head injury and intracranial hypertension

Upload: suresh-kumar

Post on 06-Apr-2018

230 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    1/43

    &%$$&%$$

    !0/,97.#08/039:77.::214790!&!0/,97.#08/039:77.::214790!&

    %##

    !#

    %##

    !#

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    2/43

    ##

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    4790!&

    !

    0/,97.#08/039:77.::21

    4790!&

    WW ,47.,:8041247-/9,3/2479,93,47.,:8041247-/9,3/2479,93./703./703

    WW 0,/3.,:8041/0,93./703780,/3.,:8041/0,93./7037897,:2,97,:2,

    WW 0,/3:7087085438-0147248997,:2,0,/3:7087085438-0147248997,:2,/0,98/0,98

    WW /;07804:9.4208708:91742/;07804:9.4208708:91742

    !72,73:7!72,73:7

    WW

    #08:94120.,3.,147.08574/:.3#08:94120.,3.,147.08574/:.3988:0/01472,943,99024203941988:0/01472,943,990242039413:73:7

    $0.43/,78.02.3:7$0.43/,78.02.3:7

    WW 884.,90/954893:7884.,90/954893:7

    549038435402,,3/549038435402,,3/397,.7,3,507903843397,.7,3,507903843

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    3/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    4790!&

    !

    0/,97.#08/039:77.::21

    4790!&

    %$%$

    WW 4947;0.0,../03984947;0.0,../0398

    #085438-0147248980;0700,/#085438-0147248980;0700,/

    3:7083:708

    WW ,8,8

    &8:,3./70378,3/:8:,&8:,3./70378,3/:8:,

    2/2/

    WW #0.70,943,,.9;908#0.70,943,,.9;908

    ,1419080,70-..0,../0398,1419080,70-..0,../0398

    WW 88,:947343,../039,97,:2,88,:947343,../039,97,:2,

    4890,/3:7083/87,704890,/3:7083/87,70

    1742%,3/1,81742%,3/1,8

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    4/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    4790!&

    !

    0/,97.#08/039:77.::21

    4790!&

    %%WW &36:08:8.059-0943:7&36:08:8.059-0943:7

    WW 7,37,3

    30,89.,3/343.4257088-030,89.,3/343.4257088-0

    ,83439073,8:55479,83439073,8:55479

    WW 7,3:27,3:2

    #/,3/:30/3,19078:9:7081:80/#/,3/:30/3,19078:9:7081:80/

    43-:99708808,9,3907475408,3/43-:99708808,9,3907475408,3/902547,5408902547,5408

    WW 02-7,34:883802-7,34:8838 ,.070-7.425,792039,08#,3/,.070-7.425,792039,08#,3/

    0285070802850708

    %03947:2805,7,908317,%03947:2805,7,908317, ,3/8:57,903947,,3/8:57,903947,7043870438

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    5/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    4790!&

    !

    0/,97.#08/039:77.::21

    4790!&

    $#$#

    WW 7,389743,,389-437,389743,,389-43

    770:,790847202-7,34:883847770:,790847202-7,34:883847

    .42570880/,,38990808:71,.08-.42570880/,,38990808:71,.08-

    439,.93:7439,.93:7

    WW 0,/89708478897:.-,30,/89708478897:.-,3

    4-0.94-0.9

    ..007,943/0.007,9433:7..007,943/0.007,9433:7

    WW '40390,/24943.,:808'40390,/24943.,:808.4257088;090380,3/80,7.4257088;090380,3/80,7

    897,33-7,3988:0897,33-7,3988:0

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    6/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    4790!&

    !

    0/,97.#08/039:77.::21

    4790!&

    &!&! %#&!%#&!

    1079,28381079,2838

    99510,79.4299510,79.42

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    7/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    479

    0!&

    !

    0/,97.#08/039:77.::21

    479

    0!&

    %!$!##$%!$!##$

    WW 11:803:70811:803:708

    11:80,43,11:80,43,

    3:73:7

    11:80;,8.:,711:80;,8.:,7

    3:73:7

    WW 4.,3:7084.,3:708

    $:17,.9:70$:17,.9:70

    !,703.2,!,703.2,

    .439:843.439:843 !,703.2,!,703.2,

    ,.07,943,.07,943

    ',8.:,73:7',8.:,73:7708:933708:93302,942,8:-/:7,02,942,8:-/:7,097,/:7,47097,/:7,475,703.2,5,703.2,

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    8/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    479

    0!&

    !

    0/,97.#08/039:77.::21

    479

    0!&

    $%$$%$

    WW 489,70:3.425.,90/489,70:3.425.,90/

    WW ,8,78:17,.9:708,8,78:17,.9:708

    ,9908837,..443008,9908837,..443008

    $734770,$494770,5488-0$734770,$494770,5488-0 7,3,307;03:75488-07,3,307;03:75488-0

    WW 0570880/8:17,.9:708705708039247080;0700570880/8:17,.9:708705708039247080;0703:73:7

    ,70,884.,90/9/:7,,.07,943,70,884.,90/9/:7,,.07,943

    ,70,884.,90/9.479.,,.07,943,70,884.,90/9.479.,,.07,943 ,706:708:7.,00;,943,706:708:7.,00;,943

    WW 7,.9:70.748835,9412,47;,8.:,77,.9:70.748835,9412,47;,8.:,7897:.9:703.70,80878147831.,39-00/3897:.9:703.70,80878147831.,39-00/3

    //020330,,7907//020330,,7907

    ,70/:7,83:8,70/:7,83:8

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    9/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    479

    0!&

    !

    0/,97.#08/039:77.::21

    479

    0!&

    WW&8:,17439,47&8:,17439,47

    902547,4-0902547,4-0

    WW$2,.479.,$2,.479.,

    ;08808,3/30:7,;08808,3/30:7,988:0/,2,0/988:0/,2,0/

    WW,2,0/;08808,2,0/;08808

    2,942-4802,942-480

    0,/3948.02,0,/3948.02,

    %&$%&$

    0-!,9&3;078941&9,0-!,9&3;078941&9,

    99599520/-20/:9,0/:0-!,90-5,99220/-20/:9,0/:0-!,90-5,992

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    10/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    479

    0!&

    !

    0/,97.#08/039:77.::21

    479

    0!&

    WW&8:,17439,47&8:,17439,47

    902547,4-0902547,4-0

    WW,3-0-,907,,3-0-,907,

    .4397,.4:53:7.4397,.4:53:7WW,3,.9,82,88,3,.9,82,88

    08438,3/.,:8008438,3/.,:80

    397,.7,3,397,.7,3,

    507903843507903843

    %###%###

    ####

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    11/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    479

    0!&

    !

    0/,97.#08/039:77.::21

    479

    0!&

    WW&8:,,7907,3473&8:,,7907,3473

    WW090038:,3//:7,090038:,3//:7,

    290/-8:9:70308290/-8:9:70308

    WW1903174290,732//01903174290,732//0

    20330,,790720330,,7907

    WW39,3:72,800239,3:72,8002

    23471440/-:./23471440/-:./

    3907;,90330:744.3907;,90330:744.

    /090747,943/090747,943

    WW,05,3/7,5/,3/,05,3/7,5/,3/

    706:70020703.706:70020703.

    .7,34942.7,34942

    !%!%

    0-!,9&3;078941&9,0-!,9&3;078941&9,

    99599520/-20/:9,0/:0-!,90-5,99220/-20/:9,0/:0-!,90-5,992

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    12/43

    &

    %$$

    &

    %$$

    !

    0/,97.#08/039:77.::21

    479

    0!&

    !

    0/,97.#08/039:77.::21

    479

    0!&

    WW&8:,;034:8-00/3&8:,;034:8-00/3

    -7/3;038-7/3;038

    WW38:71,.041.4790-030,938:71,.041.4790-030,9

    /:7,,3/4:98/0,7,.34/349/:7,,3/4:98/0,7,.34/349290/-8:9:70308290/-8:9:70308

    WW%5.,706:70870,907147.0%5.,706:70870,907147.0

    94574/:.09,305/:7,94574/:.09,305/:7,

    02,942,02,942,

    WW&8:,,884.,90/980;070&8:,,884.,90/980;0705,703.2,3:75,703.2,3:7

    $&%$&%

    0-!,9&3;078941&9,0-!,9&3;078941&9,

    99599520/-20/:9,0/:0-!,90-5,99220/-20/:9,0/:0-!,90-5,992

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    13/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    &$#&$#

    WW 11:80,43,3:711:80,43,3:7

    &8:,17427,5/&8:,17427,5/,..007,943/0.007,943,..007,943/0.007,943

    $0,7147.08/87:5982,,43,5,9,8$0,7147.08/87:5982,,43,5,9,8WW 1907/87:5943,438/00307,9017,20391907/87:5943,438/00307,9017,2039

    903/8,550,7903/8,550,7

    WW %030:7438903:3/074,07,3%030:7438903:3/074,07,3/00307,943/00307,943

    $50.97:217422/9480;070$50.97:217422/9480;070

    WW 11:80;,8.:,73:711:80;,8.:,73:7

    .74;,8.:,9:70247070889,399480,7.74;,8.:,9:70247070889,399480,79,3,4389,3,438

    #08:9832:95082,02477,08#08:9832:95082,02477,08974:4:9-7,3974:4:9-7,3

    &8:,800331,9,0,/3:708&8:,800331,9,0,/3:708

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    14/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    $#$#$#$#

    WW 4254:3/890549039,147,/;07804254:3/890549039,147,/;0780

    30:744.4:9.42030:744.4:9.420

    WW ,:80/-,:80/-

    !4893:754903843!4893:754903843

    5402,5402,

    397,.7,3,507903843.397,.7,3,507903843.

    25,78.070-7,-44/25,78.070-7,-44/ 1414

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    15/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    %##%##

    !#%$!#%$WW ',8.:,7094408',8.:,7094408

    ',8403.0/02,',8403.0/02,

    WW 25,70/25,70/5749037.1:/5749037.1:/0,8940,894

    50702,50702,

    WW ..:78/,894..:78/,894,19073:7,19073:7

    -897:.90/;034:8-897:.90/;034:8

    /7,3,0/7,3,0WW /7489,9./7489,9.

    57088:7057088:703.70,80/5749033.70,80/57490354471:/0,854471:/0,8394394

    WW 43;,8.:,709440843;,8.:,7094408

    9494.0/02,9494.0/02,

    WW 43.7,/039843.7,/039825,70/,3/.0825,70/,3/.088080

    -897:.94394$-897:.94394$4:9144:914

    02,942,02,942,

    8249.-7,30/02,8249.-7,30/02,

    WW 0.70,80/4824,90.70,80/4824,91742,97403.1742,97403.024/:94347024/:94347$$

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    16/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    %##%##

    !#%$!#%$WW 472,397,.7,3,57088:70472,397,.7,3,57088:70

    /:9822/:9822

    31,398./7038420,940731,398./7038420,9407

    /0503/343,0/0503/343,0WW 0;,90/!25,78.070-7,5071:8430;,90/!25,78.070-7,5071:843

    WW #8147073,9439!22#8147073,9439!22

    WW 073,943.,34..:7,9407!803073,943.,34..:7,9407!8032,880843857080392,88084385708039

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    17/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    %%

    WW 4,841708:8.9,943,3/970,920394,841708:8.9,943,3/970,92039

    894232080.43/,78.02.894232080.43/,78.02.-7,33:7-5742493,3/-7,33:7-5742493,3/

    570807;3.070-7,5071:843570807;3.070-7,5071:843 !70;03947970,954893:754903843!70;03947970,954893:754903843

    !70;03947970,95402,,3/70/:.0!70;03947970,95402,,3/70/:.0403/02,3/4190-7,3403/02,3/4190-7,3

    !70;03947970,9397,.7,3,!70;03947970,9397,.7,3,507903843507903843

    ;4/20,8:7089,9/0.70,80.070-7,;4/20,8:7089,9/0.70,80.070-7,5071:8435071:843

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    18/43

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    19/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    %&%!%%%%&%!%%%

    WW !70807;0.070-7,403,943!70807;0.070-7,403,943

    WW ,39,3.070-7,5071:843,39,3.070-7,5071:843

    /06:,90,3,08,,3/,3488/06:,90,3,08,,3/,3488

    ;4/20/89,93.70,80!;4/20/89,93.70,80! ;4/20/89,9.,:8054903843;4/20/89,9.,:8054903843

    ;4/%703/003-:7548943;4/%703/003-:7548943

    WW ;4/,7,;,9385303:7;4/,7,;,9385303:7

    85303:7083,82,3,8410,/85303:7083,82,3,8410,/3:75,903983:75,90398

    3330,,89,-,943-,3,8889,3930,,89,-,943-,3,8889,3970.42203/0/70.42203/0/

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    20/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    #&$##!$"&$##!$"&

    %&%%&%

    WW 3,08,80/,9433,08,80/,943

    039,30942/,90039,30942/,90

    WW 9900110.943!9900110.943!

    %45039,%45039,WW /0.70,808!-:9/0.70,808!-:9

    .,3/745!.,3/745!

    WW 34883488

    /,4,2/,4,2

    WW 9900110.943!9900110.943!WW /4.,30'/4.,30'

    WW -:398-:398825,909.825,909.70854380947085438094

    39:-,94339:-,943

    WW 0:742:8.:,7-4.,/00:742:8.:,7-4.,/0

    $:..3.430$:..3.430

    WW 8479,.938479,.93

    WW

    2:8.02:8.01,8..:,9438.,31,8..:,9438.,33.70,80!3.70,80!

    WW :809:809/01,8..:,93/01,8..:,93/48041/48041343/054,73343/054,73

    43/054,7343/054,73

    WW ;0.:743:2;0.:743:2

    WW 4307,.93,3/4307,.93,3/343.70,803!343.70,803!

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    21/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    #&&%!#'%$#&&%!#'%$

    #$#$

    WW 0,/%,88443,85488-00,/%,88443,85488-0

    39,%2,-03472,380;0700,/39,%2,-03472,380;0700,/

    3:73:7

    #050,9%3944:78#050,9%3944:78

    WW 4/07,90507;039,943,/;8,-04/07,90507;039,943,/;8,-0

    /:7397,385479,3/39,0;,:,943/:7397,385479,3/39,0;,:,943

    WW 1838412503/3073,943/0;0451838412503/3073,943/0;045

    ,907,38385:5,822097,907,38385:5,822097 507;039,90507;039,90

    ;02,3394;02,3394

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    22/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    %#%##%#%##

    !#$$!#$$

    WW '0397.:48942.,90907'0397.:48942.,90907

    ,9090795317439,47341,907,,9090795317439,47341,907,

    ;0397.0;0397.0

    ,3/7,3$,3/7,3$

    ,3-070.,-7,90/,830.088,7,3-070.,-7,90/,830.088,7

    WW %7,38/:.079550/.,90907%7,38/:.079550/.,90907

    397,5,703.2,478:-/:7,397,5,703.2,478:-/:7,

    ,3349/7,3$,3349/7,3$

    ,3349-070.,-7,90/,3349-070.,-7,90/

    -98/7193;,:0820,8:70/4;07-98/7193;,:0820,8:70/4;07

    920920

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    23/43

    &

    %$$

    &

    %$$

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    !

    0/,97.#0

    8/039:77.::21

    479

    0!&

    %#%##%#%##

    !#$$!#$$

    WW 3/.,94383/.,9438

    $,1907708:8.9,943$,1907708:8.9,943

    -3472,0,/%-3472,0,/%

    #,5/30:744./090747,943#,5/30:744./090747,943

    WW !24394738.4393:0/147,8!24394738.4393:0/147,8

    43,8970,9203941397,.7,3,43,8970,9203941397,.7,3,

    5079038438706:70/5079038438706:70/

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    24/43

    &

    %$$

    &

    %$$

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    ##!#&$!#$$##!#&$!#$$

    WW ,3-0/0907230/1742!,3/20,3,3-0/0907230/1742!,3/20,3

    ,7907,57088:70,7907,57088:70

    !!!!!! !!

    WW ,.:,90/!!/4083497010.95071:84341,.:,90/!!/4083497010.95071:8434103970-7,303970-7,3

    !!1:7907/0.70,80/3,70,8413:7!!1:7907/0.70,80/3,70,8413:7

    ,.94789,9.,:80.070-7,,.94789,9.,:80.070-7,

    ;,84.43897.94394:94073!;,84.43897.94394:94073!708:93,1,804.,.:,90/!!708:93,1,804.,.:,90/!!

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    25/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    ##!#&$!#$$##!#&$!#$$

    WW 4,41907,54,41907,5!!221!22!!221!22

    4747

    !!221!22!!221!22

    4073!02,39,33!4073!02,39,33!3.70,80!!3.70,80!!

    3.70,83

    !3.70,80!!3.70,83

    !3.70,80!!

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    26/43

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    27/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    %5%5 ,3/5,3/5

    !!!!

    WW 54,3.70,80854,3.70,808-;,84/,943-;,84/,943

    WW 507.,53,507.,53,3.70,8083.70,808

    WW 507;039,943507;039,943,3/708:93,3/708:9354.,53,54.,53,/0.70,80/0.70,80

    507;039,943507;039,943

    8:801:948:801:94570;039570;0392503/32503/3073,943-:9073,943-:94780347803

    80.43/,780.43/,78.02.3:78.02.3:7

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    28/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    !0/,97.#0

    8/039:77.::21

    479

    0!&

    %#$%#$

    !!

    WW 0,/5489430,/548943

    0,/00;,90//07008,3/2/300,/00;,90//07008,3/2/30

    WW $0/,943,3/5,3.43974$0/,943,3/5,3.43974

    3,08.3,08.,349.,349.

    WW 039,3039,32475304724753047574541457454145:8,-034/,05305:8,-034/,0530

    WW 4393:4:831:8438478.0/:0/4393:4:831:8438478.0/:0/

    /4808942,39,380/,943/4808942,39,380/,943 ,9.147,3/970,954903843,9.147,3/970,954903843

    WW $0:705745,8$0:705745,8

    !03943!03943 4747548503943548503943

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    29/43

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    30/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    479

    0!&

    !0/,97.#0

    8/039:77

    .::21

    479

    0!&

    %#$%#$

    !!

    WW 824907,592,3394824907,592,3394

    0.70,808097,.0:,71:/3-7,30.70,808097,.0:,71:/3-7,3

    3907299039/4808147!8508473907299039/4808147!850847

    8.0/:0/100;,90/!85078890398.0/:0/100;,90/!8507889039 /;07800110.98/;07800110.98

    WW 5073,9702,54,02,5073,9702,54,02,

    WW 5074824,95074824,9

    WW

    024/:943,3//745302,94.79024/:943,3//745302,94.79WW 5490384354903843

    44807:24824,9,3/,44807:24824,9,3/,

    WW 4/2,33941807:24824/2,33941807:2482282282

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    31/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    479

    0!&

    !0/,97.#0

    8/039:77

    .::21

    479

    0!&

    %#$%#$

    !!

    WW 7,3,041$7,3,041$

    !488-01;0397.:,7.,9090783!488-01;0397.:,7.,9090783

    5,.05,.0

    $/7,3,057088:70:8:,809,9$/7,3,057088:70:8:,809,9

    .2.2

    $/7,3803!0.00/8/7,3,0$/7,3803!0.00/8/7,3,0

    57088:7057088:70

    '0397.:,7.,909078.,3349-05,.0/1'0397.:,7.,909078.,3349-05,.0/1.070-7,0/02,,84-907,90/47.070-7,0/02,,84-907,90/47

    831.,39.42570880/;0397.08831.,39.42570880/;0397.08

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    32/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %#$%#$

    !!

    WW $0.43/907907,508147397,.7,3,$0.43/907907,508147397,.7,3,

    5079038437017,.9479480/,9435079038437017,.9479480/,943

    2:8.070,,9434824907,5,3/2:8.070,,9434824907,5,3/

    24/07,90549072,24/07,90549072,

    -,7-9:7,90.42,-,7-9:7,90.42,

    3/:.0/5079038433/:.0/507903843

    /0.4257088;0.7,34942/0.4257088;0.7,34942

    549072,549072,

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    33/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%

    #$!#$!WW ,7-9:7,90.42,,7-9:7,90.42,

    !.43974890573.5,03/5439!.43974890573.5,03/5439

    -:7898:557088438,:801::/0-:7898:557088438,:801::/0

    944592,-,7-9:7,90/48,0944592,-,7-9:7,90/48,0WW !0394-,7-9,21440/-!0394-,7-9,21440/-

    31:843,927997,90/940110.931:843,927997,90/940110.9

    WW ,;0,//943,-4:808/:73,;0,//943,-4:808/:7331:843147,.:9085083!31:843147,.:9085083!

    WW 4/07,90/4808.,:808:870,.9;04/07,90/4808.,:808:870,.9;05:580,70/48082,.,:802/5:580,70/48082,.,:802/548943942234370,.935:58548943942234370,.935:58

    WW ,9.14754903843,9.14754903843

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    34/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%

    #$!#$!WW 3/:.0/5079038433/:.0/507903843

    34974508943.70,80!0;03-043/34974508943.70,80!0;03-043/3472,147,094,.0;0,34592,!!3472,147,094,.0;0,34592,!!

    WW

    45,23045,230WW 47053057304705305730

    #803!39,3/029,7803!#803!39,3/029,7803!2508949,48841,:9470:,943,3/82508949,48841,:9470:,943,3/8,54475743489.83,54475743489.83

    WW 0.4257088;0.7,349420.4257088;0.7,34942 ,7054794341.7,3:27024;0/94,7054794341.7,3:27024;0/94

    ,47442147-7,39480,3/,47442147-7,39480,3/23208.02,23208.02,

    :7,2:89-045030/,80

    :7,2:89-045030/,80

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    35/43

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    36/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$WW #0857,947#0857,947

    ,39,334724.,53,,39,334724.,53,

    WW 507;039,94343,557457,90/:73507;039,94343,557457,90/:730,7/,3488,3/2,3,020394710,7/,3488,3/2,3,02039471

    073,94382503/3073,94382503/3 ,39,3403,943,39,3403,943

    WW 5584592,84592,

    !!942,39,3,;04,770.7:92039!!942,39,3,;04,770.7:92039

    WW #$30:7403.5:243,70/02,#$30:7403.5:243,70/02,

    1706:039.425.,94381706:039.425.,9438WW 5402,,82470/009074:80110.98435402,,82470/009074:80110.9843

    -7,39,324/089;034:8.4308943-7,39,324/089;034:8.4308943.,:80/-!!.,:80/-!!

    WW !!4194.2!!4194.234984394,;034984394,;0/0972039,0110.94330:744.4:9.420/0972039,0110.94330:744.4:9.420

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    37/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$

    WW ,7/4;,8.:,7,7/4;,8.:,7

    ,39,33472,-44/57088:70,39,33472,-44/57088:70

    WW 54903843831.,3970/:.08!!54903843831.,3970/:.08!!

    WW 34974508130.088,7942,39,334974508130.088,7942,39,33472,!3472,!

    3/:.0/507903843130.088,73/:.0/507903843130.088,7

    WW ,8974390893,,8974390893,

    $97088,897985745,89$97088,897985745,89-4.07-4.07

    0:3,100/8942,39,30,90:3,100/8942,39,30,9390893,2:.48,,3/570;039-,.907,390893,2:.48,,3/570;039-,.907,

    97,384.,9431742:997,384.,9431742:9

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    38/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$

    WW :/80.974908:97943:/80.974908:97943

    4,8#'4,8#'

    WW %49,1:/39,084:/-0%49,1:/39,084:/-02,3903,3.02,3903,3.0

    WW 4:8,830.088,794,.0;03472,'!4:8,830.088,794,.0;03472,'!

    ;4/54943.1:/8;4/54943.1:/8

    WW ,.9,90/#3078,3/8,30,.9,90/#3078,3/8,3026,7044/.4.0814726,7044/.4.08147

    2,3903,3.01:/82,3903,3.01:/8 4400.974908.4804400.974908.480

    WW ;4/543,9702,;4/543,9702,

    WW ,3394.,3.,:8000.97490,3394.,3.,:8000.97490,-3472,908,-3472,908

    WW ,9.147$/,-0908385/:8,9.147$/,-0908385/:8

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    39/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$

    WW :/800.9749083:97943:/800.9749083:97943

    !74;/0.,4708942009209,-4./02,3/8!74;/0.,4708942009209,-4./02,3/8415,9039415,9039

    WW

    3.70,80/209,-4./02,3/8/:73,.:903.70,80/209,-4./02,3/8/:73,.:905,80413:75,80413:7

    WW 0,;80/,90/70,0/.440/5,90390,;80/,90/70,0/.440/5,9039,8/0.70,80/209,-4./02,3/8,8/0.70,80/209,-4./02,3/8

    WW 3907,100/38;,3,840:3,.,909073907,100/38;,3,840:3,.,90907

    570107,-094%!1:9/0020/94-0570107,-094%!1:9/0020/94-00,90,9

    ;4/507.02,;4/507.02,

    WW 884.,90/9544730:744.4:9.420884.,90/9544730:744.4:9.420

    WW ,9.807:2:.480.4801/097480,9.807:2:.480.4801/097480

    .439,331:/8:80/.439,331:/8:80/

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    40/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$

    WW #03,#03,

    !,.0140147897.98,3/8!,.0140147897.98,3/8

    WW

    02,944.02,944. 4,:45,9.4224390,/3:7084,:45,9.4224390,/3:708

    WW 7,3/07;0/9742-45,893,.9;,9477,3/07;0/9742-45,893,.9;,9478:-89,3.08700,80/8:-89,3.08700,80/

    44!%!%%478.7003844!%!%%478.70038

    44/.42543039705,.0203910;/03.04144/.42543039705,.0203910;/03.041,.9;0-00/34718:7.,3907;03943,.9;0-00/34718:7.,3907;03943,39.5,90/,39.5,90/

    ,39,33472,02,94.799445920,39,33472,02,94.799445920403/0;07403/0;07

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    41/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$

    WW 3/4.7303/4.730 %$$!&$%$$!&$

    WW 425090475,79,1,:704180.70943425090475,79,1,:704180.70943174280,734159:9,789,174280,734159:9,789,

    WW !4:7,5073,9702,:7304825,82,!4:7,5073,9702,:7304825,82,482482

    WW %70,92039%70,92039

    #:32,3903,3.01:/8#:32,3903,3.01:/8

    #05,.0:7304:95:9..147..9/097480#05,.0:7304:95:9..147..9/097480

    .439,331:/8.439,331:/84393:4:8;,8457088331:84347'!4393:4:8;,8457088331:84347'!8:-"47397,3,8,694788:-"47397,3,8,69478

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    42/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    %%#%%#

    $$%$$$%$

    WW 3/4.7303/4.730

    ##$%##$%$%$%

    WW !!08:-89,3.0700,80/1742-7,308:-89,3.0700,80/1742-7,33/:.33,97:7088,3//:70883/:.33,97:7088,3//:7088

    $$

    WW 0;,90/0;0413,557457,901470;,90/0;0413,557457,90147570;,348249.47;4:20892:570;,348249.47;4:20892:

    WW

    543,9702,54543,9702,544824,9:7304824824,9:7304825,82,482:730,5,82,482:730,

    WW %70,920398,90770897.943%70,920398,90770897.943

  • 8/3/2019 HEAD INJURY AND INTRACRANIAL HYPERTENSION

    43/43

    &%$$

    &%$$

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    !0/,97.#0

    8/039:77

    .::21

    4790!&

    $$

    WW /0391,3/970,9572,7-7,33:7/0391,3/970,9572,7-7,33:7

    #:04:930:748:7.,020703.#:04:930:748:7.,020703.

    WW 32080.43/,78.02.-7,33:7-32080.43/,78.02.-7,33:7-

    5742493.070-7,5071:8435742493.070-7,5071:843 ,39,334724;402,,3/,/06:,90!,39,334724;402,,3/,/06:,90!

    ,39,33472,00.974908,3/0:.02,,39,33472,00.974908,3/0:.02,

    ,39,334724.,53,,3/,/06:,90,39,334724.,53,,3/,/06:,90

    403,943403,943 ;4/1,.94789,93.70,80!;4/1,.94789,93.70,80!

    %70,9397,.7,3,507903843%70,9397,.7,3,507903843