Intracranial pressure management in severe intraventricular hemorrhage: A minireview

doi:10.5492/wjccm.v15.i1.115169

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.

World J Crit Care Med. Mar 9, 2026; 15(1): 115169
Published online Mar 9, 2026. doi: 10.5492/wjccm.v15.i1.115169

Table 1 Evolution of the Monro-Kellie doctrine in intraventricular hemorrhage management

Era	Core mechanism	Clinical applications	Key limitations in IVH
1.0 (1783-20^th century)	Static volume compensation	CSF displacement to spinal compartment	Neglects compensatory thresholds and dynamic interactions
2.0 (2016)	Venous capacitance shifts	Jugular optimization during EVD clamping	Overlooks arterial inflow dynamics during autoregulatory failure
3.0 (2019)	Parenchymal deformation	Management of chronic hydrocephalus	Limited relevance to acute hemorrhage phases
4.0 (2025)	Integrated neurodynamics: CA + glymphatics + ICC	Predictive analytics for compliance failure	Requires advanced multimodal monitoring integration

IVH: Intraventricular hemorrhage; CSF: Cerebrospinal fluid; EVD: External ventricular drainage; CA: Cerebrovascular autoregulation; ICC: Intracranial compliance.

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Citation: Qiu WS, Chen HD, Yang WJ, Chen MM. Intracranial pressure management in severe intraventricular hemorrhage: A minireview. World J Crit Care Med 2026; 15(1): 115169
URL: https://www.wjgnet.com/2220-3141/full/v15/i1/115169.htm
DOI: https://dx.doi.org/10.5492/wjccm.v15.i1.115169

Qiu WS, Chen HD, Yang WJ, Chen MM. Intracranial pressure management in severe intraventricular hemorrhage: A minireview. World J Crit Care Med 2026; 15(1): 115169 [PMID: 41883768 DOI: 10.5492/wjccm.v15.i1.115169]

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