Evidence map›Paper›PMID 30911831›Full record

ReviewActa neurochirurgica2019

The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal.

Paul R A M Depauw, Rob J M Groen, Johannes Van Loon, Wilco C Peul, Manu L N G Malbrain, Jan J De Waele

Open access · hybridAbstract readReview
In one paragraph

Review in Acta neurochirurgica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Ultrafast venous and sagittal sinus constrictions in the brain driven by abdominal pressure.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Vertebral Vascular Canal Dysplasia in Three Brachycephalic Breeds and Its Relationship With BOAS Grade.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026
    Article
  4. Article
  5. Elevated Intra-Abdominal Pressure as a Prognostic Marker of Enteral Nutrition Intolerance and Adverse Outcomes in Neurocritical Care: A Retrospective Cohort Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Article
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  16. How to use lumbar puncture manometry in children.Archives of disease in childhood. Education and practice edition · 2023
    Article
  17. Intracranial Hypertension following Acute Mesenteric Ischemia: A Case Study on the Multiple Compartment Syndrome.The International journal of angiology : official publication of the International College of Angiology, Inc · 2023
    Article
  18. Intra-abdominal hypertension and abdominal compartment syndrome in acute pancreatitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

Paul R A M DepauwDepartment of Neurosurgery, Elisabeth Tweesteden Hospital (ETZ), Tilburg, The Netherlands. p.depauw@etz.nl.
Rob J M GroenDepartment of Neurosurgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Johannes Van LoonDepartment of Neurosurgery, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
Wilco C PeulDepartment of Neurosurgery, Leiden University Medical Center (LUMC) and The Hague Medical Center (HMC+), Leiden, The Netherlands.
Manu L N G MalbrainIntensive Care Unit, University Hospital Brussels (UZB), Jette, Belgium.
Jan J De WaeleDepartment of Critical Care Medicine, Ghent University Hospital, Ghent, Belgium.
Elisabeth-TweeSteden Ziekenhuis · NLGhent University Hospital · BEKU Leuven · BELeiden University Medical Center · NLUniversity of Groningen · NLVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intra-abdominal pressure (IAP) is a physiological parameter that has gained considerable attention during the last few decades. The incidence of complications arising from increased IAP, known as intra-abdominal hypertension (IAH) or abdominal compartment syndrome in critically ill patients, is high and its impact is significant. The effects of IAP in neurological conditions and during surgical procedures are largely unexplored. IAP also appears to be relevant during neurosurgical procedures (spine and brain) in the prone position, and in selected cases, IAH may affect cerebrospinal fluid drainage after a ventriculoperitoneal shunt operation. Furthermore, raised IAP is one of the contributors to intracranial hypertension in patients with morbid obesity. In traumatic brain injury, case reports described how abdominal decompression lowers intracerebral pressure. The anatomical substrate for transmission of the IAP to the brain and venous system of the spine is the extradural neural axis compartment; the first reports of this phenomenon can be found in anatomical studies of the sixteenth century. In this review, we summarize the available knowledge on how IAP impacts the cerebrospinal venous system and the jugular venous system via two pathways, and we discuss the implications for neurosurgical procedures as well as the relevance of IAH in neurological disorders.

Indexed as

HumansIntra-Abdominal HypertensionMonitoring, IntraoperativeNervous System DiseasesNeurosurgical ProceduresPostoperative ComplicationsCerebrospinal venous system, CSVSExtradural neural axis compartment, EDNACHydrocephalusIdiopathic intracranial hypertension, IIHIntra-abdominal hypertension, IAHIntra-abdominal pressure, IAPProne positionTraumatic brain injury, TBIVertebral venous system, VVS

Identifiers

PMID30911831
PMCPMC6483957
OpenAlexW2941587340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.