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Intracranial compensation for mass

Intracranial compensation for mass
Normally, the intracranial components are in equilibrium as shown in chamber 1. Initially, the volume of a space-occupying lesion is compensated for by displacement of blood and CSF  and ICP remains normal (chamber 2). When the limits of this  compensation is reached; any additional increase in the volume of the mass lesion is accompanied by a corresponding increase in ICP (chamber 3, decompensated phase).
Data from Pathophysiology and management of the intracranial vault. In: Textbook of Pediatric Intensive Care, 3rd ed, Rogers, MC (Ed), Williams and Wilkins 1996. p. 646; figure 18.1.
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