Barth K N, Onesti S T, Krauss W E, Solomon R A
Department of Neurological Surgery, Columbia University, New York, New York.
Neurosurgery. 1992 Jan;30(1):138-40. doi: 10.1227/00006123-199201000-00028.
A technique for intracranial pressure (ICP) monitoring in the rat that uses a permanent cisterna magna cannula is described. The cannula is placed into the subarachnoid space through the atlanto-occipital membrane with the operating microscope and is secured with cement. The distal end is connected to a pressure transducer and a polygraph recorder. To study the consistency of this technique, 12 anesthetized adult rats were subjected to baseline ICP measurements 2 days after placement of the cannula. Baseline pressures ranged between 1.0 and 10.0 cm H2O, with a mean of 5.6 cm H2O. Respiratory variations were detected in all tracings, and manual abdominal compressions (Valsalva maneuver) correlated with immediate transient rises in ICP in all rats. While CSF pressure was being continuously monitored, rats were subjected to subarachnoid hemorrhage induced by transclival basilar artery puncture. Of the 12 rats, 10 showed a moderate transient rise in cerebrospinal fluid pressure, which peaked approximately 2 minutes after subarachnoid hemorrhage (mean peak change, 10.5 cm H2O; range, 0-32.5 cm H2O). Reliable pressure tracings were obtained in three of five animals examined 3 days after subarachnoid hemorrhage (ICP range, 4.0-4.5 cm H2O; mean, 4.2 cm H2O). We conclude that this cannula is easy and inexpensive to construct and that it provides reliable ICP tracings during experimental procedures in the rat.
本文描述了一种利用永久性小脑延髓池插管对大鼠进行颅内压(ICP)监测的技术。通过手术显微镜将插管经枕骨大孔膜置入蛛网膜下腔,并用骨水泥固定。插管远端连接压力传感器和多导记录仪。为研究该技术的一致性,12只麻醉成年大鼠在插管后2天进行基线ICP测量。基线压力范围为1.0至10.0 cm H₂O,平均为5.6 cm H₂O。所有记录中均检测到呼吸变化,且所有大鼠中手动腹部按压(瓦尔萨尔瓦动作)与ICP立即短暂升高相关。在持续监测脑脊液压力的同时,大鼠接受经斜坡基底动脉穿刺诱导的蛛网膜下腔出血。12只大鼠中,10只脑脊液压力出现中度短暂升高,在蛛网膜下腔出血后约2分钟达到峰值(平均峰值变化为10.5 cm H₂O;范围为0至32.5 cm H₂O)。蛛网膜下腔出血3天后检查的5只动物中有3只获得了可靠的压力记录(ICP范围为4.0至4.5 cm H₂O;平均为4.2 cm H₂O)。我们得出结论,这种插管制作简单且成本低廉,并且在大鼠实验过程中能提供可靠的ICP记录。