دورية أكاديمية
Telemetric intracranial pressure monitoring in children.
| العنوان: | Telemetric intracranial pressure monitoring in children. |
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| المؤلفون: | Pedersen SH; Department of Neurosurgery, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. sarah.skovlunde.hornshoej.pedersen.01@regionh.dk.; Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark. sarah.skovlunde.hornshoej.pedersen.01@regionh.dk., Norager NH; Department of Neurosurgery, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark., Lilja-Cyron A; Department of Neurosurgery, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark., Juhler M; Department of Neurosurgery, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark.; Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark. |
| المصدر: | Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2020 Jan; Vol. 36 (1), pp. 49-58. Date of Electronic Publication: 2019 Jul 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8503227 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-0350 (Electronic) Linking ISSN: 02567040 NLM ISO Abbreviation: Childs Nerv Syst Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin : Springer International, c1985- |
| مواضيع طبية MeSH: | Hydrocephalus*/surgery , Intracranial Hypertension*, Child ; Humans ; Intracranial Pressure ; Monitoring, Physiologic ; Telemetry ; Ventriculoperitoneal Shunt |
| مستخلص: | Purpose: Repeated intracranial pressure (ICP) measurements are essential in treatment of patients with complex cerebrospinal fluid (CSF) disorders. These patients often have a long surgical history with numerous invasive lumbar or intracranial pressure monitoring sessions and/or ventriculoperitoneal (VP) shunt revisions. Telemetric ICP monitoring might be an advantageous tool in treatment of these patients. In this paper, we evaluate our experience with this technology in paediatric patients. Methods: During a 4-year period, we implanted telemetric ICP sensors (Raumedic NEUROVENT-P-tel) in 20 paediatric patients to minimise the number of future invasive procedures. Patients were diagnosed with hydrocephalus, idiopathic intracranial hypertension (IIH) or an arachnoid cyst. Most patients (85%) had a VP shunt at the time of sensor implantation. Results: In total, 32 sensors were inserted in the 20 patients; the cause of re-implantation was technical malfunction of the implant. One sensor was explanted due to wound infection and one due to skin erosion. We experienced no complications directly related to the implantation/explantation procedures. A total of 149 recording sessions were conducted, including 68 home monitoring sessions. The median implantation period was 523 days with a median duration of clinical use at 202 days. The most likely consequence of a recording session was non-surgical treatment alteration (shunt valve adjustment or acetazolamide dose adjustment). Conclusion: Telemetric ICP monitoring in children is safe and potentially decreases the number of invasive procedures. We find that telemetric ICP monitoring aids the clinical management of patients with complex CSF disorders and improves everyday life for both patient and parents. It allows continuous ICP measurement in the patient's home and thereby potentially reducing hospitalisations, leading to significant cost savings. |
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| فهرسة مساهمة: | Keywords: Children; paediatric; Hydrocephalus; ICP; intracranial pressure; IIH; idiopathic intracranial hypertension; Raumedic; Telemetric; telemetry |
| تواريخ الأحداث: | Date Created: 20190717 Date Completed: 20210621 Latest Revision: 20210621 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1007/s00381-019-04271-4 |
| PMID: | 31309286 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1433-0350 |
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| DOI: | 10.1007/s00381-019-04271-4 |