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Chapter-21 Intracranial Hypertension

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Singhi Sunit C
2. Singhi Pratibha
3. Aulakh Roosy
ISBN
9788184489507
DOI
10.5005/jp/books/11182_21
Edition
3/e
Publishing Year
2011
Pages
13
Author Affiliations
1. Pediatric Emergency and Intensive Care Units, PGIMER, Chandigarh, Advanced Pediatric Centre, Pgimer, Chandigarh, Email: sunit.singhi@gmail.com; dr_singhi@yahoo.com, Maharishi Markandeshwar Institute of Medical Sciences and Research, Ambala, Haryana, India
2. Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh, e-mail: drsinghi@glide.net.in, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Medanta—The Medicity, Gurugram, Haryana; Advanced Pediatrics Centre, Postgraduate Institute of Medical, Education and Research, Chandigarh
3. Postgraduate Institute of Medical Education and Research Chandigarh, Punjab, India, Christian Medical College, Ludhiana, Punjab, India
Chapter keywords

Abstract

Intracranial hypertension is an emergency that requires prompt recognition and vigorous treatment. Raised intracranial pressure (ICP) is a life-threatening problem frequently encountered in pediatric emergency and intensive care units. It adds considerably to the morbidity and mortality of a diversity of illnesses. Reducing the raised ICP and maintaining an adequate cerebral perfusion pressure is of vital importance in the management of such illnesses. Intracranial pressure is the pressure within the intracranial vault that contains the brain, cerebral blood volume and cerebrospinal fluid. Applications of new insights into the monitoring and treatment of ICP and measurement of cerebral metabolic activity are expected to lead to better outcome of patients with raised ICP. An increased knowledge of the regulation of ICP and its pathophysiology as well as advancements in the techniques of measuring ICP and cerebral blood flow, have helped in developing appropriate therapeutic strategies.

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