Diagnosis and management of elevated intracranial pressure in the emergency department
Abstract Background Elevated intracranial pressure is a devastating complication of catastrophic brain injury. Intracranial hypertension is commonly seen in neurologic injury secondary to traumatic brain injuries. Uncontrolled pressures can lead to permanent neurologic damage, but acute medical mana...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-023-00540-x |
| _version_ | 1797578316730859520 |
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| author | Sima Patel Jose Maria-Rios Amay Parikh Okorie Nduka Okorie |
| author_facet | Sima Patel Jose Maria-Rios Amay Parikh Okorie Nduka Okorie |
| author_sort | Sima Patel |
| collection | DOAJ |
| description | Abstract Background Elevated intracranial pressure is a devastating complication of catastrophic brain injury. Intracranial hypertension is commonly seen in neurologic injury secondary to traumatic brain injuries. Uncontrolled pressures can lead to permanent neurologic damage, but acute medical management is often overlooked when pursuing surgical management options that may not always be indicated. Discussion Traumatic brain injury is the leading cause of death in patients with severe neurologic injury. Diagnosing elevated intracranial pressures is imperative in initiating prompt treatment to reduce secondary central nervous system injury, morbidity, and mortality. Although the initial injury to the brain is typically irreversible, intracranial pressure control can assist in salvaging the remaining brain tissue from additional damage. We will discuss the initial medical and surgical management of traumatic brain injury to prevent further neurologic deterioration and reduce mortality. Conclusion Recent literature has reported several methods to detect elevated intracranial pressure easily and studies describing multiple treatment modalities. These investigations suggest that early detection and timely treatment of intracranial hypertension are beneficial in reducing mortality. |
| first_indexed | 2024-03-10T22:21:08Z |
| format | Article |
| id | doaj.art-45b7ac883bcd41d7b9922419e9664cfd |
| institution | Directory Open Access Journal |
| issn | 1865-1380 |
| language | English |
| last_indexed | 2024-03-10T22:21:08Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-45b7ac883bcd41d7b9922419e9664cfd2023-11-19T12:16:43ZengBMCInternational Journal of Emergency Medicine1865-13802023-10-011611910.1186/s12245-023-00540-xDiagnosis and management of elevated intracranial pressure in the emergency departmentSima Patel0Jose Maria-Rios1Amay Parikh2Okorie Nduka Okorie3Department of Critical Care Medicine, AdventHealth OrlandoDepartment of Critical Care Medicine, AdventHealth OrlandoDivision of Neurocritical Care, Department of Critical Care Medicine, AdventHealth OrlandoDivision of Neurocritical Care, Department of Critical Care Medicine, AdventHealth OrlandoAbstract Background Elevated intracranial pressure is a devastating complication of catastrophic brain injury. Intracranial hypertension is commonly seen in neurologic injury secondary to traumatic brain injuries. Uncontrolled pressures can lead to permanent neurologic damage, but acute medical management is often overlooked when pursuing surgical management options that may not always be indicated. Discussion Traumatic brain injury is the leading cause of death in patients with severe neurologic injury. Diagnosing elevated intracranial pressures is imperative in initiating prompt treatment to reduce secondary central nervous system injury, morbidity, and mortality. Although the initial injury to the brain is typically irreversible, intracranial pressure control can assist in salvaging the remaining brain tissue from additional damage. We will discuss the initial medical and surgical management of traumatic brain injury to prevent further neurologic deterioration and reduce mortality. Conclusion Recent literature has reported several methods to detect elevated intracranial pressure easily and studies describing multiple treatment modalities. These investigations suggest that early detection and timely treatment of intracranial hypertension are beneficial in reducing mortality.https://doi.org/10.1186/s12245-023-00540-xIntracranial pressureEmergency departmentIntracranial hypertensionElevated intracranial pressureTraumatic brain injury |
| spellingShingle | Sima Patel Jose Maria-Rios Amay Parikh Okorie Nduka Okorie Diagnosis and management of elevated intracranial pressure in the emergency department International Journal of Emergency Medicine Intracranial pressure Emergency department Intracranial hypertension Elevated intracranial pressure Traumatic brain injury |
| title | Diagnosis and management of elevated intracranial pressure in the emergency department |
| title_full | Diagnosis and management of elevated intracranial pressure in the emergency department |
| title_fullStr | Diagnosis and management of elevated intracranial pressure in the emergency department |
| title_full_unstemmed | Diagnosis and management of elevated intracranial pressure in the emergency department |
| title_short | Diagnosis and management of elevated intracranial pressure in the emergency department |
| title_sort | diagnosis and management of elevated intracranial pressure in the emergency department |
| topic | Intracranial pressure Emergency department Intracranial hypertension Elevated intracranial pressure Traumatic brain injury |
| url | https://doi.org/10.1186/s12245-023-00540-x |
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