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LAST UPDATED: 18 Nov, 2022
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Brain shift . see Midline shift . Brain shifts following microsurgical clip ligation of anterior communicating artery aneurysms can lead to mechanical compression of the optic nerve by the clip. Recognition of this condition and early repositioning of clips can lead to reversal of vision loss.. Linzey et al., identified 3 patients with an afferent pupillary defect following microsurgical
https://operativeneurosurgery.com/doku.php?id=brain_shiftStéphane Olindo, Igor Sibon, in Brain Edema, 2017. Influence of the Genetic Background. Although some patients develop little edema, without midline shift , other patients with a comparable stroke size proceed to life-threatening brain swelling. 7 The cause of these differences has hardly been investigated so far. The influence of genetic variations, mainly in ...
https://www.sciencedirect.com/topics/neuroscience/midline-shiftVasogenic brain edema formation is a serious complication in hemispheric stroke. Its space-occupying effect can lead to midline - shift (MLS), cerebral herniation, and death. Clinical studies indicate that quantification of MLS can predict cerebral herniation and subsequent death at ...
https://pubmed.ncbi.nlm.nih.gov/17413996/Midline shift of less than 5 mm GCS greater than 8 and on physical examination, shows no focal neurological symptoms. If the decision is made to manage acute EDH non-surgically, close observation with repeated neurological examinations and continuous surveillance with brain imaging is required, as the risk for hematoma expansion and clinical
https://www.ncbi.nlm.nih.gov/books/NBK518982/Midline shift is often associated with high intracranial pressure (ICP), which can be deadly. In fact, midline shift is a measure of ICP; presence of the former is an indication of the latter. Presence of midline shift is an indication for neurosurgeons to take measures to monitor and control ICP.
However, with time, pressure on your brain increases, producing some or all of the following signs and symptoms: Increasing headache. Vomiting. Drowsiness and progressive loss of consciousness. Dizziness. Confusion. Unequal pupil size. Slurred speech.
Cerebral Edema. Edema can cause significant mass effect producing either a midline shift (subfalcine herniation) or downward shift into foramen magnum (tonsillar herniation). Swollen gyri can efface sulci. Poor differentiation of white and gray matter.
Symptoms of brain compression, which can show up immediately following a head injury or weeks later, include:headachesvomitingdrowsinessdizzinessconfusion,progressive loss of consciousness
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