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Medicina clínica y social

On-line version ISSN 2521-2281

Abstract

ABREU PEREZ, Daisy  and  LACERDA GALLARDO, Angel Jesús. Anatomical and physiological characteristics that influence intracranial pressure and cerebral perfusion pressure in the pediatric patient with severe head injury. Med. clín. soc. [online]. 2021, vol.5, n.1, pp.44-49. ISSN 2521-2281.  https://doi.org/10.52379/mcs.v5i1.159.

Traumatic brain injury is one with the greatest potential for the development of devastating sequelae of all types of trauma in children. Intracranial hypertension is present in more than 65% of those who suffer from a severe TBI and is related to more than half of deaths from this cause. There is no consensus on the normal values of ICP and CPP in children, it is estimated that they are dependent on age, but it is currently a controversial issue. The objective was to identify the anatomical and physiological characteristics in the cranial compartment and its content in children that influence the possible variations in intracranial pressure and cerebral perfusion pressure in patients less than 18 years of age with severe head injury. The anatomical and physiological characteristics of the pediatric patient in their different stages of development define values of intracranial pressure and cerebral perfusion pressure different from those in adults. A controversial issue is addressed, which allows identifying important anatomical and physiological aspects that may influence the treatment of pediatric head trauma.

Keywords : intracranial pressure; cerebral perfusion pressure; traumatic brain injury.

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