Increased intracranial pressure (ICP) occurs when the volume of brain tissue, blood, or cerebrospinal fluid within the rigid skull increases, according to the Monro-Kellie hypothesis. Common causes of elevated ICP include head injuries, brain tumors, and hemorrhages. Increased ICP decreases cerebral perfusion and can lead to brain herniation if left untreated. Management focuses on reducing cerebral edema, CSF volume, and intracranial blood flow through osmotic diuretics, corticosteroids, CSF drainage, hyperventilation, and maintaining cerebral perfusion pressure above 70 mmHg. ICP is monitored to identify pressure elevations and guide treatment effectiveness.