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Non-invasive Monitoring of ICP in Infants

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Book cover Intracranial Pressure VII

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Abstract

The anterior fontanelle in infants affords a natural access to the intracranial compartment. Various techniques have been attempted to measure intracranial pressure (ICP) in infants accurately (Gaab et al. 1980; Menke et al. 1982, Vidya-sagar and Raju 1977; Wealthall and Smallwood 1974). Problems in interpreting results may be encountered due to the externally exerted pressure when applying a transducer to the fontanelle. The Rotterdam Teletransducer (RIT) is a passive telemetric device which has proven to be reliable, for measuring epidural pressure in patients with closed sutures (de Jong et al. 1982; Maas and de Jong 1986). Also it has proven to be reliable for the purpose of AFP monitoring (de Jong et al. 1984; Plandsoen et al. 1986). The main difference between epidural and fontanelle pressure measurements is that in the latter case only the skin is interposed between the dura and the transducer. Accurate depth positioning of the RTT in the fontanelle by means of a special skull adaptor avoids the fact that externally exerted pressure may interfere with the actual recording of ICP (Plandsoen et al. 1987). The aim of this study was to define normal values of AFP with the RTT.

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References

  • Bromme W, Baun WF, Hirsch W, Schaps P, Schobess A (1985) Methode zur nicht-invasiven Messung und Registrierung des intrakraniellen Druckes (ICP) über die offene Fontanelle des Säuglings. Zentralbl Neurochir 46: 159–170

    PubMed  CAS  Google Scholar 

  • Gaab MR, Sörensen N, Hufenbeck B (1980/1981) Fontanometrie zur nicht-invasiven Registrierung des Intrakraniellen Druckes. Paediat Prax 24: 631–644

    Google Scholar 

  • Jong DA de, Maas AIR, Berfelo MW, Ouden AH den, Lange SA de (1982) The Rotterdam Teletransducer. A telemetrie device for measuring epidural pressure. Biotelemetry Patient Monitg 9: 154–165

    Google Scholar 

  • Jong DA de, Maas AIR, Ouden AH den, Lange SA de (1984) Long-term intracranial pressure monitoring. Med Prog Technol 10: 89–96

    Google Scholar 

  • Jong DA de, Maas AIR, Voort E van de (1984) Non-invasive intracranial pressure monitoring. A technique for reproducible fontanelle pressure measurements. Z Kinderchir 39: 274–276

    PubMed  Google Scholar 

  • Maas AIR, Jong DA de (1986) The Rotterdam Teletransducer: state of the device. Acta Neurochir (Wien) 79: 5–12

    Article  CAS  Google Scholar 

  • Menke JA, Miles R, McIlhany M, Bashiru M, Chua C, Schwied E, Menten ThG, Khanna NN (1982) The fontanelle tonometer: A non-invasive method for measurement of intracranial pressure. J Pediatr 100: 960–963

    Article  PubMed  CAS  Google Scholar 

  • Philip AGS, Long JG, Donn SM (1981) Intracranial pressure. Sequential measurements in full-term and preterm infants. Am J Dis Child 135: 521–524

    PubMed  CAS  Google Scholar 

  • Plandsoen WCG, Jong DA de, Maas AIR, Stroink H, Eijdhoven JHM van (1986) The pressure depth curve in anterior fontanelle pressure monitoring. In: Miller JD, Teasdale GM, Rowan JO, Galbraith SL, Mendelow AD (eds) Intracranial Pressure, Vol VI. Springer, Berlin Heidelberg New York Tokyo, pp 193–196

    Google Scholar 

  • Plandsoen WCG, Jong DA de, Maas AIR, Stroink H, Avezaat CJJ (1987) Fontanelle pressure monitoring in infants with the Rotterdam Teletransducer: A reliable technique. Med Prog Technol 13: 21–27

    PubMed  CAS  Google Scholar 

  • Robinson RO, Rolfe P, Sutton P (1977) Non-invasive method for measuring intracranial pressure in normal newborn infants. Dev Med Child Neurol 19: 305–308

    Article  PubMed  CAS  Google Scholar 

  • Salmon JH, Hajjar W, Bada H (1977) The Fontogram: A non-invasive intracranial pressure monitor. Pediatrics 60: 721–725

    PubMed  CAS  Google Scholar 

  • Schettini A, Walsh EK (1974) Experimental identification of the subarachnoid and subpial compartments by intracranial pressure measurements. J Neurosurg 40: 609–616

    Article  PubMed  CAS  Google Scholar 

  • Vidyasagar D, Raju TNK (1977) A simple non-invasive technique of measuring intracranial pressure in the newborn. Pediatrics 59: 957–961

    PubMed  Google Scholar 

  • Wealthall SR, Smallwood R (1970) Methods of measuring intracranial pressure in the fontanelle without puncture. J Neurol Neurosurg Psychiatry 37: 88–96

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Departments of (Child) Neurology, Rotterdam, The Netherlands

    W. C. G. Plandsoen, D. A. de Jong & M. C. B. Loonen

  2. Departments of (Child) Neurology, University Hospital of Amsterdam, Rotterdam, The Netherlands

    W. C. G. Plandsoen

  3. Departments of Neurosurgery, Rotterdam, The Netherlands

    C. J. J. Avezaat

  4. Departments of Automation Informatics, Rotterdam, The Netherlands

    J. H. M. van Eijndhoven

  5. Departments of Biostatistics, Rotterdam, The Netherlands

    P. G. H. Mulder

Authors
  1. W. C. G. Plandsoen
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  2. D. A. de Jong
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  3. C. J. J. Avezaat
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  4. J. H. M. van Eijndhoven
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  5. M. C. B. Loonen
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  6. P. G. H. Mulder
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Editor information

Editors and Affiliations

  1. Section of Neurosurgery, University of Michigan Hospitals, 1500 E. Medical Center Dr., 48109-0338, Ann Arbor, MI, USA

    Julian T. Hoff MD (Professor of Surgery, Chief) (Professor of Surgery, Chief)

  2. Crosby Laboratories, Section of Neurosurgery, University of Michigan Hospitals, 1500 E. Medical Center Dr., 48109-0338, Ann Arbor, MI, USA

    A. Lorris Betz MD, PhD (Professor of Pediatrics, Neurology, and Surgery, Director) (Professor of Pediatrics, Neurology, and Surgery, Director)

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© 1989 Springer-Verlag Berlin Heidelberg

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Plandsoen, W.C.G., de Jong, D.A., Avezaat, C.J.J., van Eijndhoven, J.H.M., Loonen, M.C.B., Mulder, P.G.H. (1989). Non-invasive Monitoring of ICP in Infants. In: Hoff, J.T., Betz, A.L. (eds) Intracranial Pressure VII. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73987-3_23

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  • DOI: https://doi.org/10.1007/978-3-642-73987-3_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73989-7

  • Online ISBN: 978-3-642-73987-3

  • eBook Packages: Springer Book Archive

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