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THE RELATIONSHIP BETWEEN VENTRICULAR FLUID PRESSURE AND THE NEUROPATHOLOGY OF RAISED INTRACRANIAL PRESSURE
Author(s) -
ADAMS J. HUME,
GRAHAM D. I.
Publication year - 1976
Publication title -
neuropathology and applied neurobiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.538
H-Index - 95
eISSN - 1365-2990
pISSN - 0305-1846
DOI - 10.1111/j.1365-2990.1976.tb00506.x
Subject(s) - neuropathology , intracranial pressure , parahippocampal gyrus , medicine , necrosis , cardiology , hippocampus , pathology , temporal lobe , anesthesia , disease , psychiatry , epilepsy
The relationship between ventricular fluid pressure and the neuropathology of raised intracranial pressure The brains from 56 patients whose ventricular fluid pressure had been continuously monitored during life have been subjected to a neuropathological analysis. This has shown that the morphological criterion of a significantly high intracranial pressure during life is pressure necrosis in one or both parahippocampal gyri. In patients known to have had a high ventricular fluid pressure, there is also a high incidence of pressure necrosis in the cingulate gyrus and infarction in the medial occipital cortex (‘calcarine infarction’), but these changes do not occur in the absence of pressure necrosis in the parahippocampal gyri. Conventional maeroscopic tentorial and supracallosal herniae may occur without the intracranial pressure having been high. There was no correlation between pressure necrosis in the parahippocampal gyri and hypoxic necrosis in the hippocampus: this suggests that a high intracranial pressure is not an important factor in the pathogenesis of such hypoxic necrosis. It is concluded that the neuropathologist can state with a high degree of accuracy post mortem if intracranial pressure has been significantly high, i. e. an increase associated with a pressure differential between the supratentorial and infratentorial compartments, even when it has not been monitored clinically.