Intracranial pressure monitoring in neurosurgery: the present situation and prospects

Chenqi He; Chubei Teng; Zujian Xiong; Xuelei Lin; Hongbo Li; Xuejun Li

doi:10.1186/s41016-023-00327-2

Intracranial pressure monitoring in neurosurgery: the present situation and prospects

Chin Neurosurg J. 2023 May 12;9(1):14. doi: 10.1186/s41016-023-00327-2.

Authors

Chenqi He^{1

2}, Chubei Teng^{1

2

3}, Zujian Xiong^{1

2}, Xuelei Lin^{1

2}, Hongbo Li^{1

2}, Xuejun Li^{4

5}

Affiliations

¹ Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
² Hunan International Scientific and Technological Cooperation Base of Brain Tumor Research, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
³ Department of Neurosurgery, the First Affiliated Hospital, University of South China, Hengyang, Hunan, 421001, People's Republic of China.
⁴ Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China. lxjneuro@csu.edu.cn.
⁵ Hunan International Scientific and Technological Cooperation Base of Brain Tumor Research, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China. lxjneuro@csu.edu.cn.

Abstract

Intracranial pressure (ICP) is one of the most important indexes in neurosurgery. It is essential for doctors to determine the numeric value and changes of ICP, whether before or after an operation. Although external ventricular drainage (EVD) is the gold standard for monitoring ICP, more and more novel monitoring methods are being applied clinically.Invasive wired ICP monitoring is still the most commonly used in practice. Meanwhile, with the rise and development of various novel technologies, non-invasive types and invasive wireless types are gradually being used clinically or in the testing phase, as a complimentary approach of ICP management. By choosing appropriate monitoring methods, clinical neurosurgeons are able to obtain ICP values safely and effectively under particular conditions.This article introduces diverse monitoring methods and compares the advantages and disadvantages of different monitoring methods. Moreover, this review may enable clinical neurosurgeons to have a broader view of ICP monitoring.

Keywords: Absorbable; Cerebrospinal fluid; ICP; Non-invasive; Wireless telemetering; Zero drift.

Publication types

Review