Raised ICP ( Internal Medicine ) by Dr Nishant Arya

📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- / drgbhanuprakash
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Raised ICP ( Internal Medicine ) -
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Causes of Raised ICP -
Space-Occupying Lesions: Tumors, abscesses, or hematomas increase the volume inside the skull, raising ICP.
Cerebral Edema: Swelling of brain tissue due to injury, infection, or ischemia.
Hydrocephalus: Accumulation of cerebrospinal fluid (CSF) within the ventricles due to blockage of flow or impaired absorption, leading to increased ICP.
Venous Sinus Thrombosis: Blockage of venous drainage from the brain increases ICP.
Raised ICP:
Headache: Persistent, often severe, and worse in the morning or with coughing.
Vomiting: Often sudden and without nausea.
Papilledema: Swelling of the optic disc observed during a fundoscopic exam, indicating increased ICP.
Cushing's Triad: A late sign of raised ICP, characterized by hypertension, bradycardia, and irregular respirations.
Altered Consciousness: Drowsiness, confusion, and eventually coma if untreated.
Diagnosis -
Lumbar Puncture: Used cautiously to measure CSF pressure, typically avoided in cases of suspected raised ICP due to the risk of brain herniation.
ICP Monitoring: Invasive methods like intraventricular catheters are used to continuously monitor ICP in critical cases.
Management -
Raised ICP:
Elevating the Head: Keeping the head of the bed at 30 degrees to promote venous drainage.
Osmotic Diuretics: Mannitol or hypertonic saline to draw fluid out of the brain and reduce swelling.
Sedation and Analgesia: To reduce metabolic demand and prevent further increase in ICP.
Surgical Intervention: Decompressive craniectomy or drainage of CSF to relieve pressure.
Monitoring and Control: Continuous monitoring of ICP, maintaining it below 20 mm Hg.
Complications -
Permanent Neurological Deficit: Prolonged coma or untreated raised ICP can lead to irreversible brain damage.
Death: If the underlying cause is not treated or if brain herniation occurs.
Conclusion
Coma and raised intracranial pressure are critical conditions requiring immediate medical attention. Early diagnosis, aggressive management, and continuous monitoring are essential to improve outcomes and prevent long-term complications 🧠💡.
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[@ddgolani5436]

Dr Nishant has made understand ICP in very simplified manner .Tried to explain in hindi and english.Overall commendable efforts ❤

[@dr.vipulkumarsinghfanclub5770]

My parents are from urs home town baghpat they want to facilitate you and adore u

[@prdeeparya]

Great work keep it up❤

[@doctorbhanuprakash]

Thank you so much 😀

[@prdeeparya]

Very knowledgeable

[@doctorbhanuprakash]

Glad you think so!

[@dr.vipulkumarsinghfanclub5770]

My god father Dr. Nishant arya my love of life

[@Vrush81]

Nishant sir where are you? you said you gonna take everything from Harrison ,when are you going to continue that ...waiting for it

[@dr.vipulkumarsinghfanclub5770]

❤

[@dr.vipulkumarsinghfanclub5770]

Sir Neet pg mera hain aaapki vajah se