1. Telemetric monitoring in idiopathic intracranial hypertension demonstrates intracranial pressure in a case with sight-threatening disease
- Author
-
Alex J. Sinclair, Susan P Mollan, James L Mitchell, and Georgios Tsermoulas
- Subjects
medicine.medical_specialty ,Pseudotumor cerebri ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Lumbar ,Internal medicine ,medicine ,Papilledema ,Neuroradiology ,Intracranial pressure ,integumentary system ,medicine.diagnostic_test ,business.industry ,musculoskeletal, neural, and ocular physiology ,Interventional radiology ,medicine.disease ,humanities ,nervous system diseases ,Cardiology ,Surgery ,Neurology (clinical) ,Neurosurgery ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Shunt (electrical) - Abstract
The understanding of raised intracranial pressure (ICP) is increasing with the directed use of intracranial telemetric ICP monitors. This case uniquely observed ICP changes by telemetric monitoring in a patient with idiopathic intracranial hypertension (IIH), who developed rapid sight-threatening disease. A lumbar drain was inserted, as a temporising measure, and was clamped prior to surgery. This resulted in a rapid rise in ICP, which normalised after insertion of a ventriculoperitoneal shunt. This case highlighted the utility of the ICP monitor and the lumbar drain as a temporising measure to control ICP prior to a definitive procedure as recommended by the IIH consensus guidelines.
- Published
- 2021