Abstract: Objective: To explore the clinical value of intracranial pressure monitoring in minimally invasive treatment of high blood
pressure supratentorial intracerebral hemorrhage. Methods: A total of 68 patients with hypertensive supratentorial cerebral
hemorrhage who received minimally invasive treatment from June 2017 to June 2019 in the Ganmei Hospital of Kunming Medical
University were selected and randomly divided into monitoring group and control group with 34 cases each. Continuous intracranial
pressure monitoring was performed during and after the operation in the monitoring group, and the control group was subjected to
routine monitoring after operation. The case data of the two groups were compared. Results: The volume of intraoperative hematoma
aspiration, postoperative mannitol use and the number of CT reexamination in the monitoring group were less than those in the control
group; the length of stay and the length of stay of neurosurgery intensive care unit in the monitoring group was shorter than that in the
control group; the bad prognosis rate of Glasgow Outcome Scale in the monitoring group was lower than that in the control group at 3
months after discharge, and all the differences were statistically significant（P < 0.05）. Conclusion: Continuous intracranial pressure
monitoring during and after operation can grasp the change of intracranial pressure in real time, reduce the frequency of reexamination
of CT, reduce the number of days of hospitalization and short-term poor prognosis, which is worthy of clinic popularization and
application.

Key words: supratentorial, intracerebral hemorrhage, minimally invasive treatment, intracranial pressure monitoring