Nervous system 1 Introduction, raised intracranial pressure and trauma. Professor John Simpson. This lecture will cover. NS cell reactions to injury raised intracranial pressure, including herniation of the brain traumatic brain injury.
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Professor John Simpson
What’s different about the nervous system to all other body systems?
How might diseases of the nervous present? body systems?
- causes “shifts” and herniation
- haemodynamic changes
(raised BP, slowed pulse)
Focal cerebral oedema in body systems?
Focal cerebral oedema in frontal lobe around metastatic body systems?
Subfalcine hernia body systems?
due to glioblastoma
Large tentorial hernia body systems?
due to cerebral glioblastoma
Figure 28-3 Duret hemorrhage involving the brainstem at the junction of the pons and midbrain.
Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 2 February 2007 01:43 PM)
© 2005 Elsevier
Central brainstem haemorrhage and necrosis following tentorial herniation
Cerebellar tonsillar necrosis tentorial herniation
Lumbar puncture is dangerous and should be avoided if ICP raised. Why?
Is there any way you might check for raised ICP before doing an LP?