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Increased Intracranial Pressure ll: Pathophysiology

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...

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Increased Intracranial Pressure l: Introduction

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Updated: Jul 1, 2026

Minimally Invasive Surgical Decompression of Occipital Nerves

Minimally Invasive Surgical Decompression of Occipital Nerves

Published on: September 13, 2024

[Neurovascular compression (conflict)]].

E E Slavik¹, B M Djurović, D V Radulović

¹Institut za neurohirurgiju KCS, Beograd.

Acta Chirurgica Iugoslavica

|September 17, 2008

Summary

Microvascular decompression effectively treats neurovascular compression syndromes, offering excellent initial pain relief for trigeminal neuralgia and hemifacial spasm. While complications are possible, the procedure demonstrates significant patient benefit.

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Last Updated: Jul 1, 2026

Minimally Invasive Surgical Decompression of Occipital Nerves

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Published on: September 13, 2024

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury

An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury

Published on: December 31, 2017

Area of Science:

Neurosurgery
Neurology
Radiology

Context:

Neurovascular compression syndromes, including trigeminal neuralgia and hemifacial spasm, are linked to vascular compression of cranial nerves.
High-resolution magnetic resonance tomographic angiography is crucial for diagnosing vascular compression.

Purpose:

To present hypotheses on the development of cranial nerve vascular compression syndromes.
To discuss the pathogenesis, symptoms, and therapy of common syndromes.
To evaluate the efficacy and complications of microvascular decompression in patients with confirmed trigeminal nerve compression.

Summary:

A series of 124 patients with MRI-confirmed trigeminal nerve vascular compression underwent microvascular decompression.
Initial excellent or satisfactory pain relief was achieved in 98% of patients.
Recurrence of pain was observed in 19% over two years, with complications including transient nerve dysfunctions and, rarely, cerebellar infarction or CSF leaks.

Impact:

Microvascular decompression is a highly effective treatment for cranial nerve vascular compression syndromes.
The study highlights the diagnostic value of advanced imaging techniques.
Understanding the long-term outcomes and potential complications is essential for patient management.