Telemetric monitoring in idiopathic intracranial hypertension demonstrates intracranial pressure in a case with sight-threatening disease
Telemetric monitoring in idiopathic intracranial hypertension demonstrates intracranial pressure in a case with sight-threatening disease
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DOI：
10.1007/s00701-020-04640-y
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发表时间：
2021-01-07
影响因子：
2.4
通讯作者：
Sinclair, Alex J.
中科院分区：
文献类型：
--
作者：
Mitchell, James L.;Mollan, Susan P.;Sinclair, Alex J.
随着颅内遥测ICP监测仪的直接使用，对颅内压升高（ICP）的认识正在增加。该病例通过遥测监测在一名患有特发性颅内高压（IIH）的患者中唯一观察到ICP变化，该患者迅速发展为威胁视力的疾病。插入腰椎引流管作为临时措施，并在手术前夹紧。这导致ICP迅速升高，在插入脑室腹膜分流后恢复正常。该病例强调了ICP监测仪和腰椎引流作为临时措施的实用性，以在IIH共识指南推荐的最终手术前控制ICP。
The understanding of raised intracranial pressure (ICP) is increasing with the directed use of intracranial telemetric ICP monitors. This case uniquely observed ICP changes by telemetric monitoring in a patient with idiopathic intracranial hypertension (IIH), who developed rapid sight-threatening disease. A lumbar drain was inserted, as a temporising measure, and was clamped prior to surgery. This resulted in a rapid rise in ICP, which normalised after insertion of a ventriculoperitoneal shunt. This case highlighted the utility of the ICP monitor and the lumbar drain as a temporising measure to control ICP prior to a definitive procedure as recommended by the IIH consensus guidelines.