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- W2158267976 abstract "Intracranial pressure (ICP) is derived from cerebral blood and cerebrospinal fluid (CSF) circulatory dynamics and can be affected in the course of many diseases of the central nervous system. Monitoring of ICP requires an invasive transducer, although some attempts have been made to measure it non-invasively. Because of its dynamic nature, instant CSF pressure measurement using the height of a fluid column via lumbar puncture may be misleading. An averaging over 30 minutes should be the minimum, with a period of overnight monitoring in conscious patients providing the optimal standard. Computer-aided recording with online waveform analysis of ICP is very helpful. Although there is no Class I evidence, ICP monitoring is useful, if not essential, in head injury, poor grade subarachnoid haemorrhage, stroke, intracerebral haematoma, meningitis, acute liver failure, hydrocephalus, benign intracranial hypertension, craniosynostosis etc. Information which can be derived from ICP and its waveforms includes cerebral perfusion pressure (CPP), regulation of cerebral blood flow and volume, CSF absorption capacity, brain compensatory reserve, and content of vasogenic events. Some of these parameters allow prediction of prognosis of survival following head injury and optimisation of CPP-guided therapy. In hydrocephalus CSF dynamic tests aid diagnosis and subsequent monitoring of shunt function." @default.
- W2158267976 created "2016-06-24" @default.
- W2158267976 creator A5027157412 @default.
- W2158267976 creator A5046998828 @default.
- W2158267976 date "2004-06-01" @default.
- W2158267976 modified "2023-10-07" @default.
- W2158267976 title "Monitoring and interpretation of intracranial pressure" @default.
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- W2158267976 doi "https://doi.org/10.1136/jnnp.2003.033126" @default.
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- W2158267976 hasPublicationYear "2004" @default.
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