Effects of mannitol and steroid therapy on intracranial volume-pressure relationships in patients

J Neurosurg. 1975 Mar;42(3):274-81. doi: 10.3171/jns.1975.42.3.0274.

Abstract

The intracranial volume-pressure response was measured in 61 patients undergoing continous monitoring of intraventicular pressure. This test, which determlnes the increase in intracranial pressure induced by an addition of 1 ml in ventricular CSF volume in 1 sencond, yields information concerning spatial compensation in patients with intracranial space-occupying processes. On the basis of variability tests, a change in volume-pressure response of 2 mm Hg/ml was accepted as significant. Pronounced enlargement of the ventricles interferes with the test. In patients with intracranial hypertension, intravenous mannitol (0.5gm/kg) and intramuscular betamethasone (26 mg) both reduce the volume-pressure response significantly more than they reduce intracranial pressure. This suggests that these agents favorably alter the configuration of the volume-pressure curve.

Publication types

  • Comparative Study

MeSH terms

  • Betamethasone / administration & dosage
  • Betamethasone / therapeutic use*
  • Brain Neoplasms / complications
  • Cerebral Ventricles / anatomy & histology
  • Cerebrospinal Fluid*
  • Cerebrovascular Disorders / complications
  • Craniocerebral Trauma / complications
  • Humans
  • Hydrocephalus / drug therapy*
  • Hydrocephalus / etiology
  • Injections, Intramuscular
  • Intracranial Pressure / drug effects*
  • Mannitol / therapeutic use*
  • Pseudotumor Cerebri / drug therapy*

Substances

  • Mannitol
  • Betamethasone