Introduction: The characteristics of semirigid cavity confer to the skull and their content a special behavior, with regard to the other organs of the economy and they become the increases of pressure the interior in this space a threat against the appropriate evolution of the patients with intracranial pathologies of etiologies dissimilar.
Development: We make a study of the bibliography published on the topic, besides our personal approach with regard to the elements that we have been able to evaluate in our practices in clinic daily. We carried out a wide revision of the topic being exposed the physiopathological factors that intervene in to the maintenance of a homeostasis intracranial, the influence of the vital functions on this pressure and other aspects of importance. The clinical manifestations specify of this syndrome they are baskets after carrying out an analysis of their physiopathology.
Conclusions: In this paper we exposes the methods for their menstruation as well as the importance of the use of these evidences in the establishment of an appropriate treatment. The modernized therapy of this entity, as well as the foundations of their application.
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Otol Neurotol
March 2025
Department of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana.
Objective: Evaluate postoperative opening pressures (OP) on lumbar puncture (LP) and polysomnogram (PSG) findings in patients who underwent middle cranial fossa (MCF) repair with lateral spontaneous cerebrospinal fluid (sCSF) leaks.
Study Design: Retrospective cohort study.
Setting: Tertiary referral center.
Acta Neurochir (Wien)
March 2025
Department of Clinical Science - Neurosciences, Umeå University, Umeå, Sweden.
Background: Decompressive craniectomy (DC) is a last-tier treatment for managing refractory intracranial hypertension in patients with aneurysmal subarachnoid hemorrhage (aSAH), though concerns persist about whether it primarily prolongs survival in a state of severe disability. This study investigated patient characteristics, surgical indications, complications, and outcomes following DC in aSAH.
Methods: In this Swedish, retrospective multi-center study, 123 aSAH patients treated with DC between 2008-2022 were included.
Phlebology
March 2025
Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
ObjectivesThe aim of this study was to formulate an ultrasonic diagnostic criterion for stenosis in the J3 segment of internal jugular vein (IJV) and probe into the effects of stenosis in the J3 segment on intracranial pressure (ICP) and the cerebral drainage pattern.MethodsParticipants who exhibited narrowing in the J3 segment of IJV on neuroimaging and reported symptoms correlated with IJV stenosis (IJVS) were enlisted from Xuanwu Hospital. Clinical data were retrospectively amassed.
View Article and Find Full Text PDFCornea
March 2025
Ophthalmology, Miami Veterans Affairs Medical Center, Miami, FL.
Purpose: We present a case of ocular pathology linked to morbid obesity, emphasizing the role of systemic inflammation in ocular disease and clinical impact of weight loss.
Methods: We report the case of a 49-year-old man with morbid obesity and obstructive sleep apnea who underwent bilateral corneal transplants secondary to keratoconus. For 4 years, he had chronic bulbar hyperemia with progressive blood vessel growth across the graft-host junction, which was treated with chronic topical corticosteroids.
JAMA Netw Open
March 2025
Children's Intensive Care Unit, SingHealth Paediatrics Academic Clinical Programme, KK Women's and Children's Hospital, Singapore.
Importance: The use of hypertonic saline (HTS) vs mannitol in the control of elevated intracranial pressure (ICP) secondary to neurotrauma is debated.
Objective: To compare mortality and functional outcomes of treatment with 3% HTS vs 20% mannitol among children with moderate to severe traumatic brain injury (TBI) at risk of elevated ICP.
Design, Setting, And Participants: This prospective, multicenter cohort study was conducted between June 1, 2018, and December 31, 2022, at 28 participating pediatric intensive care units in the Pediatric Acute and Critical Care Medicine in Asia Network (PACCMAN) and the Red Colaborativa Pediátrica de Latinoamérica (LARed) in Asia, Latin America, and Europe.
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