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Telemetric Intracranial Pressure Monitoring in Syndromic Craniosynostosis
Thomas Beez1, Roddy O'Kane, Ian Piper
1*Paediatric Neurosurgery, Royal Hospital for Children †Clinical Physics, Institute of Neurological Sciences ‡West of Scotland Regional Maxillofacial Unit, Glasgow, UK.
Insights
A new telemetric intracranial pressure (ICP) monitoring system offers noninvasive, transdermal ICP readings. This system may provide a valuable alternative for long-term ICP monitoring in select craniofacial patients.
Area of Science:
- Neurosurgery
- Biomedical Engineering
- Pediatric Surgery
Background:
- Raised intracranial pressure (ICP) is a complication of syndromic and nonsyndromic craniosynostosis.
- Persistent or recurrent ICP after surgery necessitates reliable monitoring.
- Current ICP monitoring involves invasive, short-term intraparenchymal probes.
Observation:
- A telemetric ICP monitoring system was implanted during cranial vault expansion in a child with syndromic craniosynostosis.
- This implanted system enables noninvasive, transdermal ICP measurements.
- Repeated ICP measurements are clinically beneficial for specific patient groups.
Findings:
- The telemetric system successfully provided noninvasive ICP data post-implantation.
- This technology allows for continuous or intermittent ICP monitoring without repeated invasive procedures.
- The system demonstrated potential for long-term ICP surveillance.
Implications:
- Telemetric ICP monitoring offers a promising, less invasive alternative for managing craniofacial conditions with ICP.
- This approach could improve patient care by facilitating more frequent and accessible ICP assessments.
- Further research is warranted to validate its efficacy in a broader patient cohort.
Abstract:
Syndromic and nonsyndromic craniosynostosis can be associated with raised intracranial pressure (ICP). After corrective surgery, raised ICP persists or reoccurs in a subgroup of patients. The standard procedure for monitoring ICP is insertion of a percutaneous intraparenchymal probe for a limited time, usually 24 to 48 hours. However, in selected patients repeated ICP measurements might be useful in the clinical setting, and a noninvasive method for achieving this would be desirable. The authors present the use of a telemetric ICP monitoring system implanted during cranial vault expansion in a child with syndromic craniosynostosis. This system, once implanted, allows for noninvasive transdermal ICP readings and might represent a promising alternative to conventional ICP monitoring devices in selected patients with craniofacial conditions.
