scholarly journals Hemispheric strokes: clinical or surgical management? Intracranial pressure monitoring of a case and review of the literature

1995 ◽  
Vol 53 (4) ◽  
pp. 821-824
Author(s):  
Gustavo Adolpho Carvalho ◽  
Adolpho Carvalho Filho

The authors report a case of a right hemispheric ischemic infarction on a 77-year-old patient that was monitored with an extradural intracranial pressure monitor (Ladd device).We show the huge intracranial hypertension that the brain was submitted despite of the medical treatment. The treatment of hemispheric strokes can be very challenging. The usual antiedema drugs very often prove to be of no help against the mass effect and the high intracranial pressure that some patients present. More recently reports on the literature are showing good results following a decompressive surgery on such ischemic infarcts.

2007 ◽  
Vol 04 (02) ◽  
pp. 115-118 ◽  
Author(s):  
Aleksander M Vitali ◽  
Andries A le Roux

AbstractIntracranial pressure monitoring has become routine in the management of severe head injuries. We describe an unusual complication secondary to intracranial pressure monitoring with subdural cup catheter. A 35 year-old man was admitted to the Neurosurgery Department following blunt head trauma. He underwent insertion of subdural cup catheter for monitoring of intracranial pressure. A progress computed tomography scan of the brain revealed tension pneumocephalus. As far as the authors are aware, this is the first reported case of tension pneumocephalus resulting from insertion of a subdural intracranial pressure monitor.


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


2017 ◽  
Vol 04 (04) ◽  
pp. S13-S18 ◽  
Author(s):  
Seelora Sahu ◽  
Amlan Swain

AbstractMeasurement and monitoring of intracranial pressure is pivotal in management of brain injured patients. As a rapid and easily done bed side measurement, ultrasonography of the optic nerve sheath diameter presents itself as a possible replacement of the conventional invasive methods of intracranial pressure management. In this review we go through the evolution of optic nerve sheath diameter measurement as a novel marker of predicting raised intracranial pressure, the modalities by which it can be measured as well as its correlation with the invasive methods of intracranial pressure monitoring.


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

Author(s):  
V. Vijaywargi ◽  
R. Proffitt ◽  
P. Mane ◽  
K. Mossi ◽  
K. Ward ◽  
...  

The brain is surrounded by cerebrospinal fluid, and when a brain tumor or a traumatic brain injury has occurred, intracranial pressure, ICP, is developed. Monitoring ICP non-invasively is a challenge. Currently, a probe is inserted through the skull, running the risk of infection, bleeding, and damage to the brain tissue with residual neurologic effects. A novel method to measure ICP using actuators and sensors has been proposed where the skull is vibrated at high frequencies and the receiving signal is measured at the surface eyelid. A design of experiments approach is used to develop the sensor part of the ICP monitoring device so that gain can be maximized using factors such as area, thickness, electrode, and applied pressure. In addition, sensor packaging is optimized to minimize dampening of the signal and ensure durability, reliability, and repeatability of the measurements. Results of this study showed that for a range of areas and thicknesses with Cu-Ni electrodes packaged with super strength durable tape are the optimum factors for the ICP sensor. These parameters are then incorporated into a design that allows ease of application and consistency of the measurements.


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