goal of ICP management is to maintain ICP below 20 mmHg and CPP above 60 mmHg.Primary management is directed, if possible, at the specific process responsible for the rise in ICP (such as surgical removal of mass lesions, dexamethasone treatment for oedema associated with intracranial tumours, control of hydrocephalus, etc). Medical interventions are heavy sedation and paralysis, hyperosmolar therapy, hyperventilation, barbiturates, steroids and hypothermia. Surgical treatment involves resection of mass lesion, CSF drainage and decompressive craniectomy.