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We thank Drs van Dam and Broekman for their comment on the challenging issue of intracranial pressure (ICP) monitoring in fat embolism syndrome.1 As they note, the evidence base for ICP monitoring is limited and recommendations are confined largely to expert opinion. Further adding to this difficulty is the diverse range of pathologies for which ICP monitoring is used, including traumatic brain injury, intracranial hemorrhage, ischemic stroke, hydrocephalus, and cerebral edema from metabolic and inflammatory …
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