关键词: Headache Lumbar drain Papilledema Pseudotumor cerebri Raised intracranial pressure Telemetric monitor

Mesh : Adult Female Humans Intracranial Pressure Neurophysiological Monitoring / instrumentation methods Prostheses and Implants Pseudotumor Cerebri / physiopathology surgery Skull / surgery Telemetry / instrumentation methods Ventriculoperitoneal Shunt / adverse effects methods Vision, Ocular

来  源:   DOI:10.1007/s00701-020-04640-y

Abstract:
The understanding of raised intracranial pressure (ICP) is increasing with the directed use of intracranial telemetric ICP monitors. This case uniquely observed ICP changes by telemetric monitoring in a patient with idiopathic intracranial hypertension (IIH), who developed rapid sight-threatening disease. A lumbar drain was inserted, as a temporising measure, and was clamped prior to surgery. This resulted in a rapid rise in ICP, which normalised after insertion of a ventriculoperitoneal shunt. This case highlighted the utility of the ICP monitor and the lumbar drain as a temporising measure to control ICP prior to a definitive procedure as recommended by the IIH consensus guidelines.
摘要:
随着颅内遥测ICP监测器的直接使用,对颅内压升高(ICP)的认识正在增加。该病例通过遥测监测唯一观察到特发性颅内高压(IIH)患者的ICP变化,患上了迅速威胁视力的疾病。插入了腰部排水管,作为一种临时措施,并在手术前被夹住。这导致ICP迅速上升,在插入脑室-腹腔分流术后恢复正常。此案例强调了ICP监测器和腰椎引流管的实用性,可作为IIH共识指南建议的确定程序之前控制ICP的临时措施。
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