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01-09-2017 | Original Paper

Prediction of intracranial hypertension through noninvasive intracranial pressure waveform analysis in pediatric hydrocephalus

Authors: Matheus Fernando Manzolli Ballestero, Gustavo Frigieri, Brenno Caetano Troca Cabella, Sergio Mascarenhas de Oliveira, Ricardo Santos de Oliveira

Published in: Child's Nervous System | Issue 9/2017

Abstract

Purpose

The purpose of this study is to evaluate a noninvasive device to assess intracranial pressure wave form in children with hydrocephalus.

Methods

A prospective and non-experimental descriptive-analytic study was performed. Fifty-six patients were enrolled in this study. They were divided in four groups: group A, children with clinically compensated hydrocephalus; B, surgically treated hydrocephalus; C, patients with acute intracranial hypertension due to hydrocephalus; and D, children without neurological disease (control). Data were collected through the installation of an extracranial deformation sensor, coupled to the children’s scalp, which allowed registration of noninvasive intracranial pressure curves. Parameters obtained were analyzed: P2/P1 ratio, “classification P1 and P2 and P1 slope.

Results

P2/P1 index and “classification of P1 and P2” had a sensitivity of 80% and specificity of 100% for predicting intracranial hypertension. “P1 slope” presented no statistical difference.

Conclusion

This study showed a useful and noninvasive method for monitoring intracranial pressure, which was able to indicate the intracranial hypertension in children with hydrocephalus and, thus, should be further investigated for clinical applications.

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Title: Prediction of intracranial hypertension through noninvasive intracranial pressure waveform analysis in pediatric hydrocephalus
Authors: Matheus Fernando Manzolli Ballestero
Gustavo Frigieri
Brenno Caetano Troca Cabella
Sergio Mascarenhas de Oliveira
Ricardo Santos de Oliveira
Publication date: 01-09-2017
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 9/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-017-3475-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Prediction of intracranial hypertension through noninvasive intracranial pressure waveform analysis in pediatric hydrocephalus

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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