Abstract
In order to measure the intracranial pressure (ICP) of 8 newborn with posthemorrhagic hydrocephalus (group A) we used the noninvasive technique via the anterior fontanel (Ladd monitor). The ICP was monitored in two different head positions (30° elevated, horizontal). The median measurements were: elevated head position, 13 mm Hg, horizontal head position, 16 mm Hg. For comparative reasons, we also measured the ICP of 12 healthy newborns (group B). The median results were: elevated head position, 4 mm Hg, horizontal head position, 6.5 mm Hg. Significant differences were found between groups.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chaplin ER, Goldstein GW, Mayerberg GZ, et al (1980) Posthemorrhagic hydrocephalus in preterm infant. Pediatrics 65:901–909
Donn SM, Philip AGS (1978) Early increase in intracranial pressure in preterm infants. Pediatrics 61:904–907
Goldberg RN, Joshi A, Moscoso P, Castillo T (1983) The effect of head position on intracranial pressure in the neonate. Crit Care Med 11:428–430
Gross SJ, Eckerman CO (1983) Normative early head growth in very-low-birth-weight infants. J Pediatr 103:946–949
Hill A, Volpe JJ (1981) Measurement of intracranial pressure using the Ladd intracranial pressure monitor. J Pediatr 98:974–976
Hill A, Volpe JJ (1981) Normal pressure hydrocephalus in the newborn. Pediatrics 68:623–629
Horbar JD, Yeager S, Philip AGS, Lucey JF (1980) Effect of application force on noninvasive measurements of intracranial pressure. Pediatrics 66:455–457
Kaiser AM, Whitelaw AGL (1987) Noninvasive monitoring of intracranial pressure — fact or fancy? Dev Med Child Neurol 29:320–326
Levene MI, Evans DH (1985) Medical management of raised intracranial pressure after severe birth asphyxia. Arch Dis Child 60:12–15
Marks KH, Maisels MJ, Morre E et al (1979) Head growth in sick premature infants — a longitudinal study. J Pediatr 94:282–285
McCarthy KD, Reed DJ (1974) The effect of acetezolamide and furosemide on cerebrospinal fluid production and choroid anhydrase activity. J Pharmacol Exp Ther 189:194–201
Miner ME (1986) Acetazolamide treatment of progressive hydrocephalus secondary to intraventricular hemorrhage in a preterm infant. Child's Nerv Syst 2:105–106
Müller W, Urlesberger B, Eyb H, Ritschl E, Reiterer F (1989) Kritische Ventrikeltiefe und Entwicklung eines posthämorrhagischen Hydrocephalus des Frühgeborenen. In: Pädiatrische Intensivmedizin 10. Thieme, Stuttgart New York, pp 233–235
Philip AGS, Long JG, Donn SM (1981) Intracranial pressure. Sequential measurements in fullterm and preterm infants. Am J Dis Child 135:521–524
Salmon JH, Hajjar W, Bada HS (1978) The fontanogram: a noninvasive intracranial pessure monitor. Pediatrics 60:721–725
Sauerbrei EE, Digney M, Harison PB, Cooperbeng PL (1981) Ultrasonic evaluation of neonatal intracranial hemorrhage and its complications. Radiology 139:677–685
Sher PK, Brown SB (1975) A longitudinal study of head growth in preterm infants. II. Differentiation between “catch-up” head-growth and early infantile hydrocephalus. Dev Med Child Neurol 17:711–718
Shinnar S, Gammon K, Bergmann EW Jr, et al (1985) Use of acetazolamide and furosemide to avoid cerebrospinal fluid shunts. J Pediatr107:31–37
Straßburg HM, Klemm FJ, Wais U, Göppinger A (1984) Nichtinvasive Hirndruckmessung über der vorderen Fontanelle bei gesunden Säuglingen in den ersten Lebenstagen. Monatsschr Kinderheilkd 132:904–908
Vidyasagar D, Raju TNK, (1977) A simple noninvasive technique measuring intracranial pressure in the newborn. Pediatrics 59:957–961
Vidyasagar D, Raju TNK, Chiang J (1978) Clinical significance of monitoring anterior fontanel pressure in sick neonates and infants. Pediatrics 62:996–999
Volpe JJ (1986) Neurology of the newborn. Saunders, Philadelphia, pp 326–333
Walsh P, Logan WJ (1983) Continuous and intermittent measurements of intracranial pessure by Ladd monitor. J Pediatr 102:439–442
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Urlesberger, B., Müller, W., Ritschl, E. et al. The influence of head position on the intracranial pressure in preterm infants with posthemorrhagic hydrocephalus. Child's Nerv Syst 7, 85–87 (1991). https://doi.org/10.1007/BF00247862
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF00247862