scholarly journals Intracranial Pressure Waveform: History, Fundamentals and Applications in Brain Injuries

2020 ◽  
Author(s):  
Gustavo Frigieri ◽  
Cintya Yukie Hayashi ◽  
Nícollas Nunes Rabelo ◽  
Sérgio Brasil

Intracranial pressure (ICP) can be analyzed for its absolute value, usually in mmHg or cmH2O, its tendency over time and the waveform of its pulse. This chapter will focus on the waveform of the ICP pulse (ICPwf), already observed since 1881, and for a long time not understood. Studies conducted in recent decades show the correlation between the ICPwf and intracranial compliance (ICC), another important clinical parameter added to the practice in the second half of the last century. ICC allows physicians early analyzing patients’ neurological conditions related to disorders resulting from variations in cerebrospinal fluid (CSF), blood and intracranial tissue volumes. This chapter is an invitation to dive into the history and development of ICPwf analysis, clinical uses already adopted and others still under study.


2021 ◽  
Vol 15 ◽  
Author(s):  
Geraldo Paraguassu ◽  
Mark Khilnani ◽  
Nicollas Nunes Rabelo ◽  
Luiza D'Ottaviano Cobos ◽  
Gustavo Frigieri

brain4care, a new Food and Drug Administration (FDA)-cleared non-invasive sensor that monitors intracranial pressure waveforms, was used in a 13-year-old girl who presented with untreatable headaches. The patient had a history of craniopharyngioma resection and a ventriculoperitoneal shunt placement 7 years prior to the use of the device. Secondary obstructive hydrocephalus was also a present factor in the case. The hypothesis was that due to the hydrocephalus, the child presented chronic headaches and needed constant readjustment into the ventriculoperitoneal shunt to regulate the cerebrospinal fluid inside her ventricles in order to control the patient's intracranial pressure (ICP). The device was chosen considering the risks to submit a patient into the regular invasive method to measure ICP. It was identified that the device could also indicate altered intracranial compliance due to the ratio between the P1 and P2 amplitudes (P2/P1 ratio > 1).



Author(s):  
Z. Czosnyka ◽  
N. Keong ◽  
D. J. Kim ◽  
D. Radolovich ◽  
P. Smielewski ◽  
...  


2017 ◽  
Vol 33 (9) ◽  
pp. 1517-1524 ◽  
Author(s):  
Matheus Fernando Manzolli Ballestero ◽  
Gustavo Frigieri ◽  
Brenno Caetano Troca Cabella ◽  
Sergio Mascarenhas de Oliveira ◽  
Ricardo Santos de Oliveira


2008 ◽  
Vol 70 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Franklin D. Westhout ◽  
Laura S. Paré ◽  
Ralph J. Delfino ◽  
Steven C. Cramer


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Karen Brastad Evensen ◽  
Klaus Paulat ◽  
Fabrice Prieur ◽  
Sverre Holm ◽  
Per Kristian Eide


1996 ◽  
Vol 138 (5) ◽  
pp. 531-542 ◽  
Author(s):  
M. Czosnyka ◽  
E. Guazzo ◽  
M. Whitehouse ◽  
P. Smielewski ◽  
Z. Czosnyka ◽  
...  


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