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Samenvatting - Intracraniële overdruk - Chronische zorg $4.82   Add to cart

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Samenvatting - Intracraniële overdruk - Chronische zorg

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In deze samenvatting vind je informatie over intracraniële overdruk, over de symptomen hiervan en de diagnostiek.

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  • September 24, 2024
  • 1
  • 2023/2024
  • Summary
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Intracraniële overdruk
Schedel is niet uittrekbaar
Gevuld met:
• Hersenweefsel
• Bloed
• CSF
Elk ruimte-innemend proces (bv. tumor, bloeding, oedeem, hydrocefalie) geeft
aanleiding tot verhoging van de intracraniële druk (ICP stijging)
Hersenen hebben nood aan zuurstof en glucose
De drijvende kracht voor hersendoorbloeding is cerebrale perfusie druk (CPP) =
70 – 90 mm Hg
 Wordt constant gehouden door autoregulatiesysteem


Symptomen van intracraniële overdruk
• Hoofdpijn
• Nausea
• Braken
• Bewustzijnsvermindering
• (unilaterale) mydriasis met verminderde of afwezige pupilreflex
• Onderdrukking van het AH-stelsel
Wordt klinisch vastgesteld door fundoscopie (papiloedeem)
Wnr de druk zich voortplant naar hersenstam = inklemming ->
bewustzijnsvermindering -> overlijden
Een belangrijk klinisch teken van dreigende inklemming = (unilaterale) mydriasis
met verminderde of afwezige pupillichtreflex
Door onderdrukking van ademhalingscentrum -> ademhalingsstilstand


Diagnostiek
ICP-meting
Wnr waarden van deze opvolging achteruitgaan -> geopereerd om craniotomie

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