uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Telemetric intracranial pressure monitoring: a noninvasive method to follow up children with complex craniosynostoses. A case report.
Show others and affiliations
2016 (English)In: Child's nervous system (Print), ISSN 0256-7040, E-ISSN 1433-0350Article in journal (Refereed) Epub ahead of print
Abstract [en]

INTRODUCTION: There are no reliable noninvasive methods of monitoring ICP. Most assessments are made by indirect measures and are difficult to follow over time. Invasive studies can be used but up until now have required in-hospital transcutaneous measurements. Accurate ICP recordings over longer periods of time can be very valuable in timing different surgical procedures in syndromal cases. This case shows that telemetric ICP monitoring can be used for long-term follow-up in patients that may need repeated surgeries related to their craniosynostosis condition.

CASE REPORT: In this report, the telemetric ICP probe (Raumedic Neurovent-P-tel) was implanted before surgery and was used for repeated "noninvasive" ICP recordings pre- and postoperatively in a patient with craniosynostosis. The patient was an eight-year-old girl with pansynostosis with only the right lambdoid suture open. A telemetric ICP probe was implanted the day before cranial vault remodeling and the ICP was monitored pre- and postoperatively. The ICP was above 15 mmHg 72.2 % of the monitoring time before surgery, and the amplitude of the curve was greater than normal suggesting impaired compliance. Direct postoperative ICP was normal, and the amplitude was lower. The ICP was then monitored both in out-patient clinic and in four longer hospital stays. Both the values and the curves were analyzed, and the time with ICP above 15 mmHg decreased over time, and the waveform amplitude of the curves improved.

CONCLUSION: This "noninvasive" way of recording ICP is a feasible and helpful tool in decision-making and intervening in patients with craniosynostosis.

Place, publisher, year, edition, pages
National Category
Medical and Health Sciences Other Clinical Medicine
URN: urn:nbn:se:uu:diva-279522DOI: 10.1007/s00381-016-3023-4PubMedID: 26861131OAI: oai:DiVA.org:uu-279522DiVA: diva2:908323
Available from: 2016-03-02 Created: 2016-03-02 Last updated: 2016-03-02

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Enblad, Per
By organisation
In the same journal
Child's nervous system (Print)
Medical and Health SciencesOther Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 127 hits
ReferencesLink to record
Permanent link

Direct link