[Treatment of cerebral oedema].
Progress in brain imaging, monitoring and physiopathology allows the identification of brain oedema from brain swelling, determination of its interstitial or intracellular nature, as well as blood-brain barrier permeability and the evaluation of the impact on cerebral haemodynamic. Common treatment of all types of cerebral oedema is based on prevention of self-sustained disorders due to increased intracranial pressure resulting in ischemic cerebral oedema. The specific treatment of each type of cerebral oedema is reviewed. Optimization of conventional anti-oedematous strategies is based on the precise determination of the nature of the cerebral oedema and of the blood-brain barrier status.
Ter Minassian
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Département d'anesthésie-réanimation, CHU d'Angers, 4, rue Larrey, 49033 cedex, Angers, France.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001812:Blood-Brain Barrier; D001929:Brain Edema / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D002560:Cerebrovascular Circulation / Q000502:physiology; D004234:Diuretics, Osmotic / Q000627:therapeutic use; D006801:Humans
D000305:Adrenal Cortex Hormones; D004234:Diuretics, Osmotic