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MONITORING INTRACRANIAL PRESSURE IN PATIENTS WITH ACUTE INTRACEREBRAL HEMORRHAGESUMMARY
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Abstract
Objective: To describe the changes in intracranial pressure (ICP) in patients with acute intracerebral hemorrhage (ICH) and related factors. Subjects and Methods: A total of 60 patients with acute ICH treated at the Stroke Department of 108 Military Central Hospital from October 2021 to August 2024. The study design was prospective, descriptive, and longitudinal follow-up. Results: Pre-surgery period: 71.7% of patients were comatose (GCS ≤ 8). Intraventricular hemorrhage (IVH) occurred in 95% of cases, with an average Graeb score of 7 ± 2.95. 91.7% of patients underwent invasive monitoring of ventricular ICP. Complications included pneumonia (28.3%) and recurrent bleeding (6.7%). ICP trends: the average ICP peaked on the first day (20.88 mmHg) and showed a decreasing trend from day 6 onwards compared to the first 5 days after onset. ICP levels were higher during comatose states (GCS ≤ 8) than in patients with GCS > 8. 16.67% of patients died early during follow-up (within 10 days), and this group had higher average ICP levels and more episodes of ICP elevation compared to survivors.
Conclusion: ICP peaked on the first day after ICH onset and decreased from day 6 onwards. Elevated ICP was observed during comatose states (GCS ≤ 8) and was associated with early mortality.
Keywords: invasive intracranial pressure monitoring, intracerebral hemorrhage, related factors
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Keywords
Áp lực nội sọ xâm lấn, Chảy máu não, Yếu tố liên quan
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