title: Raised intracranial pressure with upright posture.
abstract: We describe the phenomenon of paradoxical intracranial hypertension with upright posture with normal recumbent intracranial pressure (ICP). This effect was measured by direct ICP monitoring in a patient who had a lumboperitoneal shunt for idiopathic intracranial hypertension. Bilateral subtemporal surgical decompression to increase intracranial compliance with confirmatory perioperative pressure monitoring was central to the successful management of this patient.
authors.affiliation: Department of Neurosurgery, Sir Charles Gairdner Hospital, Perth, Australia.
authors.forename: Miu Fei
authors.initials: MF
authors.lastname: Lam
authors.forename: Bryant Allan Rigby
authors.initials: BA
authors.lastname: Stokes
authors.forename: Christopher Raymond Peter
authors.initials: CR
authors.lastname: Lind
mesh_terms: D002557:Cerebrospinal Fluid Shunts; D003399:Craniotomy; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000503:physiopathology* / Q000601:surgery*; D011187:Posture / Q000502:physiology*; D055815:Young Adult