Brain Edema / Cerebello Pontine Angle Tumors: by I. Klatzo (auth.), K. Schürmann, M. Brock, H.-J. Reulen, D.

By I. Klatzo (auth.), K. Schürmann, M. Brock, H.-J. Reulen, D. Voth (eds.)

This quantity includes the papers awarded on the twenty fourth Annual assembly of the Deutsche Gesellschaft fur Neurochirurgie, held in Mainz, Western Germany, on April 30 - may possibly three, 1973. planned selection was once made from an important nonetheless hotly debated matters which, for a long time, have intended a resource of continuous fear, and nights with out sleep to each neurosurgeon. simply so long as our precise box exists, there were the issues of the way to regulate mind edema and ·of the way to decrease lethality and the secondary lesions in surgical procedure of cerebello-pontine perspective tumors. in regards to the first topic, new pathological, pathophysiological and chemical elements, the mechanisms of mind edema formation and backbone are offered within the wish for larger figuring out. in addition, the connection among mind edema, intracranial strain, cerebral blood move and metabolism are mentioned. ultimately, the therapeutical outcomes in addition to the result of experimental and scientific paintings are awarded, and a comparability of results among assorted tools (hypertonic options, diuretics, steroids, managed hyperventilation, hyperbaric oxygen) is given. about the moment major topic, any vital contributions to the early analysis of cerebello-pontine attitude tumors were integrated. however, it's of extreme curiosity for the neurosurgeon to grasp which procedure he's to desire for different phases of tumor measurement and to be conversant in the trans­ labyrinthine procedure or the posterior craniotomy, in addition to with the significance of using the microscope in neurosurgery, the renovation of the facial nerve and, from time to time, its repair.

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And S. K. WOLFSON: Brain lactate in anoxia and hypotherInia: relation to brain viability. Neurol. 23, 426-434 (1969) 8. KAASIK, A. , L. NILSSON and B. K. SIESJ(j: The effect of asphyxia upon the lactate, pyruvate and bicarbonate concentrations of brain tissue and cisternal CSF and upon the tissue concentrations of phosphocreatinine and adenine nueleotides in anesthetized rats. Acta physiol. scand. 78, 433-447 (1970) 9. KAASIK, A. , L. NILSSON and B. K. SIESJ(j: The effect of arterial hypotension upon the lactate, pyruvate and bicarbonate concentrations of brain tissue and cisternal CSF, and upon the tissue concentrations of phosphocreatinine and adenine nueleotides in anesthetized rats.

G. : Effects of ischemia and electroconvulsive shock on free fatty acid pool in the brain. Biochem. Acta 218, 1-10 (1970) 2. BAZAN, N. : Free fatty acid production in cerebral white and grey matter of the squirrel monkey. Lipids 6, 211-212 (1971) 3. EVANS: Studies of cerebral swelling. II. Experimental cerebral swelling produced by supratentorial extradural compression. Neurosurg. 16, 152-166 (1959) 4. , J. C. MULLAN: Protein and enzyme alterations in experimental brain injury. Arch. Neurol 27, 314-322 (1972) 5.

The uric acid values (Fig. 7) proved to be a very important and reliable indicator for the further development of the lesions we are here interested in. In deadly injured patients they exceeded the normal range on the day of admission and on the following day and were significantly different from the control group. Discussion Comparing our results to those of other authors we could extend the interpretation of the reported lactate and pyruvate increase after head injury (7,10,16,17) considering the prognostic evidence.

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