Raised intracranial pressure with upright posture

Authors: Miu Fei Lam, Bryant Allan Rigby Stokes, Christopher Raymond Peter Lind

We describe the phenomenon of paradoxical intracranial hypertension with upright posture with normal recumbent intracranial pressure (ICP). This effect was measured by direct ICP monitoring in a patient who had a lumboperitoneal shunt for idiopathic intracranial hypertension. Bilateral subtemporal surgical decompression to increase intracranial compliance with confirmatory perioperative pressure monitoring was central to the successful management of this patient.

Journal of Clinical Neuroscience. Volume 18, Issue 7, July 2011, Pages 988-989

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