التفاصيل البيبلوغرافية
| العنوان: |
The role of ICP monitoring in paediatric IIH. |
| المؤلفون: |
Lalgudi Srinivasan, Harishchandra, Richetta, Carla, Manoim, Nir, Zipori, Anat Bachar, Shiran, Shelly I, Meirson, Hadas, Roth, Jonathan, Constantini, Shlomi |
| المصدر: |
Child's Nervous System; Dec2020, Vol. 36 Issue 12, p3027-3033, 7p |
| مصطلحات موضوعية: |
INTRACRANIAL hypertension, INTRACRANIAL pressure, LUMBAR puncture, SYMPTOMS |
| مستخلص: |
Introduction: Diagnosis of idiopathic intracranial hypertension (IIH) in children is an extrapolation of the guidelines suggested for adult population. Lumbar puncture (LP) plays a crucial role in the diagnosis. The diagnosis of IIH at times is solely dependent on the interpretation of the opening pressure (OP). Unfortunately, LP-OP can vary due circumstantial parameters and therefore may be an unreliable form of intracranial pressure (ICP) measurement. Confirming the diagnosis based (as suggested by guidelines) on LP-OP in a doubtful clinical situation would be inappropriate. The aim of our study was to analyse the reliability of LP-OP and importance of ICP monitoring in situations where diagnosis of IIH was questionable. Methods: Retrospective review of all children with diagnosis of IIH over a 10-year period was conducted. Children who underwent ICP monitoring (ICPM) were selected. We considered 2 LP-OP values—last LP (lLP) and the mean LP (mLP) for analysis. ICPM and LP-OP were compared. Follow-up till last clinic visit was also considered for long-term outcome. Results: Eleven children (male 3; female 8) were included in the study. Mean delay between LP and ICPM was 112.8 days (17–257 days). There was lack of correlation between LP-OP and ICP in 9 children. ICP monitoring refuted the diagnosis of IIH in 80% of children and prevented exposure to unnecessary medical and surgical intervention. There was 1complication with ICPM. In 90% of children, there was no progression of symptoms following a decision based on ICP monitoring on long-term follow-up (mean, 36.5 months). Conclusion: When the diagnosis of IIH is in doubt, LP may be unreliable and formal ICP monitoring is advised. [ABSTRACT FROM AUTHOR] |
|
Copyright of Child's Nervous System is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
