Intracranial pressure following complete removal of a small demarcated brain tumor: a model for normal intracranial pressure in humans

Clinical article

Morten Andresen M.D. and Marianne Juhler M.D., D.M.Sc.
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  • Clinic of Neurosurgery, Copenhagen University Hospital, Copenhagen, Denmark
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Object

Current published normal values for intracranial pressure (ICP) are extrapolated from lumbar CSF pressure measurements and ICP measurements in patients treated for CSF pressure disorders. There is an emerging agreement that true normal ICP values are needed for diagnostic and therapeutic purposes. This study documents normal ICP in humans.

Methods

In this study the authors included adult patients scheduled for complete removal of a solitary, clearly demarcated, small brain tumor. The mean age of these patients was 67 years old (range 58–85 years old). Exclusion criteria were intended to create a study population with as normal brains as possible. A new telemetric ICP monitoring device was implanted at the end of surgery and monitoring was conducted 2 and 4 weeks postoperatively.

Results

In the supine position, mean ICP was 0.5 ± 4.0 mm Hg at 4 weeks postoperatively. Postural change to the standing position resulted in a decrease in mean ICP to −3.7 ± 3.8 mm Hg. These results show ICP to be considerably lower than previously estimated.

Conclusions

This study provides a preliminary reference range for normal ICP in humans. It is the first study to show that ICP in the healthy human brain decreases to negative values when assuming the upright position. If these results are later confirmed in a larger series, they might provide reference values for diagnosis and treatment in patients with CSF-related disorders. New normal values also have implications for future shunt design and the ICP target range in hydrocephalus treatment.

Abbreviation used in this paper:ICP = intracranial pressure.

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Contributor Notes

Address correspondence to: Morten Andresen, M.D., Clinic of Neurosurgery, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen Ø DK-2100, Denmark. email: andresen@gmail.com.

Please include this information when citing this paper: published online April 4, 2014; DOI: 10.3171/2014.2.JNS132209.

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