Low clinical ischemic threshold for cerebral blood flow in severe acute brain trauma. Case report.
A case of severe acute brain trauma is presented in which the patient made a satisfactory recovery after suffering a marked reduction in cerebral blood flow, to a level previously reported in association with impending brain death (10 ml/100 gm/min). This is believed to be the first report of a patient with severe acute brain injury in whom serial clinical and physiological assessments allowed documentation of the reversibility of such a critical level of cerebral hypoperfusion.
Cruz
J
J
Division of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia.
D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D002560:Cerebrovascular Circulation / Q000502:physiology; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome