Document Detail


Intracranial pressure monitoring with the Neurodur-P epidural sensor: a prospective study in patients with adult hydrocephalus or idiopathic intracranial hypertension.
MedLine Citation:
PMID:  18447710     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Continuous intracranial pressure (ICP) monitoring using an epidural sensor is a common technique used in selected neurosurgical patients. The aim of this study was to assess the safety and accuracy of the Neurodur-P epidural sensor in the clinical setting. METHODS: The zero drift, as well as the medical and technical complications, of using the Neurodur-P sensor placed in the epidural space was evaluated in 106 patients with hydrocephalus of varying causes or with suspected intracranial hypertension. RESULTS: The median duration of ICP monitoring was 8 days (interquartile range [IQR] 6-12 days). In 78 (73.6%) of the 106 patients the pressure reading was recorded at sensor removal. No zero drift was observed in 28 sensors. The median drift was 0 mm Hg with an IQR of -1 to 1 mm Hg. No significant differences were found between patients monitored for < or = 5 days and those monitored for > 5 days (t = 535, p = 0.100). No correlation was found between zero drift and monitoring time (r = 0.153, p = 0.181). Of the 83 patients with a follow-up computed tomography scan, 3 showed a < 1 ml collection of blood at the catheter tip. No clinical infections could be attributed to the devices. Only 1 sensor malfunctioned. CONCLUSIONS: Continuous ICP monitoring using the Neurodur-P sensor is safe, reliable, and easy to perform. At present, using this device is the authors' standard method for the long-term monitoring of patients with alterations in complex cerebrospinal fluid dynamics or with implanted shunts.
Authors:
Maria A Poca; Francisco Martínez-Ricarte; Juan Sahuquillo; Roberto Lastra; Ramón Torné; Maria S Armengol
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  108     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-01     Completed Date:  2008-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  934-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Vall d'Hebron University Hospital, Institut de Recerca Vall d'Hebron, Universitat Autònoma de Barcelona, Spain. 26382app@comb.es
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MeSH Terms
Descriptor/Qualifier:
Epidural Space
Female
Humans
Hydrocephalus / physiopathology*
Intracranial Pressure*
Male
Middle Aged
Monitoring, Physiologic / adverse effects,  instrumentation*,  methods
Prospective Studies
Pseudotumor Cerebri / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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