Monitoring of Intracranial Pressure (ICP) is an invasive technique and has some associated risks. For a favorable risk-to-benefit ratio, ICP monitoring is indicated only in patients with significant risk of intracranial hypertension.
Indications for ICP Monitoring
Glasgow Coma Scale (GCS) Score: 3–8 (after resuscitation)
- Abnormal Admission Head CT Scan
- Compressed basal cisterns
- Normal Admission Head CT Scan PLUS 2 or more of the following
- Age > 40 years
- Motor posturing
- Systolic blood pressure < 90 mm Hg
- Rangel-Castillo L, Gopinath S, Robertson CS. Management of intracranial hypertension. Neurol Clin. 2008 May;26(2):521-41, [Medline]
- Nag DS, Sahu S, Swain A, Kant S. Intracranial pressure monitoring: Gold standard and recent innovations. World J Clin Cases. 2019 Jul 6;7(13):1535-1553. [Medline]
Created Sep 18, 2019.