Ventricular-brain ratio

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Example of enlarged lateral ventricles in schizophrenia. Enlarged lateral ventricles in schizophrenia.png
Example of enlarged lateral ventricles in schizophrenia.

Ventricular-brain ratio (VBR), also known as the ventricle-to-brain ratio or ventricle-brain ratio, is the ratio of total ventricle area to total brain area, [1] which can be calculated with planimetry from brain imagining techniques such as CT scans. [2] It is a common measure of ventricular dilation or cerebral atrophy in patients with traumatic brain injury or hydrocephalus ex vacuo. [3] VBR also tends to increase with age. [1]

Generally, a higher VBR means a worse prognosis for recovering from a brain injury. [3] For example, VBR is significantly correlated with performance on the Luria-Nebraska neuropsychological battery. [4] Studies have found people with schizophrenia have larger third ventricles and VBR. [5] Correlational studies have found relationships between ventricle-brain ratio and binge eating and inversely with plasma thyroid hormone concentration. [6]

See also

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<span class="mw-page-title-main">Intraventricular hemorrhage</span> Medical condition

Intraventricular hemorrhage (IVH), also known as intraventricular bleeding, is a bleeding into the brain's ventricular system, where the cerebrospinal fluid is produced and circulates through towards the subarachnoid space. It can result from physical trauma or from hemorrhagic stroke.

<span class="mw-page-title-main">External ventricular drain</span> Medical device

An external ventricular drain (EVD), also known as a ventriculostomy or extraventricular drain, is a device used in neurosurgery to treat hydrocephalus and relieve elevated intracranial pressure when the normal flow of cerebrospinal fluid (CSF) inside the brain is obstructed. An EVD is a flexible plastic catheter placed by a neurosurgeon or neurointensivist and managed by intensive care unit (ICU) physicians and nurses. The purpose of external ventricular drainage is to divert fluid from the ventricles of the brain and allow for monitoring of intracranial pressure. An EVD must be placed in a center with full neurosurgical capabilities, because immediate neurosurgical intervention can be needed if a complication of EVD placement, such as bleeding, is encountered.

The monitoring of intracranial pressure (ICP) is used in the treatment of a number of neurological conditions ranging from severe traumatic brain injury to stroke and brain bleeds. This process is called intracranial pressure monitoring. Monitoring is important as persistent increases in ICP is associated with worse prognosis in brain injuries due to decreased oxygen delivery to the injured area and risk of brain herniation.

References

  1. 1 2 Theodore Eliot Keats; Christopher Sistrom (2001). Atlas of Radiologic Measurement. Elsevier Health Sciences. pp. 42–. ISBN   0-323-00161-0.
  2. (February 1983). Ventricular enlargement in major depression. Psychiatry Research
  3. 1 2 Nathan Zasler; Douglas Katz, MD; Ross D. Zafonte (2007). Brain Injury Medicine: Principles and Practice. Demos Medical Publishing. pp. 207–. ISBN   978-1-888799-93-4.
  4. R. N. Malatesha; Lawrence C. Hartlage (1982). Neuropsychology and Cognition: Proceedings of the NATO Advanced Study Institute on Neuropsychology and Cognition, Augusta, Georgia, U.S.A., September 8-18, 1980. Springer. p. 86. ISBN   978-90-247-2728-5.
  5. Lee N. Robins; Michael Rutter (1990). Straight and Devious Pathways from Childhood to Adulthood. CUP Archive. pp. 333–. ISBN   978-0-521-42739-5.
  6. C. Edward Coffey; Roger A. Brumback (2006). Pediatric Neuropsychiatry. Lippincott Williams & Wilkins. pp. 314–. ISBN   978-0-7817-5191-9.