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Intracranial subdural hematoma after resection of a thoracic spinal cord tumor

Atsuya Watanabe1, Hiroo Takai, Shuhei Ogino

  • 1Department of Orthopaedic Surgery, Ishibashi General Hospital, Tochigi, Japan. atsuyan1@pa2.so-net.ne.jp

Journal of Spinal Disorders & Techniques
|December 7, 2002
PubMed

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Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
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Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...