The Monro-Kellie Doctrine: A Review and Call for Revision.
Journal
AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
27
08
2022
accepted:
05
10
2022
pmc-release:
01
01
2024
pubmed:
2
12
2022
medline:
14
1
2023
entrez:
1
12
2022
Statut:
ppublish
Résumé
The Monro-Kellie doctrine is a well-accepted principle of intracranial hemodynamics. It has undergone few consequential revisions since it was established. Its principle is straightforward: The combined volume of neuronal tissue, blood, and CSF is constant. To maintain homeostatic intracranial pressure, any increase or decrease in one of these elements leads to a reciprocal and opposite change in the others. The Monro-Kellie doctrine assumes a rigid, unadaptable calvaria. Recent studies have disproven this assumption. The skull expands and grows in response to pathologic changes in intracranial pressure. In this review, we outline what is known about calvarial changes in the setting of pressure dysregulation and suggest a revision to the Monro-Kellie doctrine that includes an adaptable skull as a fourth component.
Identifiants
pubmed: 36456084
pii: ajnr.A7721
doi: 10.3174/ajnr.A7721
pmc: PMC9835920
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2-6Informations de copyright
© 2023 by American Journal of Neuroradiology.
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