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70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

The value of telemetric intracranial pressure monitoring in the paediatric population – a single-centre experience

Der Wert der telemetrischen ICP-Monitorings in der pädiatrischen Population – eine Institutserfahrung

Meeting Abstract

  • presenting/speaker Stephanie Jünger - Asklepios Klinik Sankt Augustin, Neurochirurgie, Sankt Augustin, Deutschland
  • Martina Messing-Jünger - Asklepios Klinik Sankt Augustin, Neurochirurgie, Sankt Augustin, Deutschland
  • Friederike Knerlich-Lukoschus - Asklepios Klinik Sankt Augustin, Neurochirurgie, Sankt Augustin, Deutschland
  • Andreas Röhrig - Asklepios Klinik Sankt Augustin, Neurochirurgie, Sankt Augustin, Deutschland
  • Sandra Kunze - Asklepios Klinik Sankt Augustin, Neurochirurgie, Sankt Augustin, Deutschland
  • Jasmin Al Hourani - Asklepios Klinik Sankt Augustin, Neurochirurgie, Sankt Augustin, Deutschland
  • Patricia Barrio Fernandez - Hospital Universitario Central de Asturias, Neurosurgery, Oviedo, Spain

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocV172

doi: 10.3205/19dgnc199, urn:nbn:de:0183-19dgnc1996

Published: May 8, 2019

© 2019 Jünger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Objective: Originally considered for diagnosis and follow up of patients with hydrocephalus, telemetric ICP-monitoring may be used in other pathologies as well in order to allow longterm measurement of ICP and thus its relation to symptoms the patient is presenting with.

Methods: Only one device consisting of an intraparenchymatous catheter and a subgaleal transmitter was used. Pressure data were recorded via an antenna transcutaneoulsy, collected and transformed into values and curves with a datalogger. Patient data were acquired retrospectively, and further statistically analyzed by Chi-squared test using SPSS.

Results: Between 2011 and 2018, 50 telemetric ICP-monitoring devices were implanted for diagnostic purposes in 44, mainly pediatric, patients. The patient cohort consisted of 24 females and 20 males. Mean age at time of implantation was 14 years (range: 6 m–48 y) and mean period of implantation was 74 days (range: 3 d–371 d). Most frequent indication was headache (n=28), while hydrocephalus (n=32) displayed the main diagnosis besides craniosynostosis (n=7) and pseudotumor cerebri (n=5). All clinical parameters were analyzed regarding symptom relief (n=25), as well as therapeutic consequence (n=31). Indication and elevated ICP showed significant relation to symptom relief (p=0.037, p<0.001). Diagnosis, indication, elevated ICP and shunt prior to telemetric measurement were significantly associated with resulting therapeutic consequences (p<0.001, p=0.013, p<0.001, p<0.001). Infection rate was 4%. In 4 cases technical problems occurred.

Conclusion: Telemetric ICP-monitoring is a save and minimal-invasive diagnostic tool to objectify ICP in cases with unspecific or inconclusive symptoms over a period of time in order to find an adequate therapy or to avoid unnecessary treatment. Further it is very useful in children who may not be able to communicate their symptoms.