AI Article Synopsis
- The case discusses a patient with a gunshot wound to the head who recovered despite experiencing high intracranial pressure and increased oxygen use in the brain.
- Even though oxygen extraction was elevated, there were no signs of global cerebral ischemia, as indicated by normal lactate levels.
- This report is notable for being the first to frequently measure brain oxygen extraction and lactate production in serious head injuries.
Article Abstract
A case of gunshot wound to the head is presented, in which the patient made a satisfactory recovery after a prolonged period of elevated intracranial pressure and increased cerebral extraction of oxygen. Even though cerebral extraction of oxygen was increased in the most acute phase, the arteriojugular lactate difference was never abnormally decreased (ischemic). This finding indicated that, in this patient, increased cerebral extraction of oxygen was not sufficient to result in global cerebral ischemia (increased cerebral lactate production). To our knowledge, this is the first report on frequent serial assessment of cerebral extraction of oxygen and lactate production in severe penetrating head injury.
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| http://dx.doi.org/10.1097/00005373-199603000-00021 | DOI Listing |
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