777 Indian Journal of Anaesthesia | Vol. 60 | Issue 10 | Oct 2016 of raised intracranial pressure: A systematic review and meta‐analysis. Intensive Care Med 2011;37:1059‐68. 7. Rajajee V, Vanaman M, Fletcher JJ, Jacobs TL. Optic nerve ultrasound for the detection of raised intracranial pressure. Neurocrit Care 2011;15:506‐15. 8. Govil D, Srinivasan S. Optic nerve sheath diameter measurement usi...

Optic nerve sheath diameter (ONSD) enlargement on initial computed tomography (CT) scan has been found to be associated with increased mortality after severe traumatic brain injury. This could offer the possibility to detect patients with raised intracranial pressure requiring urgent therapeutic interventions and/or invasive intracranial monitoring to guide the treatment. The method to measure ...

Adult patients who present with papilloedema and symptoms of raised intracranial pressure need urgent multidisciplinary assessment including neuroimaging, to exclude life-threatening causes. Where there is no apparent underlying cause for the raised intracranial pressure, patients are considered to have idiopathic intracranial hypertension (IIH). The incidence of IIH is increasing in line with ...

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...

Divergence paralysis is characterized by acquired horizontal homonymous diplopia when viewing distant objects but without limitation of ocular movements (Bielschowsky, I935). Although raised intracranial pressure is a significant aetiological factor in the production of divergence paralysis (Bender and Savitsky, I940; Chamlin and Davidoff, I950, 1951), there has been much diversity of opinion a...

The effect of intravenous mannitol infusion and withdrawal of cerebrospinal fluid on the intracranial pressure and clinical state was studied in 26 patients with raised intracranial pressure after direct surgery for ruptured aneurysm. Each method decreased the mean intracranial pressure by about 60% of the pre-treatment level. The maximal decrease following mannitol occurred after 60-90 minutes...

We report a polytrauma case requiring simultaneous neurosurgery and laparotomy. Upon abdominal closure, raised intracranial pressure occurred. This illustrates the important physiological interplay between body compartments in critical care patients.

A 7-year-old boy presented with acute onset headache, vomiting, and visual deterioration 2 weeks previously without any cognitive or behavioral changes. Optic fundi showed papilledema, and there were no pyramidal signs or gait disturbances. The remainder of the neurologic examination was normal. CSF protein was 174 mg/dL. Although MRI features (figure) were consistent with adrenoleukodystrophy ...

Radiological assessment of the head is a routine part of the management of traumatic brain injury. This assessment can help to determine the requirement for invasive intracranial pressure (ICP) monitoring. The radiological correlates of elevated ICP have been widely studied in adults but far fewer specific pediatric studies have been conducted. There is, however, growing evidence that there are...