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Noninvasive Intracranial Pressure Monitoring for Severe Traumatic Brain Injury in Children: A Concise Update on

Vinayak Narayan1, Nasser Mohammed1, Amey R Savardekar1

  • 1Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.

World Neurosurgery
|March 11, 2018
PubMed

Insights

Noninvasive intracranial pressure (ICP) monitoring in pediatric traumatic brain injury (TBI) is crucial. Transcranial Doppler and optic nerve sheath diameter show promise as accurate, noninvasive tools for ICP monitoring in pediatric TBI.

Area of Science:

  • Pediatric Neurology
  • Neurocritical Care
  • Medical Devices

Background:

  • Traumatic brain injury (TBI) is a significant cause of death and disability in children globally.
  • Intracranial pressure (ICP) monitoring is vital for managing pediatric TBI.
  • Current invasive ICP monitoring methods carry risks, necessitating safer alternatives.

Purpose of the Study:

  • To review current noninvasive ICP monitoring devices for pediatric TBI.
  • To assess the accuracy of these noninvasive methods in predicting elevated ICP.

Main Methods:

  • Systematic literature search of PubMed, Medline, and Cochrane databases.
  • Inclusion and review of 27 articles on pediatric TBI.
  • Summary and discussion of relevant data from selected studies.

Main Results:

  • Various noninvasive ICP monitoring modalities have been explored for pediatric TBI.
  • Reviewed noninvasive methods include transcranial Doppler, optic nerve sheath diameter, otoacoustic emission, near-infrared spectroscopy, contrast-enhanced ultrasonography, and quantitative pupillometry.
  • Transcranial Doppler and optic nerve sheath diameter demonstrated the most effective ICP monitoring capabilities.

Conclusions:

  • While invasive ICP monitoring remains the gold standard, noninvasive methods offer a safer alternative.
  • Transcranial Doppler and optic nerve sheath diameter are identified as the most promising noninvasive tools for pediatric TBI ICP monitoring.
  • Advancements in noninvasive ICP monitoring suggest a future role in neurointensive care for pediatric TBI due to their accuracy and ease of use.
Abstract

Keywords:
Intracranial pressureMonitoringNoninvasivePediatricTBI

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