Noninvasive intracranial pressure monitoring throughout brain compliance guiding a ventriculoperitoneal shunt replacement in hydrocephalus—case report

Zanon, Nelci; Benalia, Victor H C; Hoesker, Thiago; Hayashi, Cintya Yukie; Frigieri, Gustavo; Coelho, Giselle

doi:10.1007/s00381-023-05922-3

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…It has shown that waveform parameters can improve the ability to determine an individualized threshold for harmful ICP levels [31]. In the context of hydrocephalus, for instance, the system has been used to evaluate children with shunt malfunction [32,33]. While further studies are necessary, the system may be considered for the evaluation of nonprimary neurological disorders such as robotic prostatic surgery [34], acute respiratory distress syndrome and end-stage renal disease [35][36][37], as well as a screening method for brain death assessment [38].…”

Section: Noninvasive Icp Monitoringmentioning

confidence: 99%

A Point-of-Care Noninvasive Technique for Surrogate ICP Waveforms Application in Neurocritical Care

2023

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Section: Noninvasive Icp Monitoringmentioning

confidence: 99%

A Point-of-Care Noninvasive Technique for Surrogate ICP Waveforms Application in Neurocritical Care

2023

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Non-invasive intracranial pressure monitoring in management of slit ventricle syndrome - Case report

Fagundes,

Cruz,

Valentim

et al. 2024

Preprint

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Slit ventricle syndrome (SVS) is condition of severe headaches, usually intermittent, suffered by patients after ventricular shunting for hydrocephalus with normal or smaller ventricle size, although in some cases the correct diagnosis and management can be a significant challenge. This case report aims to highlight the application of non-invasive ICP monitoring (nICP) technology in the diagnose and management of SVS providing insights into its benefits and limitations. A 6-year-old boy with a known history of autism spectrum disorder had undergone a VPS for a communicating hydrocephalus. Post operative, patient was asymptomatic with magnetic resonance images (MRI) showing small ventricle size. However, the patient started to develop recurrent symptoms of headache, nausea, and vomiting, a fresh MRI was ordered which demonstrated findings consistent with the previous MRI. We therefore decided to evaluate ICP and compliance by non-invasive monitoring using brain4care technology. Noninvasive monitoring was suggestive of low ICP and hyperdrainage, leading to the adjustment of the shunt valve from a medium to high pressure device, which normalized ICP waves and ICP as well ventricles size and the patient became asymptomatic. Therefore, we propose that noninvasive ICP monitoring may be a helpful tool to better classify the SVS type and guide the appropriated management.

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Noninvasive intracranial pressure monitoring throughout brain compliance guiding a ventriculoperitoneal shunt replacement in hydrocephalus—case report

Cited by 2 publications

References 16 publications

A Point-of-Care Noninvasive Technique for Surrogate ICP Waveforms Application in Neurocritical Care

A Point-of-Care Noninvasive Technique for Surrogate ICP Waveforms Application in Neurocritical Care

Non-invasive intracranial pressure monitoring in management of slit ventricle syndrome - Case report

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