Literature DB >> 29088956

Management of raised intracranial pressure in aneurysmal subarachnoid hemorrhage: time for a consensus?

Naif M Alotaibi1,2, Justin Z Wang3, Christopher R Pasarikovski3, Daipayan Guha1,3, Fawaz Al-Mufti4, Muhammad Mamdani5, Gustavo Saposnik6,7, Tom A Schweizer1,3,6, R Loch Macdonald1,3,6.   

Abstract

Elevated intracranial pressure (ICP) is a well-recognized phenomenon in aneurysmal subarachnoid hemorrhage (aSAH) that has been demonstrated to lead to poor outcomes. Despite significant advances in clinical research into aSAH, there are no consensus guidelines devoted specifically to the management of elevated ICP in the setting of aSAH. To treat high ICP in aSAH, most centers extrapolate their treatment algorithms from studies and published guidelines for traumatic brain injury. Herein, the authors review the current management strategies for treating raised ICP within the aSAH population, emphasize key differences from the traumatic brain injury population, and highlight potential directions for future research in this controversial topic.

Entities:  

Keywords:  CPP cerebral perfusion pressure; CSF = cerebrospinal fluid; DCI = delayed cerebral ischemia; EVD external ventricular drain; ICH = intracerebral hemorrhage; ICP; ICP = intracranial pressure; IVH = intraventricular hemorrhage; RCT = randomized controlled trial; TBI = traumatic brain injury; aSAH; aSAH = aneurysmal subarachnoid hemorrhage; aneurysm; intracranial pressure; management; subarachnoid hemorrhage

Mesh:

Year:  2017        PMID: 29088956     DOI: 10.3171/2017.7.FOCUS17426

Source DB:  PubMed          Journal:  Neurosurg Focus        ISSN: 1092-0684            Impact factor:   4.047


  5 in total

1.  Intracranial hypertension in patients with aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis.

Authors:  William A Florez; Ezequiel García-Ballestas; Harsh Deora; Amit Agrawal; Rafael Martinez-Perez; Sagar Galwankar; Ravish Keni; Geetha R Menon; Andrei Joaquim; Luis-Rafael Moscote-Salazar
Journal:  Neurosurg Rev       Date:  2020-02-01       Impact factor: 3.042

2.  The Incidence of Meningitis in Patients with Traumatic Brain Injury Undergoing External Ventricular Drain Placement: A Nationwide Inpatient Sample Analysis.

Authors:  Haydn Hoffman; Muhammad S Jalal; Lawrence S Chin
Journal:  Neurocrit Care       Date:  2019-06       Impact factor: 3.210

Review 3.  Intracranial Pressure Monitoring-Review and Avenues for Development.

Authors:  Maya Harary; Rianne G F Dolmans; William B Gormley
Journal:  Sensors (Basel)       Date:  2018-02-05       Impact factor: 3.576

4.  Application of Intracranial Pressure-Directed Therapy on Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage.

Authors:  Jun Yang; Junlin Lu; Runting Li; Fa Lin; Yu Chen; Heze Han; Debin Yan; Ruinan Li; Zhipeng Li; Haibin Zhang; Kexin Yuan; Hongliang Li; Linlin Zhang; Guangzhi Shi; Jianxin Zhou; Shuo Wang; Yuanli Zhao; Xiaolin Chen
Journal:  Front Aging Neurosci       Date:  2022-03-14       Impact factor: 5.750

Review 5.  Systematic review exploring the effect of therapeutic hypothermia on patients with intracranial hypertension.

Authors:  Kamlesh Thakur; Haneet Kaur; Manju Dhandapani; Teenu Xavier; Ganesan Srinivasan; Laskmanan Gopichandran; Sivashanmugam Dhandapani
Journal:  Surg Neurol Int       Date:  2022-06-03
  5 in total

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