1989

DOI: 10.1007/978-3-642-73987-3

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Intracranial Pressure VII

Julian T. Hoff¹,

A. Lorris Betz²

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Cited by 13 publications

References 354 publications

(480 reference statements)

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Brain Resuscitation: a Clinical Perspective

¹

1991

Advances in Brain Resuscitation

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No abstract

Brain Resuscitation: a Clinical Perspective

¹

1991

Advances in Brain Resuscitation

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No abstract

Diagnosis and management of normal-pressure hydrocephalus

¹

2000

Journal of Neurology

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The syndrome of normal-pressure hydrocephalus (NPH) remains a diagnostic and therapeutic challenge, especially as many patients do not display the classical clinical and neuroimaging patterns of NPH, thus questioning the usefulness of a shunt. Gait impairment remains the cardinal symptom, while mental deterioration may be subtle and even unrecognized. NPH is rarely the cause of severe dementia, and substantial improvement in NPH-related mental deterioration is limited to 30-40% of shunted patients. Many ancillary investigations have been described that can increase the probability of selecting the appropriate candidates for a shunt. The reliability and reproducibility of these tests are limited. Unfortunately, the best predictive tests are technically complex and are used only in a few specialized centers. The best management is still to adhere to strict clinical and magnetic resonance imaging criteria and to rely on a positive - but not negative - CSF tap test and the occurrence of B-waves during at least 50% of the continuous intracranial pressure recording time, when this procedure is available.

Continuous cerebral compliance monitoring in severe head injury: its relationship with intracranial pressure and cerebral perfusion pressure

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et al. 2005

Acta Neurochir (Wien)

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Low CPP levels are confirmed to be detrimental for intracranial compliance. Moreover, when ICP was pathological, indicating unstable intracranial equilibrium, a high CPP level was also associated with a low volume-buffering capacity.

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