Abstract
In 10 anaesthetized and ventilated baboons a steady level of raised intracranial pressure was achieved by graduated inflation of an extradural balloon. Measurements were made of the ventricular fluid pressure, and of the change in this pressure after injection of 0·05 ml into the ventricle, the volume–pressure response. This response was studied at normocapnia and at hypocapnia (induced by hyperventilation), and before and after the intravenous administration of mannitol under normocapnic and hypercapnic conditions. During hypocapnia, ventricular fluid pressure and the volume–pressure response were reduced equally. Mannitol, however, caused a greater reduction in the volume–pressure response than in ventricular fluid pressure. The intravenous administration of mannitol therefore produces a beneficial effect on intracranial capacitance which is greater than observation of intracranial pressure alone indicates.
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Selected References
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- HARPER A. M., BELL R. A. The failure of intravenous urea to alter the blood flow through the cerebral cortex. J Neurol Neurosurg Psychiatry. 1963 Feb;26:69–70. doi: 10.1136/jnnp.26.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harper A. M., Glass H. I. Effect of alterations in the arterial carbon dioxide tension on the blood flow through the cerebral cortex at normal and low arterial blood pressures. J Neurol Neurosurg Psychiatry. 1965 Oct;28(5):449–452. doi: 10.1136/jnnp.28.5.449. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Johnston I. H., Harper A. M. The effect of mannitol on cerebral blood flow. An experimental study. J Neurosurg. 1973 Apr;38(4):461–471. doi: 10.3171/jns.1973.38.4.0461. [DOI] [PubMed] [Google Scholar]
- Langfitt T. W. Increased intracranial pressure. Clin Neurosurg. 1969;16:436–471. doi: 10.1093/neurosurgery/16.cn_suppl_1.436. [DOI] [PubMed] [Google Scholar]
- Löfgren J. Effects of variations in arterial pressure and arterial carbon dioxide tension on the cerebrospinal fluid pressure-volume relationships. Acta Neurol Scand. 1973;49(5):586–598. doi: 10.1111/j.1600-0404.1973.tb01332.x. [DOI] [PubMed] [Google Scholar]
- Löfgren J., von Essen C., Zwetnow N. N. The pressure-volume curve of the cerebrospinal fluid space in dogs. Acta Neurol Scand. 1973;49(5):557–574. doi: 10.1111/j.1600-0404.1973.tb01330.x. [DOI] [PubMed] [Google Scholar]
- Miller J. D., Garibi J., Pickard J. D. Induced changes of cerebrospinal fluid volume. Effects during continuous monitoring of ventricular fluid pressure. Arch Neurol. 1973 Apr;28(4):265–269. doi: 10.1001/archneur.1973.00490220073011. [DOI] [PubMed] [Google Scholar]
- Miller J. D., Ledingham I. M. Reduction of increased intracranial pressure. Comparison between hyperbaric oxygen and hyperventilation. Arch Neurol. 1971 Mar;24(3):210–216. doi: 10.1001/archneur.1971.00480330038003. [DOI] [PubMed] [Google Scholar]
- Miller J. D., Stanek A., Langfitt T. W. Concepts of cerebral perfusion pressure and vascular compression during intracranial hypertension. Prog Brain Res. 1972;35:411–432. doi: 10.1016/S0079-6123(08)60102-8. [DOI] [PubMed] [Google Scholar]
- Miller J. D. The effects of hyperbaric oxygen at 2 and 3 atmospheres absolute and intravenous mannitol on experimentally increased intracranial pressure. Eur Neurol. 1973;10(1):1–11. doi: 10.1159/000114256. [DOI] [PubMed] [Google Scholar]
- Pappius H. M., Dayes L. A. Hypertonic urea. Its effect on the distribution of water and electrolytes in normal and edematous brain tissues. Arch Neurol. 1965 Oct;13(4):395–402. doi: 10.1001/archneur.1965.00470040061010. [DOI] [PubMed] [Google Scholar]
- Rowan J. O., Harper A. M., Miller J. D., Tedeschi G. M., Jennett W. B. Relationship between volume flow and velocity in the cerebral circulation. J Neurol Neurosurg Psychiatry. 1970 Dec;33(6):733–738. doi: 10.1136/jnnp.33.6.733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WISE B. L., CHATER N. The value of hypertonic mannitol solution in decreasing brain mass and lowering cerebro-spinal-fluid pressure. J Neurosurg. 1962 Dec;19:1038–1043. doi: 10.3171/jns.1962.19.12.1038. [DOI] [PubMed] [Google Scholar]
