| Intracranial pressure monitoring with the Neurodur-P epidural sensor: a prospective study in patients with adult hydrocephalus or idiopathic intracranial hypertension. | |
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MedLine Citation:
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PMID: 18447710 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Maria A Poca; Francisco Martínez-Ricarte; Juan Sahuquillo; Roberto Lastra; Ramón Torné; Maria S Armengol |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of neurosurgery Volume: 108 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-01 Completed Date: 2008-06-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 934-42 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, Vall d'Hebron University Hospital, Institut de Recerca Vall d'Hebron, Universitat Autònoma de Barcelona, Spain. 26382app@comb.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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