[Results of postoperative treatment of patients after brain tumor removal based on the cerebral circulatory pressure index (CCPI) in comparison with ICP and CPP].
The aim of the study was the assessment of prognostic value of CCPI in relation to the results of treatment of patients with increased intracranial pressure after brain tumour operative treatment. The results of treatment of 107 patients with intracerebral tumours according to neurological state at the introduction of treatment (GCS) and initial values of ICP, CPP and CCPI as well as final results of treatment (GOS) are analysed. A special normogram collecting all of these parameters was constructed, as well as the directions of treatment depending on the areas of MABP, ICP and CPP were established. The CCPI seems to be more a sensitive and earlier signals suggesting the urgency and the direction of treatment than ICP and especially CPP alone. There seems to be a great consistence of the patient state evaluation according to GCS, GOS and CCPI which is also a prognostic factor. All the patients with initial CCPI below 1.5 died while all the patients with CCPI over 3.0 in good and very good neurological state, and all the patients with initial CCPI between 1.5 and 3.0 had neurological deficits.
Mierzwa
J
J
Katedry i Kliniki Neurochirurgii Akademii Medycznej we Wrocławiu.
Wroński
J
J
Juniewicz
H
H
Abraszko
R
R
D001783:Blood Flow Velocity / Q000502:physiology; D001794:Blood Pressure / Q000502:physiology*; D001921:Brain / Q000098:blood supply*; D001932:Brain Neoplasms / Q000601:surgery; D015600:Glasgow Coma Scale; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D011182:Postoperative Care; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D016896:Treatment Outcome