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Int. J. Mol. Sci. 2015, 16(12), 28979-28997; doi:10.3390/ijms161226146

Advances in Intracranial Pressure Monitoring and Its Significance in Managing Traumatic Brain Injury

Department of NeuroTrauma, Naval Medical Research Center, Silver Spring, MD 20910, USA
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Author to whom correspondence should be addressed.
Academic Editor: Xiaofeng Jia
Received: 23 May 2015 / Revised: 24 November 2015 / Accepted: 24 November 2015 / Published: 4 December 2015
(This article belongs to the Special Issue Neurological Injuries’ Monitoring, Tracking and Treatment)
View Full-Text   |   Download PDF [482 KB, uploaded 4 December 2015]   |  

Abstract

Intracranial pressure (ICP) measurements are essential in evaluation and treatment of neurological disorders such as subarachnoid and intracerebral hemorrhage, ischemic stroke, hydrocephalus, meningitis/encephalitis, and traumatic brain injury (TBI). The techniques of ICP monitoring have evolved from invasive to non-invasive—with both limitations and advantages. Some limitations of the invasive methods include short-term monitoring, risk of infection, restricted mobility of the subject, etc. The invasiveness of a method limits the frequency of ICP evaluation in neurological conditions like hydrocephalus, thus hampering the long-term care of patients with compromised ICP. Thus, there has been substantial interest in developing noninvasive techniques for assessment of ICP. Several approaches were reported, although none seem to provide a complete solution due to inaccuracy. ICP measurements are fundamental for immediate care of TBI patients in the acute stages of severe TBI injury. In severe TBI, elevated ICP is associated with mortality or poor clinical outcome. ICP monitoring in conjunction with other neurological monitoring can aid in understanding the pathophysiology of brain damage. This review article presents: (a) the significance of ICP monitoring; (b) ICP monitoring methods (invasive and non-invasive); and (c) the role of ICP monitoring in the management of brain damage, especially TBI. View Full-Text
Keywords: intracranial pressure; invasive methods; non-invasive methods; telemetry; waveform analysis; traumatic brain injury intracranial pressure; invasive methods; non-invasive methods; telemetry; waveform analysis; traumatic brain injury
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Kawoos, U.; McCarron, R.M.; Auker, C.R.; Chavko, M. Advances in Intracranial Pressure Monitoring and Its Significance in Managing Traumatic Brain Injury. Int. J. Mol. Sci. 2015, 16, 28979-28997.

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