Intracranial pressure monitoring Indications

To confirm the diagnosis of raised intracranial pressure (ICP) and monitor treatment. May be used in cases of head injury particularly if ventilated, Glasgow Coma Score <8, or with an abnormal CT scan. Also used in encephalopathy, post-neurosurgery and in selected cases of intracranial haemorrhage. Although a raised ICP can be related to poor prognosis after head injury, the converse is not true. Sustained reduction of raised ICP (or maintenance of cerebral perfusion pressure) in head injury may improve outcome although large controlled trials are lacking.

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