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Erhöhter intrakranieller Druck

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Zusammenfassung

Der intrakranielle Druck (ICP) entspricht dem Druck innerhalb des knöchernen Gehirnschädels. Bei gesunden Erwachsenen liegt er, je nach Körperposition, bei 5−15 mmHg. Ein Anstieg des Volumens im intrakraniellen Raum führt zu einer Erhöhung des ICP. Daher beruhen letztlich alle konservativen Therapieansätze zur Reduktion des intrakraniellen Druckes auf einer Reduktion des intrakraniellen Volumens. Da eine Erhöhung des ICP rasch zum Tode führen kann, ist die frühe Diagnose und Behandlung entscheidend für den Therapieerfolg. Überwachung und Kontrolle der intrakraniellen Druckverhältnisse sind eine wesentliche Voraussetzung, um eine transtentorielle Einklemmung und das Auftreten sekundär ischämisch bedingter Hirnschäden zu verhindern. Einen ausreichenden CPP zu erhalten, ist hierbei besonders wichtig.

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Authors and Affiliations

  1. Neurologische Klink und Neurochirurgische Klinik, Eberhard-Karls-Universität Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland

    Jennifer Diedler PD Dr.

  2. Department of Neurology, UMASS Medical School, 55 Lake Ave, North, Worcester, MA 01655, USA

    Nils Henninger MD

  3. Neurologische Klinik, Universitätsklinikum Erlangen, Schwabachanlage 6, 91054, Erlangen, Deutschland

    Hagen Huttner PD Dr.

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  1. Jennifer Diedler PD Dr.
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Correspondence to Jennifer Diedler PD Dr. .

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Editors and Affiliations

  1. Neurologische Klinik, Universitätklinikum Erlangen, Erlangen, Germany

    Stefan Schwab

  2. Neurologische Klinik und Geriatrie, Johannes Wesling Klinikum Minden, Minden, Germany

    Peter Schellinger

  3. Klinik für Anästhesiologie, Klinikum der Johannes-Gutenberg-Universität Mainz, Mainz, Germany

    Christian Werner

  4. Neurochirurgische Klinik, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany

    Andreas Unterberg

  5. Neurologische Klinik, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany

    Werner Hacke

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Diedler, J., Henninger, N., Huttner, H. (2015). Erhöhter intrakranieller Druck. In: Schwab, S., Schellinger, P., Werner, C., Unterberg, A., Hacke, W. (eds) NeuroIntensiv. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46500-4_11

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