Monitoring intracranial pressure

Andrea Orfanakis; Ansgar Brambrink

doi:10.1007/978-1-4614-0308-1_13

Monitoring intracranial pressure

Andrea Orfanakis, Ansgar Brambrink

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

The cranium is uniquely intolerant to changes in volume. The classical thinking of the relationship between components of the cranium and the pressure created by their presence is defined by the Monroe Kellie Doctrine [1]. Under normal physiologic conditions tissue cells, blood, and cerebrospinal fluid (CSF) maintain a consistent presence within the cranium and spinal cord areas. When any single component increases, the other two have a limited capacity to accommodate by shifting into accessory spaces so as to avoid a rise in intracranial pressure (ICP) and thus maintain stable cerebral perfusion pressure (CPP).

Original language	English (US)
Title of host publication	Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals
Publisher	Springer US
Pages	279-291
Number of pages	13
Volume	9781461403081
ISBN (Electronic)	9781461403081
ISBN (Print)	1461403073, 9781461403074
DOIs	https://doi.org/10.1007/978-1-4614-0308-1_13
State	Published - Nov 1 2012
Externally published	Yes

Keywords

Cerebral pressure reactivity
Coagulopathy
Herniation
Intracranial pressure monitoring
Intraventricular catheter
Monro-Kellie hypothesis
Parenchymal devices

ASJC Scopus subject areas

General Medicine

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10.1007/978-1-4614-0308-1_13

Cite this

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AB - The cranium is uniquely intolerant to changes in volume. The classical thinking of the relationship between components of the cranium and the pressure created by their presence is defined by the Monroe Kellie Doctrine [1]. Under normal physiologic conditions tissue cells, blood, and cerebrospinal fluid (CSF) maintain a consistent presence within the cranium and spinal cord areas. When any single component increases, the other two have a limited capacity to accommodate by shifting into accessory spaces so as to avoid a rise in intracranial pressure (ICP) and thus maintain stable cerebral perfusion pressure (CPP).

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KW - Coagulopathy

KW - Herniation

KW - Intracranial pressure monitoring

KW - Intraventricular catheter

KW - Monro-Kellie hypothesis

KW - Parenchymal devices

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M3 - Chapter

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ER -

Monitoring intracranial pressure

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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