TY - JOUR AU1 - BROWDER, JEFFERSON AU2 - MEYERS, RUSSELL AB - Abstract In a previous paper1 it was indicated that many of the commonly employed hypotheses concerning the physiologic factors at work in a patient suffering from an acute expanding lesion of the intracranial cavity are open to challenge. The historical development of these hypotheses was traced, and specific attention was called to the wide disparities of opinion among present day surgeons concerning the diagnosis, prognosis and treatment of trauma to the brain. In an attempt to account for the existence of such widely differing views among those of apparently equal authority, it seemed to us that a considerable degree of responsibility might be referred to the almost universal acceptance some thirty years ago of certain principles which had their origin in animal experimentation2 and to the persistent effort on the part of the clinician to interpret cases in human beings directly in terms of these principles. The principles referred References 1. Browder, J., and Meyers, R.: Observations on Behavior of the Systemic Blood Pressure, Pulse and Spinal Fluid Pressure Following Craniocerebral Injury , Am. J. Surg. 31:403, 1936.Crossref 2. (a) Duret, H.: Recherches anatomiques sur la circulation de l'encephale , Arch. de physiol. norm. et path. 1:2, 60, 316, 664 and 919, 1874 3. (b) Notes sur la physiologie pathologique des traumatismes cérébraux , Gaz. med., Paris 6:5, 599, 612 and 624, 1877 4. (c) Etudes expérimentales et cliniques sur les traumatismes cérébraux, Thèse de Paris, no. 63, 1878. 5. (d) von Bergmann, E.: Allgemeine traumatisch bedingte Störungen des endocraniellen Nervensystems , in von Billroth, T., and Luecke, G. A.: Deutsche Chirurgie , Stuttgart, F. Enke, 1880, no. 30, p. 266 6. (e) Die Lehre von den Kopfverletzungen , in von Billroth, T., and Luecke, G. A.: Deutsche Chirurgie , Stuttgart, F. Enke, 1880, no. 30, p. 341. 7. (f) Hill, L.: Physiology and Pathology of the Cerebral Circulation , London, J. & A. Churchill, 1896, p. 168. 8. (g) Kocher, T.: Hirnerschütterung, Hirndruck und chirurgische Eingriffe bei Hirnerkrankungen , in Nothnagel, H.: Specielle Pathologie und Therapie , Vienna, A. Hölder, 1901, vol. 9, p. 2. 9. (h) Cushing, H.: Concerning a Definite Regulatory Mechanism of the Vasomotor Centre Which Controls Blood Pressure During Cerebral Compression , Bull. Johns Hopkins Hosp. 12:290, 1901 10. (i) Some Experimental and Clinical Observations Concerning States of Increased Intracranial Tension , Am. J. M. Sc. 124:375, 1902Crossref 11. (j) Blood-Pressure Reaction of Acute Cerebral Compression, Illustrated by Cases of Intracranial Hemorrhage , Am. J. M. Sc. 125:1017, 1903.Crossref 12. (k) Cooper, A.: Lectures on the Principles and Practice of Surgery , London, T. & G. Underwood, 1894, vol. 1, pp. 282-313. 13. (l) Eyster, J. A. E.; Burrows, M. T., and Essick, C. R.: Studies on Intracranial Pressure , J. Exper. Med. 2:489, 1901. 14. (m) Eyster, J. A. E.: Blood Pressure Changes in Cheyne-Stokes Respiration , Bull. Johns Hopkins Hosp. 17:296, 1906. 15. Bailey, Pearce: Diseases of the Nervous System Resulting from Accident and Injury , New York, D. Appleton & Co., 1906, p. 44. 16. The data on the remaining patients have been omitted from this communication in the interest of conciseness of presentation. In their essential features, the principles illustrated in these experiments conform closely to those illustrated in the four experiments recorded here. 17. L. Kubie, in discussing the paper of Stevenson, Christenson and Wortis at the 1929 meeting of the Association for Research in Nervous and Mental Diseases, raised just such a question concerning the physiologic effects of the pressure band. 18. (a) Pavlov, I.: Scientific Study of the So-Called Psychical Processes in the Higher Animals , in Lectures on Conditioned Reflexes , translated by W. H. Gantt, London, Martin Lawrence, Ltd., 1928 19. (b) Principle Laws of the Activity of the Central Nervous System as Shown from the Study of Conditioned Reflexes: Interaction of Centres , Russk. Vrach 11:1507, 1912 20. (c) The Objective Study of the Highest Nervous System Activity , in Lectures on Conditioned Reflexes , translated by W. H. Gantt, London, Martin Lawrence, Ltd., 1928, p. 213 21. (d) The Pure Physiology of the Brain , in Lectures on Conditioned Reflexes , translated by W. H. Gantt, London, Martin Lawrence, Ltd., 1928, p. 241. 22. (e) Nikolaev, P. N.: Analysis of Complex Conditioned Reflexes , Arch. d. sc. biol. 16:411, 1911. 23. (f) Stroganov, V. V.: Development of a Conditioned Reflex to, and Differentiation of, Compound Stimuli , in Sbornik Pavlova , Leningrad, 1925. 24. (g) Babkin, B. P.: Contributions to the Problem of the Relative Strengths of Conditioned Stimuli , Proc. Russian Med. Soc. 78:1, 1911. 25. (a) Solomon, H. C.: The Effect on Human Cerebrospinal Pressure of Extraction and Injection of Fluid , A. Research Nerv. & Ment. Dis., Proc. 5:82, 1927. 26. (b) Weed, L. H.: Studies on Cerebrospinal Fluid: II. Theories of Drainage of Cerebrospinal Fluid with an Analysis of Methods of Investigation , J. M. Research 31:21, 1919 27. (c) Studies on Cerebrospinal Fluid: III. The Pathways of Escape from the Subarachnoid Spaces with Particular Reference to the Arachnoid Villi , Weed J. M. Research 31:51, 1919 28. (d) Cerebrospinal Fluid , Physiol. Rev. 2:171, 1922. 29. (e) Forbes, H. S.; Fremont-Smith, F., and Wolff, H. G.: Resorption of Cerebrospinal Fluid Through the Choroid Plexus , Arch. Neurol. & Psychiat. 19:73 ( (Jan.) ) 1928. 30. (f) Fremont-Smith, F., and Merritt, H. H.: Relationship of Arterial Blood Pressure to Cerebrospinal Fluid Pressure in Man , Arch. Neurol. & Psychiat. 30:1309 ( (Dec.) ) 1933 31. (g) The Relationship of Cerebrospinal Fluid Pressure to Systolic Blood Pressure , J. Nerv. & Ment. Dis. 78:291, 1933. 32. (h) Fremont-Smith, F., and Kubie, L.: The Relations of Vascular Hydrostatic Pressure and Osmotic Pressure to the Cerebrospinal Fluid Pressure , A. Research Nerv. & Ment. Dis., Proc. 8:7, 1927. 33. (i) Shelbourne, S. A.; Blain, D., and O'Hare, J. P.: The Spinal Fluid in Hypertension , J. Clin. Investigation 11:489, 1932. 34. (j) Becht, F. C.: Studies on Cerebrospinal Fluid , Am. J. Physiol. 51:1, 1920. 35. (m) Wolff, H. G., and Forbes, H. S.: The Cerebral Circulation , Arch. Neurol. & Psychiat. 20:1035 ( (Nov.) ) 1928. 36. (m) Weed, L. H., and Hughson, W.: Systemic Effects of the Intravenous Injection of Solutions of Various Concentrations with Especial Reference to the Cerebrospinal Fluid , Am. J. Physiol. 58:53, 1921. 37. (o) Becht, F. C., and Matill, P. M.: Studies on the Cerebrospinal Fluid , Am. J. Physiol. 51:126, 1920. 38. (p) Wilson, A. A.: Blood Pressure Observations in Tumors of the Brain , Arch. Neurol. & Psychiat. 28:891 ( (Oct.) ) 1932. 39. (q) Adson, A. W., and Lillie, W. I.: The Relationship of Intracranial Pressure, Choked Disc and Intraocular Tension , Tr. Am. Acad. Ophth. 30:138, 1927. 40. (r) Parker, W. R.: The Relation of the Tension of the Eyeball to the First Appearance of Papilledema , A. Research Nerv. & Ment. Dis., Proc. 8:256, 1927. 41. (s) Gurdjian, E. S.: Studies on Acute Cranial and Intracranial Injuries , Ann. Surg. 97:327, 1933. 42. Forbes, H. S., and Wolff, H. G.: Cerebral Circulation: III. The Vasomotor Control of Cerebral Vessels , Arch. Neurol. & Psychiat. 19:1057 ( (June) ) 1928. 43. Tournade, A.: Chabrol, M., and Marchand, H.: Des mécanismes nerveux régulateurs de la pression artérielle: I. La régulation centrale , Compt. rend. Soc. de biol. 84:610, 1921. 44. Tournade, A.: Des mécanismes nerveux régulateurs de la pression artérielle: II. Sa mise en jeu par l'hypotension aortique , Compt. rend. Soc. de biol. 84:723, 1921. 45. Berens, C.; Smith, H. T., and Cornwall, L. H.: Changes in the Fundus and in the Blood Pressure in the Retinal Arteries in Increased Intracranial Pressure , Arch. Neurol. & Psychiat. 20:1151 ( (Dec.) ) 1928. TI - BEHAVIOR OF THE SYSTEMIC BLOOD PRESSURE, PULSE RATE AND SPINAL FLUID PRESSURE: ASSOCIATED WITH ACUTE CHANGES IN INTRACRANIAL PRESSURE ARTIFICIALLY PRODUCED JF - Archives of Surgery DO - 10.1001/archsurg.1938.01190190004001 DA - 1938-01-01 UR - https://www.deepdyve.com/lp/american-medical-association/behavior-of-the-systemic-blood-pressure-pulse-rate-and-spinal-fluid-0LlpOpz0oq SP - 1 EP - 19 VL - 36 IS - 1 DP - DeepDyve ER -