Noninvasive monitoring intracranial pressure - A review of available modalities.
Noninvasive monitoring intracranial pressure - A review of available modalities.
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DOI：
10.4103/sni.sni_403_16
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Shamim, Muhammad Shahzad
中科院分区：
文献类型：
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作者：
Khan, Marium Naveed;Shallwani, Hussain;Shamim, Muhammad Shahzad
背景：颅内压监测在许多神经外科和神经科患者中很重要。然而，监测颅内压的黄金标准是通过一种侵入性的程序，导致放置脑室导管，这与许多风险相关。现已对几种无创颅内压监测技术进行了研究，以期取代有创监测技术。方法：对PubMed进行了全面的文献检索，并对相关文献进行了综述。结果：共查阅了94篇文献，发现在过去的几十年中，临床医生一直在尝试使用多种方法来无创地监测颅内压。结论：尽管脑室导管仍然是监测颅内压的黄金标准，但在有创监测不可能的情况下，也有几种可以使用的无创方法。在我们看来，测量视神经鞘直径和瞳孔测量法可能被证明是不进行侵入性颅内压监测的中心的有效选择。
BACKGROUND: Intracranial pressure (ICP) monitoring is important in many neurosurgical and neurological patients. The gold standard for monitoring ICP, however, is via an invasive procedure resulting in the placement of an intraventricular catheter, which is associated with many risks. Several noninvasive ICP monitoring techniques have been examined with the hope to replace the invasive techniques. The goal of this paper is to provide an overview of all modalities that have been used for noninvasive ICP monitoring to date.METHODS: A thorough literature search was conducted on PubMed, selected articles were reviewed in completion, and pertinent data was included in the review.RESULTS: A total of 94 publications were reviewed, and we found that over the past few decades clinicians have attempted to use a number of modalities to monitor ICP noninvasively.CONCLUSION: Although the intraventricular catheter remains the gold standard for monitoring ICP, several noninvasive modalities that can be used in settings when invasive monitoring is not possible are also available. In our opinion, measurement of optic nerve sheath diameter and pupillometry are the two modalities which may prove to be valid options for centers not performing invasive ICP monitoring.