Raised Intracranial Pressure Flashcards
What can make up the extra volume in raised ICP
Haematoma
Tumour
Excessive CSF
Normal ICP
7-15mmHg
Caused of raised ICP
Idiopathic intracranial hypertension
Traumatic head injuries
Infection (meningitis)
Tumours
Hydrocephalus
Clinical features of raised ICP
Headache
Vomiting
Reduced levels of consciousness
Papilloedema
Cushing’s triad
What is Cushing’s triad?
Widening pulse pressure
Bradycardia
Irregular breathing
Investigations in raised ICP
CT/MRI to identify underlying caused
Invasive ICP monitoring
Management of raised ICP
Investigate and treat cause
ABCDE
Head elevation to 30º
IV mannitol or hypertonic saline
Controlled hyperventilation
Removal of CSF
Methods for removal of CSF
Drain from intraventricular monitor
Repeated lumbar puncture (e.g. idiopathic intracranial hypertension)
Ventriculoperitoneal shunt (for hydrocephalus)