This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

K. K. Kugler, MD
1705 E 19th St Suite 210 Tulsa, OK 74104

A. R. Dick, MD
Section of Neurosurgery Dept of Neurology

S. R. Nelson, MD
Dept of Pharmacology Univ of Kansas Med Center Kansas City, KS 66103

Arch Neurol. 1977;34(7):451.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

A noninvasive indicator of intracranial pressure would be especially useful to determine when an administered hyperosmotic diuretic is no longer effective. Lehman et al¹ reported a correlation between increased intracranial pressure and intraocular pressure in monkeys. We made a series of intraventricular and intraocular pressure measurements three times in two patients with aqueductal obstruction treated with glycerol. One series of measurements from a patient with a metastatic cerebellar tumor is given in the Figure.

Intraocular pressure decreased 15 minutes after glycerol ingestion; intraventricular pressure decreased 30 minutes after ingestion. Both pressures remained low for about 90 minutes, then the intraocular pressure increased and plateaued while the intraventricular pressure was still increasing.

The correlation between changing intraventricular and intraocular pressures recorded here and observed in two additional series of measurements suggests that ocular tonometry may be useful as a monitor of change in intracranial pressure. Due to the . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?