Very good lesson. Thank you! My attempt at summary: Three things in the brain. 1) brain mass/volume (brain cells I guess?) 1300 mL 2) Blood 130mL (supplied by a main artery) 3) Fluid CSF 130mL (Which suspends the brain matter? "Perfuse"? Gives the inter-cranial pressure ICP) 3:00 Brain pressure (CPP specificailly ) must be in a certain range in order to give brain cells and neurons enough OXYGEN and NUTRIENTS to surive. CPP = MAP - ICP (mean arterial pressure - inter-cranial pressure) So if the pressure is not right, your brain will not function well. 5:30 causes of head pressure (ICP) too high = if any of the "three things in the brain" increases. Firstly, brain mass can increase due to tumor, abcess, edema, brain tissue bleeding. @6:00 Secondly, brain fluid (CSF) can increasue due to the following. Note that CSF is constantly produced and recycled within the head/brain, the brain stem, and the brain venous system. So, too much CSF fluid production OR a blockage in the CSF drainage can cause pressure to increase. @7:00 Thirdly, cranial blood pressure can increase due to high venous pressure due to previous heart failure? @7:10; high CO2 level hypercapnia; @7:40 symptoms of high cranial pressure: GCS Glasgow coma scale decreases (indicates brain funtion) ? headaches - because eninges layer stretches. 9:00 vomiting - because vagus nerve is pressed or irritated 10:00 papilla edema (optic disc swelling) because venous drainage is not good. Cushing reflex triad (high blood pressure, irregular breathing, low heart rate) 11:40
@RAJENDRAKUMAR-sl4cw3 жыл бұрын
Very good how are you
@melindaaa1404 Жыл бұрын
I am absolutely mindblown at the high quality information contained in a 15min video compared to my 3hours lecture. Thank you so much for making med school (and life) easier!
@robertmilroy8506 Жыл бұрын
Explained in a way in which someone who is suffering from this condition can understand. Thank you 🙏
@md.sharifulislamswapon26854 жыл бұрын
No speech to express how useful this video is!!!,,,You are really brilliant!,,Thank you sir..
@raedi26053 жыл бұрын
I'm not a doctor, I watched this to understand my condition better. My ICP was 40mls, at my last lumbar puncture I can not stress enough how much pain my headaches cause, my eyes hurt everyday too. Hopefully treatment will help soon.
@Drew.q3 жыл бұрын
Same boat hope you're better!
@didkddididj19143 жыл бұрын
Same here man hope you get better
@lindaoheff91692 жыл бұрын
Did your doctors give you any clarity on the cause of this condition?
@carlcoleman5762 Жыл бұрын
Prayers
@ginaeckaus576227 күн бұрын
My husband's pressure was 50!
@mohamedorayith46263 жыл бұрын
The most thorough and clear video I have seen on ICP!! And let me tell you, I have seen tonnes of videos
@kristineodonnell46464 жыл бұрын
Thank you for this video. You explained this much more clearly than all the research I have read on this topic.
@wendyoneill948 Жыл бұрын
For those who suffer from intracranial hypertension and are not responding to drug therapy (acetazolamide and/or topirimate), check out venous sinus stenosis and the option for stenting. Dr. Athos Patsalides and Dr. Waleed Brinjikji are two of the leading docs you can find on KZfaq for further information on this condition that is prevalent in a high percentage of people who suffer from pseudotumor cerebri/idiopathic intracranial hypertension.
@sarahokiyi35472 жыл бұрын
Had to comment and tell you how insightful and informative your video has been. Diagnosed with IIH in 2010 after I experienced extreme headache, vision disturbance, I was unbalanced, had tinnitus and the list goes on but you are the first person that explained the vomiting to me!!! Im not a medical student but a lot of this video made sense and for that I thank you.
@blessedthebest89722 жыл бұрын
Are you anemic? Look up anemia and intracranial hypertension. It will not be discussed on KZfaq.
@blessedthebest89722 жыл бұрын
Oh do you still have the ear ringng n whooshing noise in your ear?
@meenakshijat2855 Жыл бұрын
Are you get back your vision beacuse i have the same issue
@mogakolodimakete2789 Жыл бұрын
Do you still experience daily morning headaches? How did the doctor treat it?
@gieb71589 ай бұрын
thank you so so much. your channel is my go-to for anatomy and physiology. this is the BEST CHANNEL!!!
@howtomedicate5 жыл бұрын
Thank you for this video! It is very clear!
@phuongholland20032 жыл бұрын
This is a mLgreat, educational video for new nurses like me! Except the sound was low, making it difficult to hear, even with the volume all the way up. Please keep making more videos!
@Weeflowerofscotland4 жыл бұрын
Thank you. I have IIH and this has helped to understand what my problem is. My symptoms are always relieved by lumber puncture.
@rosiem20733 жыл бұрын
How many Lumbar puncture can have ? I’ve been diagnosed in July not yet had a lumbar puncture yet... still learning about this..
@hayley90963 жыл бұрын
Acetozolmide helps keep the fluid and pressure low.
@miwarrior0607094 жыл бұрын
Thank you so much! Especially about the Cushing reflex! (The triad) I was diagnosed a while back but I don’t really understand it. I have these headaches everyday but don’t have the eye problem so don’t need the shunt (not that I’m complaining) I just wish the medications worked better. I’m miserable everyday. At least I understand a little more. It’s helpful.
@DrMattDrMike4 жыл бұрын
miwarrior, we do hope your symptoms improve.
@emmacheckley39654 жыл бұрын
Legend! So much easier grasping this concept hearing it from a fellow Aussie! Cheers :)
@llanceend2970 Жыл бұрын
You're a good man ..comes across in your genuine and patient presentations ..thnx bro
@cloud.074 жыл бұрын
Excellent video, thank you! Subscribed and excited to see more! Thanks Dr. Matt and Dr. Mike!
@YuiYui-uq2nu11 ай бұрын
The best understanable in few minutes, thx u very much doc ❤
@normaeunicechavarria41013 жыл бұрын
THANK YOU! A whole hour in class and I didn't understand one bit of ICP. Now, I feel so confident. You are amazing!! THANK YOU!!
@luliyoga64173 жыл бұрын
thank you! this is the only thing that has helped me truly understand it! thanks!
@blackl1steddrums3 жыл бұрын
As far as ICP goes, my favorite is still insane clown posse
@peachmelba93333 жыл бұрын
I lean toward idiot cat-scan procedures- goes with THIS TOPIC- Doesn't it? Asked for a MRI with conrast- Dr Doofus scheduled a Catscan without contrast- now I know a LITTLE MORE but didn't rule out what I'm fearing - Chiari 1 manifesting at this 😉later time in my life- now I have to drag myself to a larger hospital- with people who possibly have the knowledge I need. Dr Doofus said " I've never had a patient with THAT!" WELL WELL H.E.L.L.O! Maybe You do Now!
@screenname22066 ай бұрын
Just diagnosed with this condition. Thankful to know what’s wrong but so annoyed it took so long to get diagnosed. I’ve had double vision, dizziness and tinnitus. I was told there was nothing wrong with me and that it’s impossible to have double vision in both eyes.
@garagegymtrainingcamp8 ай бұрын
I just went in for a blood patch for a csf leak as I get positional headaches. Turns out my csf pressure was actually high (27). They lowered it and I didn’t get a blood patch. I’ve been dealing with morning headaches for about two years. Although I’m not sure what the root cause is, this video blew my mind.
@justfor54684 жыл бұрын
Thank you! This is amazing!
@mariadelpilargiraldoherrer17392 жыл бұрын
Thank you so much, brilliant explanation.
@sherbetstraw86052 жыл бұрын
This is fantastic thank goodness for this video
@heek402 жыл бұрын
This is a seriously good video. Thank you so much.
@ramseslong56143 жыл бұрын
Thank you so much. This was what I needed and more. +1 subscriber
@PraveenKumar-ck2sl3 жыл бұрын
Clear presentation. Thank you
@priyadarsinipatra5134 жыл бұрын
Thankyou ,very well explained and now I can join the dots
@RAJENDRAKUMAR-sl4cw3 жыл бұрын
Hi how are you
@cheikhahmed16168 ай бұрын
thanks dr mike very useful explaination.
@pixzelmedia2 жыл бұрын
Very well explained, now I know why the systolic goes up and diastolic doesn't. Thank you so much Dr.
@TheSnooex3 жыл бұрын
very detailed explanation that connects logic. thank you very much
@wernerrojo73212 жыл бұрын
excellent.
@mohamedorayith46263 жыл бұрын
What can cause an increase in CSF, which results in increase in ICP?
@nabilnas11194 жыл бұрын
Thank you so much for this video, it was really well explained 🙏🏼💙
@nateislate55512 жыл бұрын
Can tongue placement in the mouth increase the pressure over time?
@frankpeasahadusei8452Ай бұрын
Please how can i download this video...Very educative
@jonathanhackney87582 жыл бұрын
excellent video and super useful
@blacktongs3 жыл бұрын
Thanks Dr Matt! Love your work (Y)
@LittleRedRideMeGood69 Жыл бұрын
My hair was/is in a UK flag shape, wrapped around my head. I can *_feel the fluid go down my back!_* I get Whirling Dervishes.
If patient had gastric bypass surgery years ago and is not overweight, would they still have vomiting potentially?
@user-zl8sz4nq2i5 жыл бұрын
Very very very much thank you ☺
@anthonynwobodo3347 Жыл бұрын
God bless you sir
@MiryamHamilton3 жыл бұрын
Great video! I love it!!!!
@miss_kolissa2 жыл бұрын
What brings me to this channel SMH. Going back to see my ophthalmologist
@zianidaoud43293 жыл бұрын
Great explanation .thank you
@au-natruallish11 ай бұрын
Thanks! VERY HELPFUL!!
@BL-rb7jm3 жыл бұрын
I understand d too much vitamin A can be a problem
@sahanweerakoon55044 жыл бұрын
Well explained thanks 😃🙂🙂🙂
@susanveldman8124 жыл бұрын
Wow... My doctors said my sudden high Blood pressure had Nothing to do with my high ICP. Although it came up together with my headaches and increasing icp. My normal bp was always 110/65. Then, 150/100-110. So, when they normalize my icp, my bp Will go down as well? Never had bp problems, not even during my Five pregnancies.
@HouseOfPrincess3 жыл бұрын
Thanks for explanation
@allisonsarc705511 ай бұрын
Great video
@Whitesilver19703 жыл бұрын
Thank you that was very helpful.
@kinmin73243 жыл бұрын
Thank you...
@zahrasultani6569 Жыл бұрын
THANK YOU
@amena1144 Жыл бұрын
شكرا جزيلا
@eo19644 жыл бұрын
thank you!
@haya38405 жыл бұрын
I was diagnosed with it at 2017 and I have abdominal shunt now.
@OneDream5014 жыл бұрын
Is your heads ache gone
@haya38404 жыл бұрын
@@OneDream501 yesss
@didkddididj19143 жыл бұрын
So happy for you
@MrChaitusk32 жыл бұрын
How Successful are shunts?
@haya38402 жыл бұрын
@@MrChaitusk3 yes .. so far it's been great
@BL-rb7jm3 жыл бұрын
Can stress bring this on.
@lorrainebo14 жыл бұрын
Very helpful, thank you.
@smithagchandran89733 жыл бұрын
Sir, l have a spontaneous intracranial hypotension in 2013...CSF leak ....spinal.
@MrChaitusk32 жыл бұрын
How are you feeling now?
@JJLARAA2 жыл бұрын
my mother too, and then after 2 blood patches it seems to have resolved (MRI indication) but now it's HYPERtension symptoms that are creeping up (and MRi shows possible hemmorage) . Does your brain feel funky too? as in, vibrating sensation whenever you move? and motor skills are affected
@stephaniezee17222 жыл бұрын
That was wonderful
@johnpauleleeoa.solano922 жыл бұрын
How does it cause Projectile Vomiting and not regular Vomiting?
@adeniqbal55613 жыл бұрын
i want to ask something sir regarding meningeal stretch and the pain stimulated... i learnt from anatomy book by snell that only dura matter is susceptible to pain while other meninges are prone to stretch reception only and the dura matter supply for pain is by some sensory division of Trigeminal nerve(5th CN)... CAN YOU HELP ME IN THIS REGARD?
@moldybongrips3 жыл бұрын
i just went to the optometrist and found out that my already elevated optic nerve has elevated even more since my last visit and he thinks maybe a tumor or spinal fluid (most likely spinal fluid) might be pushing against it, is this what that would look like ?
@blessedthebest89722 жыл бұрын
You may be anemic. Google anemia causing intracranial hypertension.
@markgangaprashad36812 жыл бұрын
Why the change of info? Is it 1400? And 150 each in volume of this?
@sidrakadhim51022 жыл бұрын
Thank u so much
@akhilsuresh15774 жыл бұрын
Thank u so much god.bless u
@ateequllahdawoodzai90343 жыл бұрын
eceedingly nice lacture
@nancysatkinson1568 Жыл бұрын
" I find it INSANE as to why the Body is Not Cooled Down as much as Possible, FIRST!"
@nancysatkinson1568 Жыл бұрын
" I want to know why, anyone with Cranial Swelling is not put on, cold Packs, Under Arms, in Groaning area, and behind the Head in Neck Area FIRST, to help get the Pressure and Swelling Down, while finding out what is causing the Swelling?" " To me this is A "MUST FIRST!!!!!!!!"
@daisyconcepcion86874 жыл бұрын
Hi can high intracranial pressure also dilate the eyes and vision loss?
@Finkardop3 жыл бұрын
Yes.
@hayley90963 жыл бұрын
Causes blindness left untreated
@BL-rb7jm3 жыл бұрын
Can a spinal cause this condition? Can being obese contribute to this? Can retraining water such as edema cause this problem? What about going to a chiropractic, would that help.
@HarmlessHobby Жыл бұрын
What does it mean if my CCP is high? Should I be worried op? I don't feel so good
@bhagyashreeyadav60993 жыл бұрын
sir kya ye childhood se ho sakta hai because i have symptoms of it from my childhood but it is detected when i am 16 yrs old
@francesgold66492 жыл бұрын
Can tetracyclines cause this?
@mrsfox82623 жыл бұрын
Can you increase brain volume after losing volume due to a brain bleed/this?
@Ahmed2k1 Жыл бұрын
nice nice , thanks alot
@rebeka1454 жыл бұрын
Can intracranial pressure elevate when taking drugs like Accutane? I have never expierienced problems with headaches or eyes etc. I am 1 year after my accutane course, and I have been seeing doctors and hospitals for headaches, espiecially pain at the back of my head, feeling of floating without losing balance, severe eye strain, where I can simply not look at computers at all sometimes but my vision stays perfect. I have been checking my eyes, and my eye pressure was elevated but not severly yet. I also have anemia so I am very fatigued. I feel like accutane caused some kind of imbalanced but my doctors wont really see it as a cause. What should I do to check the presssure in the skull? I do not want to get any syringes inside my head :(
@rebeka1454 жыл бұрын
I forgot to mention that my eys feel very heavy in the evenings,. its almost hard to open them up, and 3 months ago I used to have attacks at night when my eyes would just shut open suddenly like there was something dangerous. It does not occur as frequent now but really got me worried
@b.r.13966 ай бұрын
Accutane can cause elevated intracranial pressure. Vitamin A in its many forms have been linked to intracranial hypertension.
@jasonma57173 жыл бұрын
i have a question , so that is CCP or CPP thank you
@fajilath53769 ай бұрын
11:40 Cushing reflex
@shercuz13 жыл бұрын
I do not think the formula for MAP is correct. Could you please review? I rechecked and what I am seeing is MAP = 1/3 SBP + 2/3 DBP
@adeniqbal55613 жыл бұрын
do the maths... map=1/3(pp)+dp that's 1/3(sp-dp)+dp=1/3sp-1/3dp+dp= (take the LCM)=1/3sp+2/3dp
@zidnyknight361111 ай бұрын
❤
@user-rp5yd1rk6x3 жыл бұрын
𝐭𝐡𝐚𝐧𝐤𝐬 𝐝𝐨𝐜𝐭𝐨𝐫
@veronicareynolds3722 жыл бұрын
Can strangulation cause ICP?
@SoLoGLidez2 жыл бұрын
Dr Matt why did you not pursue a dual degree in art? it’s clearly in your DNA!
@DrMattDrMike2 жыл бұрын
Haha, classic❤️
@mortadhaqasim9592 жыл бұрын
How you talk soooo similar to dr Mike !!!
@couchpotato99002 жыл бұрын
if it wasn't for you guys I would have failed all my pathology exams.
@escfxp4 жыл бұрын
2:58 - the chinese government is inside our brain?
@wendyoneill948 Жыл бұрын
As one who has suffered from this rotten malady I can attest that yes, it feels like the Chinese government could very well be taking up residence inside your skull and banging on gongs in rhythm with your heartbeat.
@chikuu64204 жыл бұрын
Can't you speak little louder bro
@brianquin37785 жыл бұрын
Just a suggestion : the explanation is clear but to make it more interesting 1) remove the background grainy noise 2) add a very light delightful music is background.