Diagnosis of Raised Intracranial Pressure

In this article, we will discuss the Diagnosis of Raised Intracranial Pressure. So, let’s get started.

Diagnosis

1. X-ray skull may reveal sutural diastasis (separation of sutures) in infants, thinning and increased convolutional markings (silver-beaten appearance), erosion of anterior clinoid processes, widened and
deep sella-turcica.

2. CT scan of brain shows dilatation of ventricular system (dilatation of temporal horn is an early sign), effacement of cisterns, an underlying lesion and periventricular lucency and compression of the ventricles

3. MRI scan: It can differentiate between vasogenic and cytopathic cerebral oedema, predicts response to shunts.

4. Intracranial pressure monitoring (below fig.)

Intracranial pressure monitoring. A ventriculostomy allows the drainage of CSF in patients with raised ICP

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