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Intracranial Pressure Monitoring

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Neurocritical Care

Abstract

Recognition of the unique nature of the cranial contents and the motivation for monitoring the pressure in the cranium can be traced back to 1783 and Alexander Monro (Secundus)’ monograph, “Observations on the Structure and Functions of the Nervous System.” Monro writes:

For being enclosed in a case of bone the blood must be continually flowing out of the veins, that room may be given to the blood which is entering by the arteries. For as the substance of the brain, like that of other solids of our body, is nearly incompressible, the quantity of blood within the head must be the same, or very nearly the same, at all times, whether in health or disease, in life or after death, those cases only excepted in which water or other matter is effused, or secreted, from the blood vessels; for in these, a quantity of blood, equal in bulk to the effused matter, will be pressed out of the cranium.

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Suggested Reading

  • Aaslid R, Markwalder T-M, Nornes H (1982) Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 57: 769–774

    Article  PubMed  CAS  Google Scholar 

  • Belopavlovic M, Buchthal A, Beks JW, Journée HL (1981) Some principles of postoperative epidural pressure monitoring. Acta Neurochir (Wien) 55: 227–245

    Article  CAS  Google Scholar 

  • Bouma GJ, Muizelaar JP, Bandoh K, Marmarou A (1992) Blood pressure and intracranial pressure-volume dynamics in severe head injury: relationship with cerebral blood flow. J Neurosurg 77: 15–19

    Article  PubMed  CAS  Google Scholar 

  • Bullock R, Golek J, Blake G (1989) Traumatic intracerebral hematoma — which patients should undergo surgical evacuation? CT scan features and ICP monitoring as a basis for decision making. Surg Neurol 32: 181–187

    Article  PubMed  CAS  Google Scholar 

  • Burrows FA, Hillier SC, McLeod ME, Iron KS, Taylor MJ (1990) Anterior fontanel pressure and visual evoked potentials in neonates and infants undergoing profound hypothermic circulatory arrest. Anesthesiology 73: 632–636

    Article  PubMed  CAS  Google Scholar 

  • Chambers IR, Mendelow AD, Sinar EJ, Modha P (1990) A clinical evaluation of the Camino subdural screw and ventricular monitoring kits. Neurosurgery 26: 421–423

    Article  PubMed  CAS  Google Scholar 

  • Chan K, Miller JD, Dearden NM, Andrews PJD, Midgley S (1992) The effect of changes in cerebral perfusion pressure upon middle cerebral artery blood flow velocity and jugular bulb venous oxygen saturation after severe brain injury. J Neurosurg 77: 55–61

    Article  PubMed  CAS  Google Scholar 

  • Clark WC, Muhlbauer MS, Lowrey R, Hartman M, Ray MW, Watridge CB (1989) Complications of intracranial pressure monitoring in trauma patients. Neurosurgery 25: 20–24

    Article  PubMed  CAS  Google Scholar 

  • Colditz PB, Williams GL, Berry AB, Symonds PJ (1988) Fontanelle pressure and cerebral perfusion pressure: continuous measurement in neonates. Crit Care Med 16: 876–879

    Article  PubMed  CAS  Google Scholar 

  • Constantini S, Cotev S, Rappaport ZH, Pomeranz S, Shalit MN (1988) Intracranial pressure monitoring after elective intra-cranial surgery. J Neurosurg 69: 540–544

    Article  PubMed  CAS  Google Scholar 

  • Crutchfield JS, Narayan RK, Robertson CS, Michael LH (1990) Evaluation of a fiber-optic intracranial pressure monitor. J Neurosurg 72: 482–487

    Article  PubMed  CAS  Google Scholar 

  • Gaab MR, Heissler HE, Bruce DA (1984) ICP monitoring. Crit Rev Biomed Eng 11: 189–250

    CAS  Google Scholar 

  • Garcia-Merino A, Garcia-Sola R, Vela L, Martin-Gonzales E (1990) Intracranial pressure monitoring in acute disseminated encephalomyelitis in childhood. Crit Care Med 18: 1481–1483

    Article  PubMed  CAS  Google Scholar 

  • Go KG (1991) Cerebral pathophysiology: an integral approach with some emphasis on clinical implications. Elsevier, Amsterdam

    Google Scholar 

  • Guillaume J, Janny P (1951) Manometrie intracranienne continue: interet de la methode et premiers resultats. Rev Neurol 84: 131–142

    PubMed  CAS  Google Scholar 

  • Hara M, Kadowaki C, Watanabe H, Shiogai T, Numoto M, Takeuchi K (1988) Necessity for ICP monitoring to supplement GCS in head trauma cases. Neurochirurgia (Stuttg) 31: 39–44

    CAS  Google Scholar 

  • Kanter PK, Weiner LB, Patti AM, Robson LK (1985) Infectious complications and duration of intracranial pressure monitoring. Crit Care Med 13: 837–839

    Article  PubMed  CAS  Google Scholar 

  • Kawahara N, Sasaki M, Mii K, Tsuzuki M, Takakura K (1989) Sequential changes of auditory brain stem responses in relation to intracranial and cerebral perfusion pressure and initiation of secondary brain-stem damage. Acta Neurochir (Wien) 100: 142–149

    Article  CAS  Google Scholar 

  • Kosteljanetz M (1987) Intracranial pressure: cerebrospinal fluid dynamics and pressure-volume relations. Acta Neurol Scand [Suppl] 111: 1–23

    CAS  Google Scholar 

  • Lorig RJ, Cheng EM, Ko WH (1976) Systems for the long-term monitoring of intraventricular pressure in neurosurgery. In: Flemming DG, Ko WH, Neuman MR (eds) Indwelling and implantable pressure transducers. CRC Press, Cleveland, pp 79–84

    Google Scholar 

  • Lundberg N (1960) Continuous recording and control of ventricular fluid pressure in neurosurgical practice. Acta Psychiatr Neurol Scand [Suppl] 49: 1–193

    CAS  Google Scholar 

  • Lundberg N (1983) The saga of the MonroKellie doctrine. In: Ishii S, Nagai H, Brock M (eds) Intracranial pressure V. Springer, Berlin Heidelberg New York, pp 68–76

    Chapter  Google Scholar 

  • Lyons MK, Meyer FB (1990) Cerebrospinal fluid physiology and the management of increased intracranial pressure. Mayo Clin Proc 65: 684–707

    PubMed  CAS  Google Scholar 

  • Maas AI, de Jong DA (1986) The Rotterdam Teletransducer: state of the device. Acta Neurochir (Wien) 79: 5–12

    Article  CAS  Google Scholar 

  • Marmarou A, Anderson RL, Ward JD et al. (1991) NINDS traumatic coma data bank: intracranial pressure monitoring methodology. J Neurosurg 75: s21 - s27

    Google Scholar 

  • Maset AL, Marmarou A, Ward JD et al. (1987) Pressure-volume index in head injury. J Neurosurg 67: 832–840

    Article  PubMed  CAS  Google Scholar 

  • Mizutani T, Manaka S, Tsutsumi H (1990) Estimation of intracranial pressure using computed tomography scan findings in patients with severe head injury. Surg Neurol 33:178— 184

    Google Scholar 

  • Nordby HK, Gunnerod N (1985) Epidural monitoring of the intracranial pressure in severe head injury characterized by non-localizing motor response. Acta Neurochir (Wien) 74: 21–26

    Article  CAS  Google Scholar 

  • Ohara S, Nagai H, Matsumoto T, Banno T (1988) MR imaging of CSF pulsatory flow and its relation to intracranial pressure. J Neurosurg 69: 675–682

    Article  PubMed  CAS  Google Scholar 

  • Pfenninger EG, Reith A, Breitig D, Grunert A, Ahnefeld FW (1989) Early changes of intracranial pressure, perfusion pressure, and blood flow after acute head injury. 1. An experimental study of the underlying pathophysiology. J Neurosurg 70: 774–779

    Article  PubMed  CAS  Google Scholar 

  • Piek J, Kosub B, Kuch F, Bock WJ (1987) A practical technique for continuous monitoring of cerebral tissue pressure in neurosurgical patients. Preliminary results. Acta Neurochir (Wien) 87: 144–149

    Article  CAS  Google Scholar 

  • Reid A, Marchbanks RJ, Bateman DE et al. (1989) Mean intracranial pressure monitoring by a noninvasive audiological technique: a pilot study. J Neurol Neurosurg Psychiatry 52: 610–612

    Article  PubMed  CAS  Google Scholar 

  • Robertson CS, Narayan RK, Contant CF et al. (1989) Clinical experience with a continuous monitor of intracranial compliance. J Neurosurg 71: 673–680

    Article  PubMed  CAS  Google Scholar 

  • Rosenwasser RH, Kleiner LI, Krzeminski JP, Buchheit WA (1989) Intracranial pressure monitoring in the posterior fossa: a preliminary report. J Neurosurg 71: 503–505

    Article  PubMed  CAS  Google Scholar 

  • Schettini A, Walsh EK (1974) Experimental identification of the subarachnoid and subpial compartments by intracranial pressure measurements. J Neurosurg 40: 609–616

    Article  PubMed  CAS  Google Scholar 

  • Seibert JJ, McCowan TC, Chadduck WM et al. (1989) Duplex pulsed doppler US versus intracranial pressure in the neonate: clinical and experimental studies. Radiology 171: 155–159

    PubMed  CAS  Google Scholar 

  • Takeuchi S, Koike T, Sasaki O, Kamada K, Tanaka R, Arai H (1989) Intracranial extradural pressure monitoring after direct operation on ruptured cerebral aneurysms. Neurosurgery 24: 878–883

    Article  PubMed  CAS  Google Scholar 

  • Tasker RC, Matthew DJ, Helms P, Dinwiddie R, Boyd S (1988) Monitoring in non-traumatic coma. I. Invasive intracranial measurements. Arch Dis Child 63: 888–894

    Article  PubMed  CAS  Google Scholar 

  • Tasker RC, Boyd S, Harden A, Matthew DJ (1988) Monitoring in non-traumatic coma. II. Electroencephalography. Arch Dis Child 63: 895–899

    Article  PubMed  CAS  Google Scholar 

  • Walker AE, Viernstein LJ, Chubbuck JG (1976) Intracranial pressure monitoring in neurosurgery. In: Flemming DG, Ko WH, Neuman MR (eds) Indwelling and implantable pressure transducers. CRC Press, • Cleveland, pp 69–77

    Google Scholar 

  • Wilkinson HA, Yarzebski J, Wilkinson EC, Anderson FA (1989) Erroneous measurement of intracranial pressure caused by simultaneous ventricular drainage: a hydrodynamic model study. Neurosurgery 24: 348–354

    Article  PubMed  CAS  Google Scholar 

  • Yano M, Ikeda Y, Kobayashi S, Otsuka T (1987) Intracranial pressure in head-injured patients with various intracranial lesions is identical throughout the supratentorial intracranial compartment. Neurosurgery 21: 688–692

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Schnitzer, M.S., Aschoff, A.A., Hacke, W. (1994). Intracranial Pressure Monitoring. In: Hacke, W., Hanley, D.F., Einhäupl, K.M., Bleck, T.P., Diringer, M.N., Ropper, A.H. (eds) Neurocritical Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87602-8_8

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  • DOI: https://doi.org/10.1007/978-3-642-87602-8_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-87604-2

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