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Abstract
Normal intracranial pressure ranges from 5-15mmHg, if it rises above 20mmHg for more than 10 minutes it’s defined as intracranial hypertension. Brain trauma, tumors, and brain hemorrhages are possible causes of intracranial hypertension. The patient presents symptoms such as bradycardia, high blood pressure and respiratory depression. The management includes elevating the patient's head, sedation, blood pressure control, maintaining a cerebral perfusion pressure above > 60mmHg, and the use of mannitol and / or hypertonic saline. Hyperventilation is a therapeutic measure. Antiepileptic prophylaxis is controversial. The hypothermia has proven to be neuroprotective. Possible complications if management is delayed include severe cerebral edema and irreversible neurological damage.
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References
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