Which of the following diagnostic findings is likely to result in the most serious brain insult?
A)
Mean arterial pressure (MAP) that equals intracranial pressure (ICP)
B)
Moderate decrease in brain tissue volume secondary to a brain tumor removal
C)
Increased ICP accompanied by hyperventilation
D)
High intracellular concentration of glutamate
Ans:
A
Feedback:
When the pressure in the cranial cavity approaches or exceeds the MAP, tissue perfusion becomes inadequate; cellular hypoxia results; and neuronal death may occur. Displacement of CSF and blood can partially compensate for decreased brain tissue volume. Hyperventilation partially mitigates, rather than exacerbates, increase in ICP. Glutamate is normally in far higher concentrations intracellularly than extracellularly.
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