A case with shunt dependent hydrocephalus, which had normal ventricular size despite marked increased in ventricular pressure after shunt malfunction was observed. This case of normal volume hydrocephalus had distal shunt occlusion. Prolonged shunt dependency and obstruction of shunting tube were factors in this condition. Acute developed symptom of increased intracranial pressure with normal size ventricle with elevated pressure is a threatening clinical entity requiring prompt shunt revision procedure.
Hydrocephalus* ; Intracranial Pressure ; Ventricular Pressure

No abstract available.
Humans ; Intracranial Pressure*

OBJECTIVE: The purpose of this study is to evaluate the surgical outcomes of bifrontal interhemispheric(BIH) approach and compare them to those of the pterional approach for the treatment of craniopharyngioma. METHODS: Seventeen patients had their first operation for the resection of craniopharyngiomas between 2000 and 2004 at our medical center. Eleven patients who had the pterional approach and 6 with the BIH approach were enrolled. The age range at the time of surgery was 5 to 80 years (mean age 35.6 years old). The presenting symptoms were visual disturbance in 12 patients and signs of increased intracranial pressure in 5 patients. RESULTS: The tumors were totally removed in 3(27 %) and subtotally in 8(73 %) patients with the pterional approach. Total tumor removal was achieved in 5 out of 6(83%) patients by the BIH approach, except 1 patient with a subchiasmatic lesion. Vision was improved in 4(36 %) patients treated with the pterional approach and in all patients treated by the BIH approach CONCLUSION: The BIH approach for craniopharyngioma surgery may be an effective and safe approach for tumors that extend outside of the sellar-suprasellar region with acceptable outcomes.
Craniopharyngioma* ; Humans ; Intracranial Pressure

The authors are reporting a rare case of supratentorial rhabdomysarcoma which arose in the left middle fossa and unusually revealed symptoms of increased intracranial pressure only without focal signs. We also reviewed literatures.
Intracranial Pressure ; Rhabdomyosarcoma*

We review on 88 patients who suffer from cerebral cysticercosis. In which 50 patients (57%) with increasing intracranial pressure syndrome. It appeared often in the patients with cysticercus cellulosae which belong to the stages of active form resided in parenchymal of the brain. Eight patients suffered from hydrocephalus secondary, because of the obstruction Sylvian aqueduct by the intraventricular cyst. Treatment with Praziquentel was given at 30mg/kg/day. Prednisolon were also give to reduce side effects, for 10 days. Three cures with the time break are 20 days. After three cures, most of the signs of the increasing intracranial pressure syndrome disappeared. It is especially good effective in 8 patients with hydrocephalus that should not be removed surgically.
Intracranial Pressure ; Cysticercosis

A study on 13 deaths after operation for removal of the intracerebral blood clot has shown that the complex damage influenced almost cerebral structure due to severe trauma on the solve the intracranial pressure.It should combine many solutions (intensive care, CT scanner after operation) to limit the influence and development of the rest traumas.
Intracranial Pressure ; Blood Coagulation

Cryptococcal meningitis(CM)is often seen in immunocompromised patients and has become a global health concern. Elevated intracranial pressure(ICP)is a common complication of CM and often leads to poor prognosis. Monitoring and management of ICP is an important task in CM patients. Invasive intervention is often needed for the elevated ICP in CM patients due to the pathophysiological features of this condition. This article review the recent progress in the diagnosis and treatment of elevated ICP in CM patients.
Humans ; Intracranial Hypertension ; Intracranial Pressure ; Meningitis, Cryptococcal

Most patients suffering from hydrocephalus have been treated by insertion of differential pressure valves that have fairly constant resistance. The number of shunting procedures for hydrocephalus has increased significantly with the advent of more sophisticated diagnostic tools such as computed tomographic scanning and with rapid technical advances in shunt equidment. Since intracranial pressure is a variable parameter depending on the factors as patients position and since cerebrospinal fluid(CSF) secretion is almost constant, it may be assumed that some shunt complication are related to too much or too little CSF drainage. As a result, there has been a proliferation of shunt systems that differ in their component parts, particularly their valve mechanisms. To minimize complications and to maintain proper shunt functions, the shunt system optimal to each pathological condition must be selected out of variety of systems. To effect this, it is imperative to have an accurate knowledge of the structure and characteristics of each shunt is currently available. The author reviews some of the devices currently in use for the purposes of clarification and comparison. Also clinical results of 33 padiatric patients shunted with a valve which was selected out of a variety of shunt system, are reported.
Drainage ; Humans ; Hydrocephalus* ; Intracranial Pressure

The authors present their experience with continuous intracranial pressure(ICP) measurements in 6 adult patients suffering from hydrocephalus. The patients showed atypical symptoms and signs and/or were in complicated situations to decide CSF shunt surgery. The role of ICP measurements in a decision of shunt surgery has been found in those cases. The ICP pattern of plateau waves in conjunction with B-waves could be regarded as an indication of shunt therapy in the light of clinical results.
Adult ; Humans ; Hydrocephalus* ; Intracranial Pressure

Hematogenous spread from tuberculous lesions of other parts of the body represent the origin of intracranial tuberculomas. In most series of the literature, the cerebellum has about two thirds and the cerebral hemispheres about one third of the intracranial tuberculomas. It may occurs as a single lesion, but multiple intracranial tuberculomas varies from 10% to 33% of the cases due to the hematogenous spread. Calcium deposits are rare, occurring in about 6% of cases. Ramamurthi and Varadarajan described the two types of the intracranial tuberculoma; 1. Superficial and vascular type, produces early focal signs of increased intracranial pressure. 2. deep and avascular type, accompanied by signs of increased intracranial pressure. We have been experienced in one case of symmetrical and bilateral cerebellar tuberculomas probably originated from the pulmonary lesion.
Calcium ; Cerebellum ; Cerebrum ; Intracranial Pressure ; Tuberculoma* ; Tuberculoma, Intracranial