BACKGROUND The increased intracranial pressure can significantly complicate the perioperative period in major abdominal surgery, increasing the risk of complications, the length of recovery from the surgery, worsening the outcome. Epidural anesthesia has become a routine component of abdominal surgery, but its use in patients with increased intracranial pressure remains controversial. The goal ...

BACKGROUND AND METHODS We report the case of a young woman with delayed cerebral infarction and intracranial hypertension following subarachnoid hemorrhage requiring hemicraniectomy, who underwent multimodality neuromonitoring of the contralateral hemisphere before and after craniectomy. RESULTS Intracranial hypertension was preceded by signs of ischemia and impaired brain metabolism diagnose...

Current Opinion in Organ Transplantation 2010, 15:368–373 Purpose of review A number of conditions can lead to acute liver failure. Determining the cause has important prognostic implications that guide decisions regarding the likelihood of spontaneous recovery, or conversely, the need for transplantation. Recent findings Neurological deterioration is associated with intracranial hypertension, ...

Slow waves in intracranial pressure (ICP) and related signals seems of interest to evaluate the dynamic autoregulation, i.e. by comparison of the frequency links between an intracranial signal, e.g. ICP, cerebral blood velocity (CBV), and arterial blood pressure (ABP). To clarify the links, we compared two frequency methods based on coherence function to estimate the influence of ICP, ABP and C...

Cancer can be a devastating illness causing severe debilitation and prolonged confinement to bed. It is, therefore, not unexpected that oncologists would be required to manage pressure ulcers as part of the comprehensive care of their cancer patients. The consequences of these lesions can be devastating, even fatal. Thus, the common bedsore should not be overlooked as an important clinical prob...

Appropriate management of raised intracranial pressure begins with stabilization of the patient and simultaneous assessment of the level of sensorium and the cause of raised intracranial pressure. Stabilization is initiated with securing the airway, ventilation and circulatory function. The identification of surgically remediable conditions is a priority. Emergent use of external ventricular dr...

Appropriate management of raised intracranial pressure begins with stabilization of the patient and simultaneous assessment of the level of sensorium and the cause of raised intracranial pressure. Stabilization is initiated with securing the airway, ventilation and circulatory function. The identification of surgically remediable conditions is a priority. Emergent use of external ventricular dr...

To the Editor: We read with interest the article by Wang et al1 regarding the use of transcranial Doppler sonography to assess middle cerebral artery flow parameters in patients with serious brain injury. The importance of developing noninvasive techniques to monitor intracranial pressure in patients at risk of developing raised intracranial pressure remains challenging, but if achieved, they h...

OBJECTIVES To demonstrate a rare but potential mechanism of quadriplegia in a patient with fulminant pneumococcal meningitis complicated by severe intracranial hypertension. DESIGN Case report. SETTING Intensive care unit. PATIENT A 21-year-old man who presented with 3 days of headache, combativeness, and fever. INTERVENTION Antibiotics and steroids were initiated after lumbar puncture ...