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Neurocirugía

versión impresa ISSN 1130-1473

Resumen

HORCAJADAS, A. et al. Usefulness of IPC continuous monitoring in shunt dysfunction. Neurocirugía [online]. 2011, vol.22, n.4, pp.310-323. ISSN 1130-1473.

Shunt dysfunction is a common situation in neurosurgery. Often symptoms, physical examination and radiology are not enough to set a diagnosis. ICP continuous monitoring is a safe and reliable tool that provides valuable information about CSF dynamics in these patients. Not only quantitative analysis is needed but also a qualitative one that enables pathological waves identification, because high amplitude B waves are strongly related to shunt dysfunction. In this paper experience about ICP continuous monitoring in patients with shunt dysfunction suspect is presented. Quantitative and qualitative data analysis led to a correct diagnosis, improving all the patients treated according to this criterion. An intraparenchymatous Camino® sensor and neuroPICture software (developed by first author) for data collection and graphic representation were used. Complications related to monitoring were absent and graphics obtained useful for qualitative analysis.

Palabras clave : ICP monitoring; Shunt dysfunction; B waves; NeuroPICture.

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