The BTF recommends that “intracranial pressure (ICP) should be monitored in all salvageable patients with a severe TBI and an abnormal computed tomography (CT) scan”. Also,“ICP monitoring is indicated in patients with severe TBI with a normal CT scan if two or more of the following features are noted at admission: age over 40 years, unilateral or bilateral motor posturing, or systolic blood pressure (BP) < 90 mm Hg” [4]. Based on physiological principles, potential benefits of ICP monitoring include earlier detection of intracranial mass lesion, guidance of therapy and avoidance of indiscriminate use of therapies to control ICP, drainage of cerebrospinal fluid (CSF) with reduction of ICP and improvement of CPP, and determination of prognosis