Abstract
We currently do not have sufficient knowledge regarding appropriate boundaries between “normal” and “abnormal” intracranial pressure (ICP) in humans. Our objective in this study was to quantify the effects of postural changes on ICP in normal and ill subjects. As a model for normal patients, we included adult patients scheduled for complete removal of a solitary, clearly demarcated, small brain tumor and performed long-term ICP monitoring using a telemetric device. The ill subjects included required invasive ICP monitoring as part of their diagnostic workup or monitoring of the effect of shunt treatment at our department. All patients were included prospectively for a session of monitored changes in body posture. In our preliminary results from 19 patients, we were able to statistically distinguish between patient groups and assumed body postures, highlighting the need for the further characterization of the effects of postural changes on ICP to inform diagnostic and therapeutic decisions.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andresen M, Juhler M, Munch TN (2012) Quality and safety of home ICP monitoring compared with in-hospital monitoring. Acta Neurochir Suppl 113:187–191
Andresen M, Juhler M (2014) Intracranial pressure following complete removal of a small demarcated brain tumor: a model for normal intracranial pressure in humans. J Neurosurg 121(4):797–801
Brimioulle S, Moraine JJ, Norrenberg D, Kahn RJ (1997) Effects of positioning and exercise on intracranial pressure in a neurosurgical intensive care unit. Phys Ther 77:1682–1689
Mahfoud F, Beck J, Raabe A (2010) Intracranial pressure pulse amplitude during changes in head elevation: a new parameter for determining optimum cerebral perfusion pressure? Acta Neurochir 152:443–450
Ledwith MB, Bloom S, Maloney-Wilensky E et al (2010) Effect of body position on cerebral oxygenation and physiologic parameters in patients with acute neurological conditions. J Neurosci Nurs 42:280–287
Magnaes B (1976) Body position and cerebrospinal fluid pressure. Part 1: clinical studies on the effect of rapid postural changes. J Neurosurg 44:687–697
Acknowledgments
Drs Andresen and Juhler received research grants from The Hetland Olsen Fund, The Aase og Ejnar Danielsen Fund, The Augustinus Fund, Dagmar Marshall’s Fund, and The Lundbeck Foundation.
Conflict of Interest
The authors declare that they have no conflict of interest.
Disclosure
This work was presented during the ICP 2013 conference in Singapore as a poster. This version is a synopsis of preliminary findings, encouraged for publication in the ICP 2013 book by members of the International Advisory Committee.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Andresen, M., Hadi, A., Juhler, M. (2016). Evaluation of Intracranial Pressure in Different Body Postures and Disease Entities. In: Ang, BT. (eds) Intracranial Pressure and Brain Monitoring XV. Acta Neurochirurgica Supplement, vol 122. Springer, Cham. https://doi.org/10.1007/978-3-319-22533-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-22533-3_9
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22532-6
Online ISBN: 978-3-319-22533-3
eBook Packages: MedicineMedicine (R0)