title: [Intracranial pressure monitoring and eclampsia].
abstract: Intracranial pressure (ICP) monitoring has been shown to improve clinical-pharmacological treatment of intracranial hypertension (ICH) in a rising number of situations, assuring effective cerebral perfusion pressure (CPP) and, concomitantly, reducing the risk of brain ischemia. Although its use in entities such as eclampsia have been reported, the continuous use of ICP monitoring is restricted. We report the case of an eclampsic woman in whom ICP was monitored. Recordings allowed CPP to be correctly stabilized, with strict correlation between ICP and tomographic measurements of density. We also review the pathophysiologic mechanisms that have been proposed to cause ICH in eclampsia and emphasize the usefulness of ICP monitoring to manage this complication.
authors.affiliation: Instituto de Neurocirugía y Neurología, Unidad de Terapia Intensiva, Buenos Aires, Argentina.
authors.forename: E M
authors.initials: EM
authors.lastname: Gatto
authors.forename: M C
authors.initials: MC
authors.lastname: Zurrú
authors.forename: P
authors.initials: P
authors.lastname: Desmery
authors.forename: D
authors.initials: D
authors.lastname: Pardal
authors.forename: C
authors.initials: C
authors.lastname: Rugilo
mesh_terms: D000328:Adult; D002421:Caudate Nucleus / Q000503:physiopathology; D004461:Eclampsia / Q000150:complications* / Q000503:physiopathology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007427:Intracranial Pressure; D011247:Pregnancy; D014057:Tomography, X-Ray Computed