1. Intracranial pressure changes after mild traumatic brain injury: a systematic review
- Author
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Barry Willer, John J. Leddy, David J. Poulsen, Nell Aronoff, Mohammad N Haider, Andrea Hinds, and Diane Rein
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integumentary system ,Intracranial Pressure ,business.industry ,Traumatic brain injury ,musculoskeletal, neural, and ocular physiology ,Intracranial Hypotension ,Neuroscience (miscellaneous) ,030229 sport sciences ,medicine.disease ,Article ,nervous system diseases ,03 medical and health sciences ,0302 clinical medicine ,Cerebral blood flow ,Anesthesia ,Concussion ,Developmental and Educational Psychology ,Humans ,Medicine ,Neurology (clinical) ,Intracranial Hypertension ,business ,Brain Concussion ,030217 neurology & neurosurgery ,Intracranial pressure - Abstract
OBJECTIVE: Intra-cranial pressure (ICP) after mild traumatic brain injury (mTBI) is poorly studied due to lack of sensitive non-invasive methods. The purpose of this review was to summarize the existing knowledge of changes in ICP after mTBI. LITERATURE SELECTION: PubMed, Embase, CINAHL, and Scopus were searched by 3 reviewers independently up to December 2016. Inclusion criteria: animal and human studies measuring ICP and brain oedema after an mTBI. Exclusion criteria: Moderate and severe forms of traumatic brain injury, repeat samples, and studies that measured ICP at the time of impact but not after. Study quality was assessed using Downs and Black criteria. RESULTS: Of 1067 papers, 9 studies were included. In human studies, 1 provided direct evidence on increased, 1 provided indirect evidence of increased, and 2 provided indirect evidence of decreased ICP. In animal studies, 3 studies provided direct evidence of increased, 1 provided indirect evidence of increased, and 1 provided indirect evidence of no change in ICP. CONCLUSION: The existing research suggests that there may be increased ICP after mTBI and animal studies suggest an elevation for days which returns to baseline, which corresponds with functional and symptomatic recovery. Future human studies using sensitive indirect methods to measure ICP longitudinally after mTBI are needed.
- Published
- 2018
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