[ concept ]
1. CPP = MAP - ICP, ie : "effective perfusion pressure"
2. " autoregulation "-> maintain cerebral blood "flow"
3. factors affect CBF(according to loaction)
a. extracranial -> MAP, viscosity of blood
b. perenchyma-> arteriole vasoconstriction/dilation, ICP
c. extracranial -> MVP
4. "any" change in MVP "promptly" causes similar change in ICP
5. CBF increase -> ICP increase
[examples]
1. MAP increase -> CPP increase -> arteriole in brain vasodilaton -> CBF relative constant
2. MAP decrease -> CPP decrease -> arteriole in brain vasoconstriction -> CBF relative constant
3. venous pressure increase ->a. decrease effective perfusion pressure(CPP decrease) -> CBF decrease
b. "promptly" ICP increase -> compress cerebral vessel
[practical use]
1. Cushing reflex
2. negative g -> MAP/MVP increase -> both P arteriole / ICP increase -> vessel not rupture
3. positive g -> MAP/MVP decrease -> both P arteriole / ICP decrease -> vessel not collapse
- Feb 17 Sun 2008 23:37
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