Department of Neurosurgery, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, Australia; University of Wollongong, NSW, Australia; Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia.
Department of Neurosurgery, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, Australia.
J Clin Neurosci. 2020 Sep;79:67-70. doi: 10.1016/j.jocn.2020.07.030. Epub 2020 Aug 5.
Continuous invasive monitoring of intracranial pressure (ICP) can be used in the diagnosis and management of various types of chronic cerebrospinal fluid (CSF) circulation disorders, such as hydrocephalus, shunt dysfunction and idiopathic intracranial hypertension. The risk profile and incidence of adverse events of this surgical procedure in this patient population is not well established. We aimed to investigate and describe the risks of ICP monitoring in adult patients with chronic CSF circulation disorders. We analysed 152 patients undergoing continuous ICP monitoring between 2010 and 2019, mainly for idiopathic normal pressure hydrocephalus. The average duration of ICP monitoring was 17 h 51 min. We observed no major adverse events, such as symptomatic intracranial haemorrhage, intracranial infection, or persistent neurological deficit. Minor complications were seen in 7% of patients and included accidental removal of the ICP probe in 4 patients, inability to remove the probe requiring surgical removal in 2 patients and single generalised seizures in 2 patients. In summary, the risk of serious adverse events and complications from invasive ICP monitoring in chronic CSF circulation disorders in adult patients appears to be low.
连续有创颅内压监测（ICP）可用于诊断和治疗各种类型的慢性脑脊液（CSF）循环障碍，如脑积水、分流功能障碍和特发性颅内高压。该手术程序在该患者人群中的风险概况和不良事件发生率尚未得到充分确立。我们旨在研究和描述慢性 CSF 循环障碍成年患者 ICP 监测的风险。我们分析了 2010 年至 2019 年间进行连续 ICP 监测的 152 例患者，主要是为了特发性正常压力脑积水。ICP 监测的平均持续时间为 17 小时 51 分钟。我们没有观察到任何重大不良事件，如症状性颅内出血、颅内感染或持续性神经功能缺损。7%的患者出现轻微并发症，包括 4 例 ICP 探头意外拔出、2 例探头无法拔出需要手术取出以及 2 例全身性癫痫发作。总之，在慢性 CSF 循环障碍的成年患者中，有创 ICP 监测的严重不良事件和并发症风险似乎较低。
