Unifying Concepts

Indications for Intracranial Pressure Monitoring

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)

  1. Abnormal Admission Head CT Scan
    1. Hematoma
    2. Contusion
    3. Edema
    4. Herniation
    5. Compressed basal cisterns
  2. Normal Admission Head CT Scan PLUS 2 or more of the following
    1. Age > 40 years
    2. Motor posturing
    3. Systolic blood pressure < 90 mm Hg



  1. Rangel-Castillo L, Gopinath S, Robertson CS. Management of intracranial hypertension. Neurol Clin. 2008 May;26(2):521-41, [Medline]
  2. 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.


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