Reducing intracranial pressure

Overview intracranial pressure means lower side lying lumbar puncture pressure below 0.70 kPa, clinical often have headaches, dizziness, nausea, vomiting, fatigue and sluggish performance and other mental disorders. Etiopathologic disease triggered reduce the intracranial pressure causes into two categories : those with symptoms of primary, primary causes were unclear. Symptomatic were more common in brain injuries, the long-term use of hypertonic dehydration agent, Insulin shock therapy and intracranial vascular spasm induced secretion by the choroid plexus checked, and the cerebrospinal fluid produced less. Clinical manifestations of low intracranial pressure with several clinical performance is not possible to differentiate between high intracranial pressure. Was acute onset can be slow performance of headache, dizziness, vertigo, nausea, vomiting, tinnitus, vertigo, fatigue malaise. Some patients may have ataxia, disturbance of consciousness, mental disorders and autonomic dysfunction. Papilledema Yu blood, fuzzy edge. Signs have neck stiffness, Kernig levy positive. Differential diagnosis (1) Primary Intracranial Hypotension (primary intracranial hypo tension, or PIH) can be found in any age, gender discrimination, the onset may be anxious relief, headache uneven, mostly located in the Ministry of Occipitocervical, to the top of the amount of diffuse, may be extended and back, and the first tower when it heavier, Reclining after mitigation. Can be associated with varying degrees of neck stiffness, the first flexion pain, positive Kernig, and the abducens nerve palsy and other signs. Apart from frequent dizziness headache, dizziness, nausea, vomiting, tinnitus. May have different degrees of seriousness ataxia and balance disorders, mental disorders and fever, sweating, blood pressure fluctuations, Echocardiography bradycardia vertical spaces, such as syncope attack autonomic dysfunction. CSF pressure on lumbar puncture below 0.7 kPa. (2) Post-traumatic intracranial hypotension syndrome (cramiocerebral trauma intr acranial hypotension syndrome) When open craniocerebral trauma or China , light blunt head trauma, may ① CSF nose or ears massive loss; ② head injury after choroid plexus reflex function inhibit secretion; ③ CSF absorption; ④ shock and long-term drug use hypertonic dehydration caused. The main clinical manifestations of the extrusion head pain, can be accompanied by dizziness, nausea, vomiting, fatigue, weakness, loss of appetite, pulse thin and fragile. low blood pressure, a serious short, dehydration and electrolyte disturbance performance. These performance and posture, lying low or when the first symptoms relieved or disappeared, seating establish or when symptoms increase. Neurological examination without positive signs. (3) insulin therapy and electric shock treatment (insulin therapy and electric shock treatment EST) insulin shock and electric shock treatment, follow-up reports of low intracranial pressure. Insulin shock subsequent low intracranial pressure despite large-sugar, still not regained consciousness, coma exclusion, then there may be a low intracranial pressure. lumbar puncture can confirm.