{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T03:18:49Z","timestamp":1794021529424,"version":"4.8.0"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,2]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The problem of minimizing tissue damage during brain retraction was studied both experimentally in dogs and clinically with the aid of newly designed strain-gauge retractor. The pressure required to obtain a specific exposure decreased gradually with time. The average time for a 50% reduction in retraction pressure was 6.6 minutes in the earlier trials of repeated retraction. The attenuation rate of retraction pressure gradually decreased when retraction of the same area was repeated. The lower the head position of the dog, the larger was the amplitude of brain retraction pressure. Clinical studies demonstrated that: 1) cerebrospinal fluid drainage was effective in decreasing the retraction pressure required; 2) use of multiple retractors reduced the pressure applied by each retractor; and 3) retraction pressure could be monitored when the strain-gauge retractors were applied to arteries and cranial nerves.<\/jats:p>","DOI":"10.3171\/jns.1987.66.2.0270","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:22:37Z","timestamp":1241799757000},"page":"270-275","source":"Crossref","is-referenced-by-count":64,"title":["Monitoring retraction pressure on the brain"],"prefix":"10.3171","volume":"66","author":[{"given":"Kazuhiro","family":"Hongo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeaki","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Yokoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichiro","family":"Sugita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"No Shinkei Geka","first-page":"819","article-title":"Temporal lobe damage as pitfalls at subtemporal transtentorial approach.","volume":"9","author":"Abe","year":"1981"},{"key":"b2","series-title":"Acta Neurol Scand","first-page":"522","article-title":"Clinical and experimental brain retraction pressure monitoring.","volume":"56","author":"Albin","year":"1977"},{"key":"b3","series-title":"Surg Forum","first-page":"499","article-title":"Brain retraction pressure during intracranial procedures.","volume":"26","author":"Albin","year":"1975"},{"key":"b4","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1161\/01.STR.8.4.487","article-title":"Evoked potential changes during brain retraction in dogs.","volume":"8","author":"Bennett","year":"1977"},{"key":"b5","series-title":"Am J Surg","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/0002-9610(72)90195-X","article-title":"Pressure measurement beneath retractors for protection of delicate tissues.","volume":"123","author":"Donaghy","year":"1972"},{"key":"b6","series-title":"Neurol Med Chir","doi-asserted-by":"publisher","first-page":"893","DOI":"10.2176\/nmc.22.893","article-title":"Effect of local brain retraction on local cerebral blood flow and neural function. 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