Intracranial pressure changes during early postoperative mobilization in patients with chronic subdural hematoma
After burr-hole evacuation of cSDH, ICP remained within normal physiological limits across all head positions, both with the subdural drain in situ and after its routine removal at 24 h. Providing that the drainage height is adjusted to the pivot point for CSF pressure at shoulder level, mobilization-even to the upright position-did not provoke dangerously low ICP. These data, together with emerging randomised evidence, support early mobilisation after cSDH surgery; nonetheless, confirmation in adequately powered multicentre trials is required before firm practice recommendations can be issued.
Authors
- Helene Ravnholt Jensen
- Anne‐Mette Magnussen (ORCID: https://orcid.org/0000-0002-9386-9340)
- Markus Harboe Olsen (ORCID: https://orcid.org/0000-0003-0981-0723)
- Alexander Lilja‐Cyron (ORCID: https://orcid.org/0000-0003-2915-249X)
- Marianne Juhler (ORCID: https://orcid.org/0000-0003-2652-7495)
- Anders Schack (ORCID: https://orcid.org/0000-0002-9280-0384)
- Kåre Fugleholm (ORCID: https://orcid.org/0000-0002-1520-7122)
- Ida Møller Larsen
- Thorbjørn Søren Rønn Jensen
- Jens Hansen
Institutions
- University of Copenhagen (DK)
- Copenhagen University Hospital (DK)
- Rigshospitalet (DK)
Publication Details
- Journal
- Acta Neurochirurgica
- Published
- 2025-09-01
- DOI
- https://doi.org/10.1007/s00701-025-06655-9
- Citations
- 2
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 2.78