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Non-Invasive ICP-Monitoring in Childhood Hydrocephalus: A Comparison Between Anterior Fontanelle Pressure and Transcranial Doppler

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Intracranial Pressure VIII

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Abstract

The ability to discriminate between ventriculomegaly and progressive hydrocephalus often relies on clinical assesment of increasing head circumference, developmental deficits and a change in ventricular size and configuration. Some patients with slowly progressive hydrocephalus cannot be detected adequately with the methods currently in use for monitoring hydrocephalus. Previous studies have demonstrated that the resistance index [1] (RI) or pulsatility index [2] (PI) are useful indicators of increased intracranial pressure (ICP) and the need for a shunt. Shunt dysfunction was correlated with elevated RI’s [3]. In none of these studies the variables were related to the actual ICP.

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References

  1. Chadduck WM, Seibert JJ, Adametz J, Glasier CM, Crabtree M, Stansell CA (1989) Cranial Doppler ultrasonography correlates with criteria for ventriculoperitoneal shunting. Surg Neurol 31:122–128

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Author information

Authors and Affiliations

  1. Department of Child-Neurology of the University Hospital Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands

    P. W. Hanlo, K. P. J. Braun, R. H. J. M. Gooskens & J. Willemse

  2. Department of Neurosurgery of the University Hospital Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands

    C. A. F. Tulleken

  3. Department of Clinical Neurophysiology of the University Hospital Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands

    A. C. van Huffelen

  4. Department of Child-Neurology of the Academical Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    W. C. G. Overweg-Plandsoen

Authors
  1. P. W. Hanlo
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  2. K. P. J. Braun
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  3. R. H. J. M. Gooskens
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  4. W. C. G. Overweg-Plandsoen
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  5. A. C. van Huffelen
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  6. J. Willemse
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  7. C. A. F. Tulleken
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Editor information

Editors and Affiliations

  1. Dept. of Neurosurgery, University Hospital Rotterdam, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands

    C. J. J. Avezaat

  2. Central Dept. of Automation and Informatics, University Hospital Rotterdam, The Netherlands

    J. H. M. van Eijndhoven

  3. Dept. of Neurosurgery, University Hospital Rotterdam, The Netherlands

    A. I. R. Maas

  4. Dept. of Neurology, Westeinde Hospital, Lijnbaan 32, 2512 VA, Den Haag, The Netherlands

    J. Th. J. Tans

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© 1993 Springer-Verlag Berlin Heidelberg

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Hanlo, P.W. et al. (1993). Non-Invasive ICP-Monitoring in Childhood Hydrocephalus: A Comparison Between Anterior Fontanelle Pressure and Transcranial Doppler. In: Avezaat, C.J.J., van Eijndhoven, J.H.M., Maas, A.I.R., Tans, J.T.J. (eds) Intracranial Pressure VIII. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77789-9_189

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  • DOI: https://doi.org/10.1007/978-3-642-77789-9_189

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77791-2

  • Online ISBN: 978-3-642-77789-9

  • eBook Packages: Springer Book Archive

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