Evidence map›Paper›PMID 37038236›Full record

ReviewCritical care (London, England)2023

The intracranial compartmental syndrome: a proposed model for acute brain injury monitoring and management.

Daniel Agustín Godoy, Sérgio Brasil, Corrado Iaccarino, Wellingson Paiva, Andres M Rubiano

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
9.5field-weighted citation impact, top 1% 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.

NCT06772155 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Comparative Effectiveness Study on Catheter Locking Device Versus Standard Ventriculostomy for Surgical Management of Traumatic Brain Injury Patients With Intracranial Compartment Syndrome

Typeobservational_patient_registrySponsorMeditech FoundationRan2025 to 2027Enrolled292ConditionsTraumatic Brain Injuries, Intracranial HypertensionArmsVentriculostomy, Ventriculostomy + Locking Device
NCT06776614 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Comparative-effectiveness Study on Expansion Craniotomy Versus Decompressive Craniectomy for Surgical Management of Traumatic Brain Injury in Patients With Intracranial Compartment Syndrome

Typeobservational_patient_registrySponsorMeditech FoundationRan2025 to 2027Enrolled292ConditionsTraumatic Brain Injuries, Intracranial HypertensionArmsDecompressive Craniectomy, Expansion Craniotomy
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Impaired Intracranial Compliance: A New Hypertension-Mediated Brain Organ Damage?High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Evaluation of monitoring critical ill children with traumatic brain injury.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025
    Article
  20. Observational
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

5 authors at 4 institutions in 4 countries.

Daniel Agustín GodoySanatório Pasteur, Catamarca, Argentina.
Sérgio BrasilExperimental Surgery Laboratory and Division of Neurological Surgery, University of São Paulo Medical School, Av. Eneas de Carvalho Aguiar 255, Sao Paulo, Brazil. sbrasil@usp.br.
Corrado IaccarinoDepartment of Biomedical, Metabolic and Neural Sciences, University Modena and Reggio Emilia, Modena, Italy.
Wellingson PaivaExperimental Surgery Laboratory and Division of Neurological Surgery, University of São Paulo Medical School, Av. Eneas de Carvalho Aguiar 255, Sao Paulo, Brazil.
Andres M RubianoUniversidad El Bosque. Bogotá, Bogotá, Colombia.
Universidade de São Paulo · BRNational University of Catamarca · ARUniversidad El Bosque · COUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For decades, one of the main targets in the management of severe acute brain injury (ABI) has been intracranial hypertension (IH) control. However, the determination of IH has suffered variations in its thresholds over time without clear evidence for it. Meanwhile, progress in the understanding of intracranial content (brain, blood and cerebrospinal fluid) dynamics and recent development in monitoring techniques suggest that targeting intracranial compliance (ICC) could be a more reliable approach rather than guiding actions by predetermined intracranial pressure values. It is known that ICC impairment forecasts IH, as intracranial volume may rapidly increase inside the skull, a closed bony box with derisory expansibility. Therefore, an intracranial compartmental syndrome (ICCS) can occur with deleterious brain effects, precipitating a reduction in brain perfusion, thereby inducing brain ischemia. The present perspective review aims to discuss the ICCS concept and suggest an integrative model for the combination of modern invasive and noninvasive techniques for IH and ICC assessment. The theory and logic suggest that the combination of multiple ancillary methods may enhance ICC impairment prediction, pointing proactive actions and improving patient outcomes.

Indexed as

Brain InjuriesIntracranial HypertensionCerebrovascular CirculationHumansIntracranial PressureMonitoring, PhysiologicAcute brain injury, traumatic brain injuryCerebral complianceIntracranial compartmental syndromeIntracranial hypertensionIntracranial pressure waveform

Identifiers

PMID37038236
PMCPMC10088257
OpenAlexW4363675991

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.