Management of intracranial hypertension with and without invasive intracranial pressure monitoring

Table 4 Criteria for suspected intracranial hypertension from the CREVICE protocol

Major criteria (one criteria should indicate SICH treatment)

CT classification of Marshall III or worse

Compressed cisterns (Marshall diffuse injury III)

Midline shift > 5 mm (Marshall diffuse injury IV)

Non-evacuated mass lesion > 25 cc

Minor criteria (at least two should be observed to indicate SICH treatment)

Glasgow coma scale (motor) ≤ 4

Pupillary asymmetry

Abnormal pupillary reactivity

Marshall diffuse injury II

CT: Computed tomography; SICH: Suspected intracranial hypertension.