在患有"良性"外部水脑的儿童中持续监测内压力
Maria A Poca1,2,3, Diego Lopez-Bermeo1,2, Paola Cano1
1Department of Neurosurgery, Vall d'Hebron University Hospital, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Journal of clinical medicine
|May 14, 2025
概括
在患有良性外部头症 (BEH) 的儿童中,持续的内压力 (ICP) 监测显示出显著的ICP异常. 这些发现可以指导BEH患者的手术治疗决策.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 关键护理医学 关键护理医学
背景情况:
- 良性外部头症 (BEH) 的特征是巨头症或快速增加的头周长 (HC).
- 持续的内压力 (ICP) 监测对于评估儿童的神经疾病至关重要.
研究的目的:
- 评估诊断为BEH的儿童的连续ICP监测结果.
- 为了评估绝对ICP,脉动性和BEH患者的慢ICP波.
主要方法:
- 一项前性研究,涉及在36名患有BEH的儿童中使用外周传感器进行持续的ICP监测.
- ICP数据至少在48小时内收集,大多数患者的先进数字获取.
主要成果:
- 中位数ICP为17mmHg;所有患者一夜间B波>20% (中位数为47.4%).
- 观察到显著的ICP升高 (>10 mmHg) 和异常高幅度的B波.
- 在36名患者中,有30名患者接受了心室上突变植入.
结论:
- 患有BEH的儿童可以表现出明显的内压力异常.
- 持续的ICP监测有助于确定BEH手术干预的必要性.
相关概念视频
Increased Intracranial Pressure l: Introduction
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Increased Intracranial Pressure ll: Pathophysiology
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...


