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[Endocranial hypertension]
A Varela-Hernández1, V Cerrón-Rojas, O Herrera
1Servicio Neurología, Hospital Provincial Manuel Ascunce Doménech, Camagúey, Cuba.
Insights
Endocranial hypertension, a serious neurological complication, requires prompt recognition and management. Advances in neuromonitoring and treatment strategies improve patient outcomes by optimizing care for increased intracranial pressure.
Area of Science:
- Neurology
- Neurosurgery
- Critical Care Medicine
Context:
- Endocranial hypertension is a frequent and severe neurological complication.
- It represents a common pathway for various neurological and non-neurological disorders.
- Elevated intracranial pressure can lead to brain lesions and mortality if not managed promptly.
Purpose:
- To review the physiopathology, diagnosis, and treatment of endocranial hypertension.
- To highlight the importance of prompt recognition and appropriate medical intervention.
- To discuss recent advancements in therapeutic strategies and neuromonitoring techniques.
Summary:
- Endocranial hypertension results from increased intracranial volume, causing secondary brain lesions.
- Effective management involves general therapeutic measures for normal intracranial pressure and etiological treatment.
- Continuous intracranial pressure monitoring and neuromonitorization are crucial for guiding treatment decisions.
Impact:
- Improved understanding of endocranial hypertension pathophysiology aids diagnosis and treatment.
- Recent advances in treatments and new drugs offer better management options.
- Neuromonitoring techniques enable optimized utilization of available therapeutic interventions.
Introduction And Objective:
The endocranial hypertension syndrome is one of the commonest and most feared neurological complications in clinical practice. This encourages its continued study, and is the subject of this review.
Development:
Endocranial hypertension is the common pathway for the presentation of many neurological and non neurological disorders. An increase in the volume of one or more intracranial structures causes secondary lesions of the brain and even the death of the patient, although this may frequently be avoided by prompt recognition and suitable action by the doctor involved. General, non specific therapeutic measures should be instituted to achieve a normal endocranial pressure. The clinical presentation and complementary investigations should be correctly interpreted to determine the aetiology of the condition so that specific treatment may be given. Continuous monitoring of the intracranial pressure and other neuromonitorization techniques are essential for correct decisions as to treatment.
Conclusions:
Understanding the physiopathology, diagnosis and treatment of the syndrome of endocranial hypertension are still essential in modern medicine. In recent years there have been advances in the use of well known treatments and new drugs have been introduced. Use of the different neuromonitoring techniques permits optimum use of the treatment available.