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Occlusive hyperemia and normal pressure break through- physiopathology and management
Aguiar, Paulo Henrique Pires; Maranha, Luana; Zicarelli, Carlos Alexandre Martins; Lammis, Fabricio; Doria, Hugo; Capela-Grimaldi, Olivia; Neto, Feres Eduardo Chadadd; Antunes, Apio Claudio.
  • Aguiar, Paulo Henrique Pires; Federal Unieversity of Rio Grande do Sul. Department of Surgery. Porto Alegre. BR
  • Maranha, Luana; Federal University of Paraná. Hospital de Clinicas. Divison of Neurosurgery. Curitiba. BR
  • Zicarelli, Carlos Alexandre Martins; Santa casa de Londrina. Division of Surgery. Londrina. BR
  • Lammis, Fabricio; Federal University of São Paulo. Department of Neurosurgery. São Paulo. BR
  • Doria, Hugo; Mario Gatti Hospital. Division of Neurosurgery. São Paulo. BR
  • Capela-Grimaldi, Olivia; Pathos Laboratory. Division of Patholgy. São Paulo. BR
  • Neto, Feres Eduardo Chadadd; Mario Gatti Hospital. Division of Neurosurgery. São Paulo. BR
  • Antunes, Apio Claudio; Federal Unieversity of Rio Grande do Sul. Department of Neurosurgery. Porto Alegre. BR
Rev. chil. neurocir ; 38(1): 32-35, jun. 2012. ilus
Article in English | LILACS | ID: lil-716511
ABSTRACT
Immediately following surgical excision of a cerebral AVM, even normal brain tissue surrounding the lesion is subject to hemorrhage, a phenomenon termed normal perfusion pressure breakthrough (NPPB) syndrome or occlusive hyperemia. According to this theory, arteries supplying cerebral AVMs become dilated and lose their capacity to dilate or constrict to autoregulate pressure. Acutely after removal of a cerebral AVM, excessive blood pressure in these arterial feeders can cause normal brain tissue to bleed. However, this theory still remains controversial.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Brain Edema / Intracranial Pressure / Intracranial Arteriovenous Malformations / Cerebral Hemorrhage / Hyperemia Limits: Humans Language: English Journal: Rev. chil. neurocir Journal subject: Neurosurgery Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Paraná/BR / Santa casa de Londrina/BR / Federal Unieversity of Rio Grande do Sul/BR / Federal University of São Paulo/BR / Mario Gatti Hospital/BR / Pathos Laboratory/BR

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Full text: Available Index: LILACS (Americas) Main subject: Brain Edema / Intracranial Pressure / Intracranial Arteriovenous Malformations / Cerebral Hemorrhage / Hyperemia Limits: Humans Language: English Journal: Rev. chil. neurocir Journal subject: Neurosurgery Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Paraná/BR / Santa casa de Londrina/BR / Federal Unieversity of Rio Grande do Sul/BR / Federal University of São Paulo/BR / Mario Gatti Hospital/BR / Pathos Laboratory/BR