Background

Hydrocephalus may present with heterogeneous signs and symptoms. The indication for its treatment and the optimal drainage in complex cases may be challenging. Telemetric intracranial pressure measurements (TICPM) may open new perspectives for those circumstances. We report our experiences using the Neurovent-P-tel and the Sensor Reservoir in a retrospective study.

Methods

A series of 21 patients (age range 10–39.5 years) treated in our Pediatric Neurosurgical Unit receiving a TICPM was analyzed. In 8 patients, a Neurovent-P-Tel was implanted; 13 patients received a Sensor Reservoir, 6 of which as a stand-alone implant, while 7 were already shunted. TICPM were performed on an outpatient basis. Possible complications, follow-up surgeries, and TICPM were analyzed.

Results

Concerning the complications, one infection was seen in each group and one postoperative seizure was observed in the P-tel group. TICPM-assisted shunt adjustments lead to clinical improvements in six patients in the P-tel group and six patients in the Sensor Reservoir group. In four out of six non-shunted patients, TICPM contributed to the indication toward shunt implantation.

Conclusions

TICPM seems to be a promising tool to improve clinical management of shunted patients with complex hydrocephalus. The two available systems will need further technical improvements, concerning implantation time, measurements, and data analysis in order to optimize handling and interpretation of the data.

中文翻译：

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在CSF循环障碍患者中进行遥测颅内压测量的单中心经验。

背景

脑积水可表现出不同的体征和症状。在复杂的情况下，其治疗适应症和最佳引流可能具有挑战性。遥测颅内压测量（TICPM）可能会为这些情况打开新的视野。我们在一项回顾性研究中报告了我们使用Neurovent-P-tel和传感器水库的经验。

方法

在我们的小儿神经外科中接受TICPM治疗的21例患者（年龄10-39.5岁）进行了分析。在8例患者中，植入了Neurovent-P-Tel。13例患者接受了传感器水库，其中6例为独立植入物，而7例已被分流。TICPM在门诊进行。分析可能的并发症，后续手术和TICPM。

结果

关于并发症，P-tel组每组感染1例，术后癫痫发作1例。TICPM辅助的分流调节可导致P-tel组的六名患者和Sensor Reservoir水库组的六名患者的临床改善。在六分之二的非分流患者中，TICPM有助于分流植入。

结论

TICPM似乎是改善患有复杂脑积水的分流患者临床管理的有前途的工具。这两个可用的系统将需要进一步的技术改进，涉及植入时间，测量和数据分析，以优化数据的处理和解释。