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

  • P. W. Hanlo
  • K. P. J. Braun
  • R. H. J. M. Gooskens
  • W. C. G. Overweg-Plandsoen
  • A. C. van Huffelen
  • J. Willemse
  • C. A. F. Tulleken
Conference paper

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.

Keywords

Pulsatility Index Secondary Brain Damage Shunt Dysfunction Developmental Deficit Progressive Hydrocephalus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 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 31:122–128PubMedCrossRefGoogle Scholar
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    Norelle A, Fischer AQ, Flannery AM (1989) Transcranial Doppler: a noninvasive method to monitor hydrocephalus. J Child Neurol Suppl 4:87–90Google Scholar
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    Chadduck WM, Crabtree HM, Blankenship JB, Adametz J (1991) Transcranial Doppler ultrasonography for the evaluation of shunt malfunction in pediatric patients. Child’s Nerv Syst 7:27–30CrossRefGoogle Scholar
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    Plandsoen WCG, De Jong DA, Maas AIR, Stroink H, Avezaat CJJ (1987) Fontanelle pressure monitoring in infants with the Rotterdam Teletransducer: a reliable technique. Med Progr Technol 13:21–27Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • P. W. Hanlo
    • 1
  • K. P. J. Braun
    • 1
  • R. H. J. M. Gooskens
    • 1
  • W. C. G. Overweg-Plandsoen
    • 4
  • A. C. van Huffelen
    • 3
  • J. Willemse
    • 1
  • C. A. F. Tulleken
    • 2
  1. 1.Department of Child-Neurology of the University Hospital UtrechtUtrechtThe Netherlands
  2. 2.Department of Neurosurgery of the University Hospital UtrechtUtrechtThe Netherlands
  3. 3.Department of Clinical Neurophysiology of the University Hospital UtrechtUtrechtThe Netherlands
  4. 4.Department of Child-Neurology of the Academical Medical CentreAmsterdamThe Netherlands

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