Skip to main content

Intracranial Pressure Monitoring

  • Conference paper
  • 67 Accesses

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 9))

Abstract

The practice of continuous monitoring of the intracranial pressure (ICP), developed over the last 25 years, has played a major part in establishing neurological critical care as a distinct form of intensive care. Raised ICP is a frequent occurrence in patients with a wide range of disorders of the central nervous system—traumatic, vascular, neoplastic, infective and developmental—particularly when the level of consciousness is depressed.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Marmarou A, Shulman K, Lamorgese J (1975) Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid outflow system. J Neurosurg 43:523–534

    Article  PubMed  CAS  Google Scholar 

  2. Johnson IH, Rowan JD (1974) Raised intracranial pressure and cerebral blood flow 3: Venous outflow tract pressures and vascular resistance in experimental intracranial hypertension. J Neurol Neurosurg Psychiatry 37:392–402

    Article  Google Scholar 

  3. Marmarou A, Masel AL, Ward JD, et al (1987) Contribution of CSF and vascular factors to elevation of ICP in severely head injured patients. J Neurosurg 66:883–890

    Article  PubMed  CAS  Google Scholar 

  4. Kosteljanetz M (1984) CSF dynamics in patients with subarachnoid and/or intraventricular hemorrhage. J Neurosurg 60:940–946

    Article  PubMed  CAS  Google Scholar 

  5. Langfitt TW (1969) Increased intracranial pressure. Clin Neurosurg 16:436–471

    PubMed  CAS  Google Scholar 

  6. Miller JD (1975) Volume and pressure in the craniospinal axis. Clin Neurosurg 22:76–105

    PubMed  CAS  Google Scholar 

  7. Miller JD, Stanek AE, Langfitt TW (1972) Concept of cerebral perfusion pressure and vascular compression during intracranial hypertension. In: Meyer JS, Schade JP (eds) Progress in brain research, vol 35: Cerebral blood flow. Elsevier, Amsterdam, pp 411–432

    Chapter  Google Scholar 

  8. Astrup J (1982) Energy-requried cell functions in the ischcmic brain. J Neurosurg 56:482–497

    Article  PubMed  CAS  Google Scholar 

  9. Bell BA, Symon L, Branston NM (1985) CBF and time thresholds for the formation of ischemic cerebral edema and effect of reperfusion in baboons. J Neurosurg 62:31–41

    Article  PubMed  CAS  Google Scholar 

  10. Lewelt W, Jenkins LW, Miller JD (1980) Autoregulation of cerebral blood flow after experimental fluid percussion injury of the brain. J Neurosurg 53:500–511

    Article  PubMed  CAS  Google Scholar 

  11. Miller JD (1985) Head injury and brain ischaemia—implications for therapy. Br J Anaesth 57:120–129

    Article  PubMed  CAS  Google Scholar 

  12. Miller JD, Adams JH (1984) The pathophysiology of raised intracranial pressure. In: Hume Adams J, Corsellis JAN, Duchen LW (eds) Greenfield’s neuropathology, 4th edn. Arnold, London, pp 53–84

    Google Scholar 

  13. Fitch W, McDowall DG (1971) Effect of halothane on intracranial pressure gradients in the presence of intracranial space-occupying lesions. Br J Anaesth 43:904–912

    Article  PubMed  CAS  Google Scholar 

  14. Guillaume J, Janny P (1951) Manometrie intracranienne continue intérêt de la méthode et premiers résultats. Rev Neurol 84:131–142

    PubMed  CAS  Google Scholar 

  15. Lundberg N (1960) Continuous recording and control of ventricular fluid pressure in neu-rosurgical practice. Acta Psychiatr Neurol Scand 36 (Suppl 149): 1–193

    CAS  Google Scholar 

  16. Miller JD (1987) ICP monitoring: present position and future directions. Acta Neurochir 85:80–86

    Article  CAS  Google Scholar 

  17. North B, Reilly P (1986) Comparison among three methods of intracranial pressure recording. Neurosurgery 18:730–732

    Article  PubMed  CAS  Google Scholar 

  18. Ostrup RC, Luersson TG, Marshall LF, Zornow MH (1987) Continuous monitoring of intracranial pressure with a miniaturized fiberoptic device. J Neurosurg 62:206–209

    Google Scholar 

  19. Barlow P, Mendelow AD, Lawrence AE, Barlow M, Rowan JO (1985) Clinical evaluation of two methods of subdural pressure monitoring. J Neurosurg 63:578–582

    Article  PubMed  CAS  Google Scholar 

  20. Teasdale E, Cardoso E, Galbraith S, Teasdale G (1984) CT scan in severe diffuse head injury: physiological and clinical correlation. J Neurol Neurosurg Psychiatry 47:600–603

    Article  PubMed  CAS  Google Scholar 

  21. Muizelaar JP, Van Der Poel HG, Li Z, Kontos HA, Levasseur JE (1988) Pial arteriolar vessel diameter and CO2 reactivity during prolonged hyperventilation in the rabbit. J Neurosurg 69:923–927

    Article  PubMed  CAS  Google Scholar 

  22. Maxwell RE, Long DM, French LA (1972) The clinical effects of a synthetic glucocorticoid used for brain edema in the practice of neurosurgery. In: Reulen HJ, Schurmann K (eds) Steroids and brain edema. Springer, Berlin Heidelberg New York, pp 219–232

    Chapter  Google Scholar 

  23. Brock M, Wiegand H, Zillig C, Zywietz C, Mock P, Dietz H (1976) The effect of dexamethasone on intracranial pressure in patients with supratertorial tumors. In: Pappius HM, Feindel W (eds) Dynamics of brain edema. Springer, Berlin Heidelberg New York, pp 330–336

    Chapter  Google Scholar 

  24. Miller JD, Leech PJ (1975) Assessing the effects of mannitol and steroid therapy on intracranial volume/pressure relationships. J Neurosurg 42:274–281

    Article  PubMed  CAS  Google Scholar 

  25. Miller JD, Sakalas R, Ward JD, Adams WE, Vries JK, Becker DP (1977) Methylprednisolone treatment in patients with brain tumors. Neurosurgery 1:114–117

    Article  PubMed  CAS  Google Scholar 

  26. Cooper PR, Moody S, Clark WK (1979) Dexamethasone and severe head injury. A prospective double-blind study. J Neurosurg 51:307–316

    Article  PubMed  CAS  Google Scholar 

  27. Pitts LH, Kaktis JV (1980) Effect of megadose steroids on ICP in traumatic coma. In: Shulman K, Marmarou A, Miller JD, Becker DP, Hochwald GM, Brock M (eds) Intracranial pressure IV. Springer, Berlin Heidelberg New York, pp 638–642

    Chapter  Google Scholar 

  28. Saul TG, Ducker TB, Salcman M (1981) Steroids in severe head injury. A prospective randomised clinical trial. J Neurosurg 54:596–600

    Article  PubMed  CAS  Google Scholar 

  29. Braakman R, Schouten HJA, Blaauw van Dishoeck M, Minderhoud JM (1983) Megadose steroids in severe head injury: results of a prospective double-blind clinical trial. J Neurosurg 58:326–330

    Article  PubMed  CAS  Google Scholar 

  30. Dearden JP, Gibson JS, McDowall DG, Gibson RM, Cameron MM (1986) Effect of high dose dexamethasone on outcome from severe head injury. J Neurosurg 64:81–88

    Article  PubMed  CAS  Google Scholar 

  31. Ginsberg MD, Welsh FA, Budd WN (1980) Deleterious effect of glucose pre-treatment on recovery from diffuse cerebral ischemia in the cat. Stroke 11:347–354

    Article  PubMed  CAS  Google Scholar 

  32. Bell BA, Smith MA, Kean DM, et al (1987) Brain water measured by magnetic resonance imaging: correlation with direct estimation and change following mannitol and dexamethasone. Lancet 1:66–69

    Article  PubMed  CAS  Google Scholar 

  33. Muizelaar JP, Wei EP, Kontos HA, Becker DP (1983) Mannitol causes compensatory cerebral vasoconstriction and vasodilation to blood viscosity changes. J Neurosurg 59:822–828

    Article  PubMed  CAS  Google Scholar 

  34. Muizelaar JP, Lutz HA, Becker DP (1984) Effect of mannitol on ICP and CBF and correlation with pressure autoregulation in severely head impairment patients. J Neurosurg 61:700–706

    Article  PubMed  CAS  Google Scholar 

  35. Rosner MJ, Coley I (1987) Cerebral perfusion pressure: a hemodynamic mechanism of mannitol and the post-mannitol hemogram. Neurosurgery 21:147–156

    Article  PubMed  CAS  Google Scholar 

  36. Takagi H, Saito T, Kitahara T, Morii S, Ohwada T, Yada K (1983) The mechanism of the ICP reducing effect of mannitol. In: Ishii S, Nagai H, Brock M (eds) Intracranial pressure V. Springer, Berlin Heidelberg New York, pp 729–733

    Chapter  Google Scholar 

  37. Becker DP, Vries JK (1972) The alleviation of increased intracranial pressure by the chronic administration of osmotic agents. In: Brock M, Diet H (eds) Intracranial pressure: experimental and clinical aspects. Springer, Berlin Heidelberg New York, pp 309–315

    Google Scholar 

  38. Miller JD (1979) Barbiturates and raised intracranial pressure. Ann Neurol 6:189–193

    Article  PubMed  CAS  Google Scholar 

  39. Schwartz ML, Tator CH, Rowed DW, et al (1984) The University of Toronto Head Injury Treatment Study: a prospective randomised comparison of pentobarbital and mannitol. Can J Neurol Sci 11:434–440

    PubMed  CAS  Google Scholar 

  40. Ward JD, Becker DP, Miller JD, et al (1985) Failure of prophylactic barbiturate coma in the treatment of severe head injury. J Neurosurg 62:383–388

    Article  PubMed  CAS  Google Scholar 

  41. Eisenberg HM, Frankowski RF, Contant CF, Marshall LF, Walker MD (1988) High dose barbiturate control of elevated intracranial pressure in patients with severe head injury. J Neurosurg 69:15–23

    Article  PubMed  CAS  Google Scholar 

  42. Leggate JRS, Baxter P, Minns RA, et al (1988) The role of a separate subcutaneous cere-brospinal fluid reservoir in the management of hydrocephalus. Br J Neurosurg 2:327–337

    Article  PubMed  CAS  Google Scholar 

  43. Borgesen SE, Gjerris F (1987) Relationship between intracranial pressure, ventricular size and resistance to CSF outflow. J Neurosurg 67:535–539

    Article  PubMed  CAS  Google Scholar 

  44. Takizawa H, Gabra-Sanders T, Miller JD (1985) Validity of measurements of CSF outflow resistance estimated by the bolus injection method. Neurosurgery 17:63–66

    Article  PubMed  CAS  Google Scholar 

  45. Portnoy HD, Chopp M, Branch C, Shannon MB (1982) Cerebrospinal fluid pulse wave form as an indication of cerebral autoregulation. J Neurosurg 56:666–678

    Article  PubMed  CAS  Google Scholar 

  46. Takizawa H, Gabra-Sanders T, Miller JD (1987) Changes in the CSF pulse-wave spectrum associated with raised intracranial pressure. Neurosurgery 20:355–361

    Article  PubMed  CAS  Google Scholar 

  47. Bray RS, Sherwood AM, Halter JA, Robertson C, Grossman RG (1986) Development of a clinical monitoring system by means of ICP waveform analysis. In: Miller JD, Teasdale GM, Rowan JO, Galbraith SL, Mendelow AD (eds) Intracranial pressure VI. Springer, Berlin Heidelberg New York Tokyo, pp 260–264

    Google Scholar 

  48. Piper IR, Dearden NM, Miller JD: Can waveform analysis of ICP separate vascular from non-vascular causes of intracranial hypertension? In: Hoff J (ed) Intracranial pressure VII. Springer, Berlin Heidelberg New York Tokyo (in press)

    Google Scholar 

  49. Dearden NM (1985) Intracranial pressure monitoring. Care of the Critically 111 1:8–13

    Google Scholar 

  50. Nordström CH, Messeter K, Sundbarg G, Schalen W, Werner M, Ryding E (1988) Cerebral blood flow, vasoreactivity and oxygen consumption during barbiturate therapy in severe traumatic brain lesions. J Neurosurg 68:424–431

    Article  PubMed  Google Scholar 

  51. Bingham RM, Procaccio F, Prior PF, Hinds CJ (1985) Cerebral electrical activity influences the effects of etomidate on cerebral perfusion pressure in traumatic coma. Br J Anaesth 57:843–848

    Article  PubMed  CAS  Google Scholar 

  52. Bricolo AP, Glick RP (1981) Barbiturate effects on acute experimental intracranial hypertension. J Neurosurg 55:397–406

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Miller, J.D. (1989). Intracranial Pressure Monitoring. In: Bihari, D., Holaday, J.W. (eds) Brain Failure. Update in Intensive Care and Emergency Medicine, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83929-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-83929-0_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51655-2

  • Online ISBN: 978-3-642-83929-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics