Intracranial pressure monitoring and management in aneurysmal subarachnoid hemorrhage

doi:10.3877/cma.j.issn.2095-9141.2024.04.010

Abstract

Abstract:

Aneurysmal subarachnoid hemorrhage (aSAH) is a neurological emergency with extremely high rates of mortality and disability. Elevated intracranial pressure (ICP) is a common clinical manifestation of aSAH. Early brain injury, including blood-brain barrier disruption, brain edema, and impaired cerebral autoregulation,is considered to be a major cause of elevated ICP following aSAH.If left untreated, elevated ICP can pose a serious threat to the patient's life. However, the pathophysiological mechanisms underlying ICP elevation after aSAH are complex and not yet fully understood. In recent years, growing evidence has indicated that oxidative stress is closely associated with ICP elevation following aSAH. Although there have been certain advances in the treatment of aSAH, there is currently no unified consensus or guideline for managing elevated ICP in aSAH. This review summarizes the pathophysiological characteristics of ICP elevation in aSAH and examines the existing management strategies, aiming to identify the best approaches for ICP monitoring and management, with the goal of providing reference for clinical practice.

Key words: Subarachnoid hemorrhage, Intracranial aneurysm, Intracranial pressure, Oxidative stress

Ming Feng, Hongtao Sun. Intracranial pressure monitoring and management in aneurysmal subarachnoid hemorrhage[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2024, 10(04): 248-253.

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