A Neuro-Ophthalmologist’s Guide to Advances in Intracranial Pressure Measurements

Susan P Mollan,1,2 Sehrish NA Momin,3 Pavan S Khatkar,4 Olivia Grech,2 Alex J Sinclair,2,5 Georgios Tsermoulas2,6 1Birmingham Neuro-Ophthalmology, Queen Elizabeth Hospital, University Hospitals Birmingham, Birmingham, UK; 2Translational Brain Science, Institute of Metabolism and Systems Research; Birmingham, University of Birmingham, Birmingham, UK; 3Ophthalmology Department, The Aga Khan University Hospital, Karachi, Pakistan; 4Medical School, Imperial College London, London, UK; 5Department of Neurology, Queen Elizabeth Hospital, University Hospitals Birmingham, Birmingham, UK; 6Department of Neurosurgery, Queen Elizabeth Hospital, University Hospitals Birmingham, Birmingham, UKCorrespondence: Susan P Mollan, Birmingham Neuro-Ophthalmology, Queen Elizabeth Hospital, Birmingham, UK, Tel/Fax +44 121 3716912, Email soozmollan@doctors.org.ukAbstract: Cerebrospinal fluid disorders have a wide-ranging impact on vision, headache, cognition and a person’s quality of life. Due to advances in technology and accessibility, intracranial pressure measurement and monitoring, usually managed by neurosurgeons, are being employed more widely in clinical practice. These developments are of direct importance for Ophthalmologists and Neurologists because the ability to readily measure intracranial pressure can aide management decisions. The aim of this review is to present the emerging evidence for intracranial pressure measurement methods and interpretation that is relevant to Neuro-ophthalmologists.Keywords: cerebrospinal fluid, intracranial pressure, intraparenchymal intracranial pressure sensors, lumbar puncture opening pressure, neuro-ophthalmology, non-invasive, telemetric intracranial pressure monitor, pseudotumour cerebri, waveform