Abstract
ICP monitoring was performed by a previously described noninvasive technique using a fiber optic transducer over the anterior fontanel, a Ladd ICP monitor and a pen recorder(Ped.Res. 10, 452, 1976). Anterior fontanel pressure(AFP) was recorded in 113 infants: normal(grp.I)39, hyaline membrane disease(HMD grp.II)44, birth asphyxia(grp.III) 5, hydrocephalus(grp. IV) 8, and miscellaneous(grp.V) 17. At the time of recording 7/44 HMD infants had recovered, 37 were on the respirator, 7 of whom were diagnosed to have intracranial hemorrhage(ICH) within 24 hours. The mean AFP + SE in cm. of H2O in the infants studied, were as follows:
The data showed that ICP was significantly higher in infants with HMD on the respirator and those with ICH (p <0.001). Group III infants also had significantly higher pressure (p <0.001) than grp. I suggesting cerebral edema. All in grp. IV had very high pressure ranging from 15-54 cm. H2O, and in 4 of these infants a dramatic fall in ICP was documented following shunt surgery. Repeated ICP recordings were also useful in diagnosis of blockade of shunt. We feel that ICP monitoring greatly helped in quantifying pressure changes, diagnosis and therapy of certain acute neonatal disorders.
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Vidyasagar, D., Raju, T. & Chiang, J. CLINICAL SIGNIFICANCE OF INTRACRANIAL PRESSURE (ICP) MONITORING IN ACUTELY ILL NEONATES. Pediatr Res 11, 566 (1977). https://doi.org/10.1203/00006450-197704000-01176
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DOI: https://doi.org/10.1203/00006450-197704000-01176