Varela-Hernández A, Cerrón-Rojas V, Herrera O, Infante J, García-Calzada J, Casares F, Morciego S
Servicio Neurología, Hospital Provincial Manuel Ascunce Doménech, Camagúey, Cuba.
Rev Neurol. 2002;34(12):1152-61.
The endocranial hypertension syndrome is one of the commonest and most feared neurological complications in clinical practice. This encourages its continued study, and is the subject of this review.
Endocranial hypertension is the common pathway for the presentation of many neurological and non neurological disorders. An increase in the volume of one or more intracranial structures causes secondary lesions of the brain and even the death of the patient, although this may frequently be avoided by prompt recognition and suitable action by the doctor involved. General, non specific therapeutic measures should be instituted to achieve a normal endocranial pressure. The clinical presentation and complementary investigations should be correctly interpreted to determine the aetiology of the condition so that specific treatment may be given. Continuous monitoring of the intracranial pressure and other neuromonitorization techniques are essential for correct decisions as to treatment.
Understanding the physiopathology, diagnosis and treatment of the syndrome of endocranial hypertension are still essential in modern medicine. In recent years there have been advances in the use of well known treatments and new drugs have been introduced. Use of the different neuromonitoring techniques permits optimum use of the treatment available.
颅内高压综合征是临床实践中最常见且最令人担忧的神经并发症之一。这促使人们持续对其进行研究，而本文献综述正是围绕这一主题展开。
颅内高压是许多神经和非神经疾病呈现的共同途径。一个或多个颅内结构的体积增加会导致脑部继发性病变，甚至危及患者生命，不过通过相关医生的及时识别和恰当处理，这种情况常常是可以避免的。应采取一般的、非特异性的治疗措施以使颅内压恢复正常。对于临床表现和辅助检查结果应进行正确解读，以确定病情的病因，从而实施针对性治疗。持续监测颅内压以及其他神经监测技术对于做出正确的治疗决策至关重要。
在现代医学中，了解颅内高压综合征的生理病理学、诊断和治疗方法仍然至关重要。近年来，在常用治疗方法的应用方面取得了进展，并且引入了新药。使用不同的神经监测技术能够实现对现有治疗方法的最佳利用。
