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使用非侵入性方法分析内压力波形,对患有内突症的个体进行分析

Michele Madeira Brandao¹, Cristiano Tonello², Isabella Parizotto²

¹Hospital of Rehabilitation of Craniofacial Anomalies of the University of São Paulo, São Paulo, Bauru, Brazil. dramichele@usp.br.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

|July 26, 2023

概括

一种新的非侵入性内压力波形 (NIICPw) 监测仪显示,它有望在检测内突症患者的部合规性变化方面发挥作用. 这种方法可能有助于在发生之前识别 papilledema 的风险.

科学领域:

神经外科神经外科
儿科神经学儿科神经学
生物医学工程生物医学工程

背景情况:

头骨突可导致内高血压 (ICH) 和合性 (CC) 变化,可能导致认知和视觉障碍.
内压力波形 (ICPw) 的非侵入性监测是一个新兴领域.
一种新型设备通过头骨振荡来非侵入性捕获ICPw (NIICPw).

研究的目的:

评估在被诊断患有骨突症的患者中非侵入性获得ICPw (NIICPw) 的实用性.
评估NIICPw特征与头骨合规性之间的关系.
探索NIICPw在识别内高血压早期症状方面的潜力.

主要方法:

在一个中心进行前性,横截面和描述性研究.
包括那些提供了知情同意的关突症患者.
使用美国FDA批准的机械延伸计装置 (Brain4Care Corp.) 获取NIICPw.
眼科检查,包括视网膜扫描,以评估视神经的眼皮.
分析NIICPw的P2/P1比率和形态.

主要成果:

评估了35名患者,产生了42个注册表 (包括手术前后评估).
两名患有 papilledema 的患者表现出较低的 CC,由 NIICPw 形状等级 3 或 4 表示.
发现NIICPw的研究结果与乳腺膜炎的存在之间存在显著的关联.

结论:

P2/P1比率和NIICPw形态与前面的CC变化相关.
NIICPw提供了一种有价值的非侵入性方法,用于监测患有骨突症的患者,在这种情况下,侵入性ICP监测通常具有挑战性.
需要进一步的研究才能充分确定NIICPw在这个患者群体中的临床效用.

关键词:

头骨突发症是什么头骨突发症是什么内高血压是什么意思内压力内压力斑点斑块的疹.

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