Analysis of intracranial pressure waveform using a non-invasive method in individuals with craniosynostosis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBRANDAO, Michele Madeira
dc.contributor.authorTONELLO, Cristiano
dc.contributor.authorPARIZOTTO, Isabella
dc.contributor.authorMACHADO, Luciano Brandao
dc.contributor.authorALONSO, Nivaldo
dc.date.accessioned2024-04-05T19:26:54Z
dc.date.available2024-04-05T19:26:54Z
dc.date.issued2024
dc.description.abstractPurposeCraniosynostosis can lead to symptoms resulting from cranial compliance (CC) changes and intracranial hypertension (ICH), which may cause cognitive and visual impairment. Non-invasive methods have emerged, including a new device that captures and processes the intracranial pressure waveform (ICPw) by the skull's oscillation. The present study evaluates ICPw obtained non-invasively (NIICPw) in patients with craniosynostosis.MethodsThis prospective, cross-sectional, and descriptive study was conducted at a single center. Patients diagnosed with craniosynostosis and who provided informed consent were included. A US Food and Drug Administration-approved mechanical extensometer device (Brain4Care Corp.) was used to obtain a NIICPw. An ophthalmologist did a point-of-care retinography to check the optic nerve papilla. The P2/P1 ratio and the morphology of the NIICPw were analyzed, as well as the retinography.ResultsThirty-five patients were evaluated, and 42 registers were obtained because seven were assessed before and after the surgery. The two patients who presented papilledema had low CC (NIICPw shape Class 3 or 4). There was a significant association between NIICPw and papilledema.ConclusionThe ratio P2/P1 and the NIICPw morphology provided by a non-invasive monitor are related to CC changes before papilledema occurs. This is especially useful in patients with craniosynostosis because invasive ICP monitoring is not always feasible. Further studies are warranted to establish the clinical utility of NIICPw in patients with craniosynostosis.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationCHILDS NERVOUS SYSTEM, v.40, n.1, p.145-152, 2024
dc.identifier.doi10.1007/s00381-023-06092-y
dc.identifier.eissn1433-0350
dc.identifier.issn0256-7040
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58727
dc.language.isoeng
dc.publisherSPRINGEReng
dc.relation.ispartofChilds Nervous System
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGEReng
dc.subjectIntracranial hypertensioneng
dc.subjectCraniosynostosiseng
dc.subjectIntracranial pressureeng
dc.subjectPapilledemaeng
dc.subject.otherhypertensioneng
dc.subject.otherrecordingseng
dc.subject.otherchildreneng
dc.subject.othervolumeeng
dc.subject.wosClinical Neurologyeng
dc.subject.wosPediatricseng
dc.subject.wosSurgeryeng
dc.titleAnalysis of intracranial pressure waveform using a non-invasive method in individuals with craniosynostosiseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalBRANDAO, Michele Madeira:Univ Sao Paulo, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalTONELLO, Cristiano:Univ Sao Paulo, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalPARIZOTTO, Isabella:Univ Sao Paulo, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalMACHADO, Luciano Brandao:Univ Sao Paulo, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcNIVALDO ALONSO
hcfmusp.description.beginpage145
hcfmusp.description.endpage152
hcfmusp.description.issue1
hcfmusp.description.volume40
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1162759001
hcfmusp.origem.pubmed37493721
hcfmusp.origem.scopus2-s2.0-85165638326
hcfmusp.origem.wosWOS:001037114600001
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUNITED STATESeng
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