Purpose Of The Study: To assess the role of monitoring of intracranial pressure (ICP) in patients with massive ischemic stroke within the first 5 days of the onset of the disease.
Material And Methods: We have analyzed the results of monitoring of intracranial pressure in 10 patients with massive ischemic stroke and compared dynamics of ICP with the dynamics of intracranial pressure and the level of consciousness and dislocation of the brain according to CT RESULTS: Dislocation syndrome decompensation occurred in 6 patients, of which only 3 patients had increased intracranial pressure greater than 20 mm Hg with oppression of the level of consciousness to moderate coma and deeper The average value of transverse dislocation in these patients at the same time amounted to 17 mm. In 2 patients with atrophy of the brain we observed ICP increase over 20 mmHg. The average value of transverse dislocation in these patients was 12 mm. Conclusion: Increased intracranial pressure greater than 20 mm Hg in patients with massive ischemic stroke can occur even when the oppression of the level of consciousness to moderate coma and deeper on the background of the dislocation of the brain. In case of an atrophy of the brain, the level of ICP may not exceed 20 mm Hg even with dislocation syndrome decompensation.
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