Skip to main content

Evaluation of Intracranial Pressure in Different Body Postures and Disease Entities

  • Chapter
Intracranial Pressure and Brain Monitoring XV

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 122))

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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

    Article  PubMed  Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. 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

    CAS  PubMed  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  PubMed  Google Scholar 

  6. 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

    Article  CAS  PubMed  Google Scholar 

Download references

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

Authors

Corresponding author

Correspondence to Morten Andresen MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics