Is my acquired 4th and 6th nerve palsy a trauma brain injury or cranial nerve injury ? Same or different in whiplash. Aren't the eyes connected to brain and it's a tbi. They say twisted or stretch of 4th nerve and I have bulging at c5 . What do they call that in medical terms ?
Awesome videos. I was wondering if you plan on doing anymore to follow up on the current one. Like why aim for a systolic blood pressure above 120mmgh and explain. I know that's what we learn and i'm only guessing its to give a greater chance of getting oxygen to the tissue by fighting the ICP but i feel like there's a lot of information missing. Can't be that simple can it? And if you do use fluid to increase the systolic BP >120.... and there's pressure on the vasculature in the brain from increased ICP. How does the fluid we've used to increase blood volume drain out of the brain and not make the situation worst....?
I think it is that simple, its necessary to maintain systemic blood pressure in order to perfuse the cerebral circulation, that is to maintain cerebral perfusion pressure. If CPP is reduced the blood supply to the brain, and therefore the oxygen supply to the brain, will be correspondingly reduced. This will result in cerebral hypoxia. Of course if there is an increase in intracranial pressure, beyond normal, this will be a 'double whammy', i.e. it will compound the cerebral hypoperfusion. This is the outworking of the simple equation, CPP = BP - ICP. This also fits in with the ABCD approach, addressing the circulation before the disability. If the oxygenation and circulation are adequate, then hypoxic, hypoperfusional secondary brain injury becomes less likely.
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That's why a pt with a Lt sided CVA can have facial drooping on the left side and paralysis on the right side of the body.
Is my acquired 4th and 6th nerve palsy a trauma brain injury or cranial nerve injury ? Same or different in whiplash. Aren't the eyes connected to brain and it's a tbi. They say twisted or stretch of 4th nerve and I have bulging at c5 . What do they call that in medical terms ?
Thanks
Thanks dok 🙏 if I may can you get bleeding at the crossing of the nerve fibres? Will both sides of the body be weaker?
Awesome videos. I was wondering if you plan on doing anymore to follow up on the current one.
Like why aim for a systolic blood pressure above 120mmgh and explain. I know that's what we learn and i'm only guessing its to give a greater chance of getting oxygen to the tissue by fighting the ICP but i feel like there's a lot of information missing.
Can't be that simple can it?
And if you do use fluid to increase the systolic BP >120.... and there's pressure on the vasculature in the brain from increased ICP. How does the fluid we've used to increase blood volume drain out of the brain and not make the situation worst....?
I think it is that simple, its necessary to maintain systemic blood pressure in order to perfuse the cerebral circulation, that is to maintain cerebral perfusion pressure. If CPP is reduced the blood supply to the brain, and therefore the oxygen supply to the brain, will be correspondingly reduced. This will result in cerebral hypoxia. Of course if there is an increase in intracranial pressure, beyond normal, this will be a 'double whammy', i.e. it will compound the cerebral hypoperfusion. This is the outworking of the simple equation, CPP = BP - ICP. This also fits in with the ABCD approach, addressing the circulation before the disability. If the oxygenation and circulation are adequate, then hypoxic, hypoperfusional secondary brain injury becomes less likely.
Please where is another text
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Thank you I appreciated that