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REVIEW article

Front. Neurol.
Sec. Neurotrauma
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1423329
This article is part of the Research Topic Assessment and Treatment Interventions for Traumatic Brain Injury View all 16 articles

Global traumatic brain injury intracranial pressure: from monitoring to surgical decision

Provisionally accepted
Dan Zhang Dan Zhang 1Yanzhi Sheng Yanzhi Sheng 2*Chengbin Wang Chengbin Wang 2Wei Chen Wei Chen 1*Xiaofeng Shi Xiaofeng Shi 1*
  • 1 Longgang Central Hospital, Shenzhen, Guangdong Province, China
  • 2 Guangzhou University of Chinese Medicine, Guangzhou, China

The final, formatted version of the article will be published soon.

    Traumatic brain injury (TBI) is a significant global public health issue, heavily impacting human health, especially in low-and middle-income areas. Despite numerous guidelines and consensus statements, TBI fatality rates remain high. The pathogenesis of severe TBI is closely linked to rising intracranial pressure (ICP). Elevated intracranial pressure can lead to cerebral herniation, resulting in respiratory and circulatory collapse, and ultimately, death. Managing intracranial pressure (ICP) is crucial in neuro-intensive care. Timely diagnosis and precise treatment of elevated ICP are essential. ICP monitoring provides real-time insights into a patient's condition, offering invaluable guidance for comprehensive management. ICP monitoring and standardization can effectively reduce secondary nerve damage, lowering morbidity and mortality rates. Accurately assessing and using true ICP values to manage TBI patients still depends on doctors' clinical experience. This review discusses: a Epidemiological disparities of traumatic brain injuries across countries with different income levels worldwide; b The significance and function of ICP monitoring; c Current status and challenges of ICP monitoring; d The impact of decompressive craniectomy on reducing intracranial pressure; e Management of TBI in diverse income countries.We suggest a thorough evaluation of ICP monitoring, head CT findings, and GCS scores before deciding on decompressive craniectomy.Personalized treatment should be emphasized to assess the need for surgical decompression in TBI patients, offering crucial insights for clinical decision-making.

    Keywords: Traumatic Brain Injury, Intracranial Pressure, Decompressive Craniectomy, TBI management, GCS - Glasglow coma scale

    Received: 25 Apr 2024; Accepted: 02 Sep 2024.

    Copyright: © 2024 Zhang, Sheng, Wang, Chen and Shi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Yanzhi Sheng, Guangzhou University of Chinese Medicine, Guangzhou, China
    Wei Chen, Longgang Central Hospital, Shenzhen, Guangdong Province, China
    Xiaofeng Shi, Longgang Central Hospital, Shenzhen, Guangdong Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.