A Clinical Comparison between Epidural Pressure Measurements and Intraventricular Pressure: Technical Note.
- Author:
Do Sung YOO
1
;
Dal Soo KIM
;
Kyung Suck CHO
;
Chun Kun PARK
;
Joon Ki KANG
Author Information
1. Department of Neurosurgery, The Catholic University of Korea, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Intracranial pressure;
Epidural pressure;
Intraventricular pressure;
Air-pouch system;
Extraventricular drainage;
Craniectomy
- MeSH:
Catheters;
Critical Care;
Decompressive Craniectomy;
Humans;
Intracranial Pressure;
Ventricular Pressure*
- From:Journal of Korean Neurosurgical Society
1999;28(6):796-801
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Measurement of intracranial pressure(ICP) is important in patients at risk of raised ICP. To evaluate the usefulness of measuring epidural pressure measurements for the estimation of intracranial pressure, we studied the relationship between epidural pressure and ventricular pressure. PATIENTS AND METHODS: From Nov. '97 to Jul. '98, 10 patients of extraventricular drainage(Group A) and 12 patients of decompressive craniectomy(Group B) are included in this study. Simultaneous recording of intracranial pressure (ICP) from an air-pouch epidural pressure monitoring system and a ventricular catheter was compared. RESULTS: The epidural pressure group(Group A) showed marked high epidural pressure(32.6+/-13.4mmHg) compared with those of intraventricular pressure, but in decompressive craniectomy group(Group B) shows nearly the same values(2.1+/-6.9mmHg). CONCLUSIONS: On the basis of the available comparison between these two methods of measuring intracranial pressure, in the light of the data we had established and the importance of ICP monitoring in neurosurgical critical care, intradural monitoring technique appears to be our measuring method of choice.
