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P.I.C. Courbe de LANGFITT. HIC. PR. Complications : Engagements Troubles circulatoires. 12mmHg. Vol. Compensation. Décompensation. Tumeur. Compensation. Décompensation. Engagement. ISCHÉMIE CÉRÉBRALE. Troubles circulatoires. Débit (Q) : constant Q = P. P. R

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Presentation Transcript
slide7

P.I.C.

Courbe de LANGFITT

HIC

PR

  • Complications :
  • Engagements
  • Troubles circulatoires

12mmHg

Vol

Compensation

Décompensation

Tumeur

engagement

Compensation

Décompensation

Engagement
troubles circulatoires

ISCHÉMIE CÉRÉBRALE

Troubles circulatoires
  • Débit (Q) : constant
  • Q = P. P.

R

  • P. P. = PAM - PIC____

R R

clinique

Céphalées

  • Vomissements
  • Troubles visuels
    • Acuité visuelle
    • Diplopie
    • Œdème papillaire
CLINIQUE

Phase de compensation

Phase de décompensation

  • Troubles de la conscience
  • Mydriase
  • Rigidité de décérébration
  • Troubles neurovégétatifs
traitement
TRAITEMENT

Phase de compensation

Phase de décompensation

  • Traitement anti-œdème + + +
  • Mannitol 20 %
  • Ponctions
  • Traitement anti-œdème
    • Solumédrol
    • Synacthène