The Monro-Kellie doctrine in its own context

In 1783, Alexander Monro secundus maintained that because the brain is enclosed in a case of bone and its substance is nearly incompressible, the quantity of blood within the head must be the same, or very nearly the same, at all times. Years later, this hypothesis was experimentally supported by George Kellie, and became known as the Monro-Kellie doctrine. However, this doctrine encountered resistance. Its reviewers have agreed to point out the historically understandable error of not having considered the CSF as a normal intracranial volume. Yet, almost nothing has been published about some of the physiological, pathophysiological, and therapeutic ideas prevailing at that time that may have influenced Monro's hypothesis. Lastly, and perhaps most importantly, it is not clear why Monro, who knew the ventricular system in detail, did not include it as a potential compensatory compartment for changes in the intracranial blood volume.

Authors

Publication Details

Journal
Journal of neurosurgery
Published
2024-08-01
DOI
https://doi.org/10.3171/2024.3.jns232829
Citations
5
Primary Topic
Conflict of Laws and Jurisdiction
Type
article
Field-Weighted Citation Impact
11.16
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article

The Monro-Kellie doctrine in its own context

Nelson A. Picard
5 citations
Journal of neurosurgery
Conflict of Laws and Jurisdiction
11.16
article

The Monro-Kellie doctrine in its own context

Nelson A. Picard
article en
5 citations

Abstract

In 1783, Alexander Monro secundus maintained that because the brain is enclosed in a case of bone and its substance is nearly incompressible, the quantity of blood within the head must be the same, or very nearly the same, at all times. Years later, this hypothesis was experimentally supported by George Kellie, and became known as the Monro-Kellie doctrine. However, this doctrine encountered resistance. Its reviewers have agreed to point out the historically understandable error of not having considered the CSF as a normal intracranial volume. Yet, almost nothing has been published about some of the physiological, pathophysiological, and therapeutic ideas prevailing at that time that may have influenced Monro's hypothesis. Lastly, and perhaps most importantly, it is not clear why Monro, who knew the ventricular system in detail, did not include it as a potential compensatory compartment for changes in the intracranial blood volume.

Journal of neurosurgeryVol. 142(1)
Good health and well-being
Openalex Percentile: Top 2%
Conflict of Laws and Jurisdiction
11.16
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