, ischemic stroke, intracerebral and subarachnoid hemorrhage, and spinal twine damage, this article bargains the most up-tp-date clinical technological know-how and highlights controversies within the scientific administration of sufferers with acute mind and spinal twine injuries.

Acute mind and Spinal twine Injury :

  • each part delineates diagnostic and tracking instruments, pharmacotherapies, and interventional and surgical remedies are covered
  • examines and explores lately released laboratory trials and research
  • incorporates over 50 diagrams and figures for concise communique of clinical information

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Extra info for Acute Brain and Spinal Cord Injury: Evolving Paradigms and Management

Sample text

J Neurosurg 1968; 29(6):586–590. 30. Cooper PR, Hagler H, Clark WK, et al. Enhancement of experimental cerebral edema after decompressive craniectomy: implications for the management of severe head injuries. Neurosurgery 1979; 4(4):296–300. 31. Grande PO, Asgeirsson B, Nordstrom CH. Volume-targeted therapy of increased intracranial pressure: the Lund Concept unifies surgical and non-surgical treatments. Acta Anaesthesiol Scand 2002; 46(8):929–941. Decompressive Hemicraniectomy 15 32. Munch E, Horn P, Schurer L, et al.

These trials should help to resolve the ambiguity surrounding the use of delayed DC in head injury management and establish the range of complications expected during the routine use of DC. At the core of these trials is one question: 12 Dunn and Ellegala Does DC improve outcome in patients with medically refractory intracranial hypertension? We review the designs of these two trials in turn. RESCUE ICP The RESCUE ICP trial is a large, multicentered trial run collaboratively between the University of Cambridge and the European Brain Injury Consortium.

J Neurotrauma 2004; 21(11):1640–1651. 5. Taylor A, Butt W, Rosenfeld J, et al. A randomized trial of very early decompressive craniectomy in children with traumatic brain injury and sustained intracranial hypertension. Childs Nerv Syst 2001; 17(3):154–162. 6. Yamakami I, Yamaura A. Effects of decompressive craniectomy on regional cerebral blood flow in severe head trauma patients. Neurol Med Chir 1993; 33(9):616–620. 7. Bendszus M, Mullges W, Goldbrunner R, et al. Hemodynamic effects of decompressive craniotomy in MCA infarction: evaluation with perfusion CT.

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