Increased Intracranial Pressure (Intracranial Hypertension)


Cranial Vault

Cerebral Blood Flow

Cerebral Perfusion Pressure (CPP)

Cerebrospinal Fluid (CSF) Dynamics

Etiology of Increased Intracranial Pressure (by Predominant Mechanism)

Cerebral Edema

Cerebral Vasodilation

Intracranial Mass Lesion

Decreased Cerebrospinal Fluid (CSF) Absorption

Increased Cerebrospinal Fluid (CSF) Production

Obstructive Hydrocephalus (see Hydrocephalus, [[Hydrocephalus]])

Increased Arterial Blood Pressure/Hypertension

Obstruction of Venous Outflow from Brain

Idiopathic Intracranial Hypertension (Pseudotumor Cerebri) (see Pseudotumor Cerebri, [[Pseudotumor Cerebri]])

Transiently Increased Intracranial Pressure



Head CT (see Head Computed Tomography, [[Head Computed Tomography]])

Brain MRI (see Brain Magnetic Resonance Imaging, [[Brain Magnetic Resonance Imaging]])

External Ventricular Drain (EVD) (see External Ventricular Drain, [[External Ventricular Drain]])

Clinical Manifestations

Neurologic Manifestations

Coma (see Obtundation-Coma, [[Obtundation-Coma]])

Brain Herniation

Other Manifestations

Management of Increased Intracranial Pressure (ICP)

General Measures


Barbiturates (see Barbiturates, [[Barbiturates]])

Other Pharmacologic Interventions

Mannitol (see Mannitol, [[Mannitol]]): indicated for

Hyperosmolar Fluids

Corticosteroids (see Corticosteroids, [[Corticosteroids]])

Respiratory Support

Treatment of Cerebral Vasodilation

Treatment of Increased Arterial Blood Pressure/Hypertension (see Hypertension, [[Hypertension]])

Treatment Increased Venous Pressure

Treatment of Hydrocephalus/Disturbance in Cerebrospinal Fluid Flow (see Hydrocephalus, [[Hydrocephalus]])

Treatment of Hyponatremia (see Hyponatremia, [[Hyponatremia]])

Renal Management

Decompressive Craniectomy (see Decompressive Craniectomy, [[Decompressive Craniectomy]])