Intra-dialytic intracranial pressure monitoring in a patient with lumbo-peritoneal shunt for idiopathic intracranial hypertension

Author(s):  
W. B. Cato-Addison ◽  
L. Ferguson ◽  
R. D. Strachan ◽  
R. Clark ◽  
J. S. Murray ◽  
...  
2021 ◽  
Vol 12 ◽  
pp. 493
Author(s):  
Thomas Markus Dhaese ◽  
Leonardo C. Welling ◽  
Alice Magro Kosciasnki ◽  
Gustavo Frigeri ◽  
Judy Auada ◽  
...  

Background: Intracranial pressure (ICP) monitoring has been variously explored as a diagnostic and therapeutic modality in many pathological conditions leading neurological injury. This monitoring standardly depends on an invasive procedure such as cranial or lumbar catheterization. The gold standard for ICP monitoring is through an intraventricular catheter, but this invasive technique is associated with certain risks such as haemorrhage and infection. (1) Also, it is a high-cost procedure and consequently not available in a variety of underprivileged places and clinical situations in which intracranial hypertension is prevalent (3). An accurate non-invasive and low-priced method to measure elevated ICP would therefore be desirable. Under these circumstances, Brazilian scientists developed a non-invasive method for intracranial pressure monitoring (ICP-NI), which uses an electric resistance extensometer that measures micro deformations of the skull and transforms it into an electrical signal. In this case report, the authors describe a pediatrician patient with the diagnosis of idiopathic intracranial hypertension who was successfully submitted to a lumbar puncture under monitorization with this device. Case description: 7 year old girl with progressive symptoms that lead to the diagnosis of idiopathic intracranial hypertension. The patient was submitted to a lumbar punction with continuous non-invasive ICP monitoring. Conclusion: Estimating ICP (non-invasive) from LP monitoring (invasive) often reflect inaccurate ICP results, and affects negatively on IIH diagnosis and a non-invasive diagnostic method could reduce the requirement for invasive approaches, improving patient health outcomes.


2017 ◽  
Vol 104 ◽  
pp. 167-170 ◽  
Author(s):  
David S. Xu ◽  
Randall J. Hlubek ◽  
Celene B. Mulholland ◽  
Kerry L. Knievel ◽  
Kris A. Smith ◽  
...  

2014 ◽  
Vol 30 (4) ◽  
pp. 735-750 ◽  
Author(s):  
Jon Perez-Barcena ◽  
Juan Antonio Llompart-Pou ◽  
Kristine H. O'Phelan

1993 ◽  
Vol 4 (1) ◽  
pp. 148-160
Author(s):  
Therese S. Richmond

Intracranial pressure monitoring (ICP) is a technology that assists critical care nurses in the assessment, planning, intervention, and evaluation of care. The physiologic basis of intracranial hypertension (ICH) and ICP monitoring are reviewed. Types of monitors arc described. Advantages, disadvantages, and complications of fluid-filled versus fiberoptic systems are explored. Priorities in nursing care of the patient with an ICP monitor are examined


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Nicolas Canac ◽  
Kian Jalaleddini ◽  
Samuel G. Thorpe ◽  
Corey M. Thibeault ◽  
Robert B. Hamilton

Neurosurgery ◽  
1991 ◽  
Vol 28 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Rick Abbott ◽  
Fred J. Epstein ◽  
Jeffrey H. Wisoff

Abstract Chronic headaches in a shunt-dependent patient with small ventricles has long been treated with little or no regard to intracranial pressure. In this study, pressure monitoring on 12 such patients demonstrated that they fell into three distinct categories: 3 had headaches caused by intracranial hypertension, 2 had headaches from hypotension, and 7 showed no relation of symptoms to pressure. As therapeutic procedures for treating these three categories are entirely different and sometimes opposing, it is clear that intracranial pressure monitoring is essential to successful management of this complaint.


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