MONITORING OF INTRACRANIAL PRESSURE IN SEVERE AND MODERATE HEAD INJURY AND CLINICORADIOLOGICAL CORRELATION

Dr. Ramashanker Prasad; Dr. B. Kumar; Dr. Vishvanayak

Volume : VI, Issue : V, May - 2016

MONITORING OF INTRACRANIAL PRESSURE IN SEVERE AND MODERATE HEAD INJURY AND CLINICORADIOLOGICAL CORRELATION

Dr. Ramashanker Prasad, Dr. B. Kumar, Dr. Vishvanayak

Abstract :

ICP monitoring is useful in head injury, poor grade subarachnoid hemorrhage, (SAH), stroke, intracereal hematoma, meningitis, acute liver failure, hydrocephalus, benign intracranial hypertension, craniosynostosis etc. Information which can be derived from ICP and its waveforms, includes cereal perfusion pressure, regulation of cereal blood flow and volume, CSF absorption capacity, ain compensatory reserve, and content of vasogenic events. In head injury ICP monitoring is indicated in all patients with severe head injury (GCS 3–8) and those patients with moderate head injury (GCS 9–12) at increased risk or who cannot be followed with serial neurological examination (eg. anaesthetized for other procedure). Our study has confirmed the findings of earlier studies that intracranial pressure monitoring is a useful tool in the management of head injury. ICP monitoring can also identify patients who are initially managed conservatively but raising ICP may indicate need for surgery. Hence it is recommended that ICP monitoring should be an essential tool in managing TBI cases.