Radiological Correlates of Raised intracranial Pressure in Children: A Review

被引：11

作者：

Kayhanian, Saeed ^{[1
]}

Young, Adam M. H. ^{[2
]}

Piper, Rory J. ^{[2
]}

Donnelly, Joseph ^{[2
]}

Scoffings, Daniel ^{[3
]}

Garnett, Matthew R. ^{[2
]}

Fernandes, Helen M. ^{[2
]}

Smielewski, Peter ^{[2
]}

Czosnyka, Marek ^{[2
]}

Hutchinson, Peter J. ^{[2
]}

Agrawal, Shruti ^{[4
]}

机构：

[1] Univ Cambridge, Sch Clin Med, Addenbrookes Hosp, Cambridge, England

[2] Univ Cambridge, Addenbrookes Hosp, Div Acad Neurosurg, Dept Clin Neurosci, Cambridge, England

[3] Univ Cambridge, Addenbrookes Hosp, Dept Neuroradiol, Cambridge, England

[4] Univ Cambridge, Addenbrookes Hosp, Dept Paediat Intens Care, Cambridge, England

来源：

FRONTIERS IN PEDIATRICS | 2018年 / 6卷

基金：

英国医学研究理事会;

关键词：

brain; injury; ONSD; transcranial Doppler ultrasound; intracranial pressure; basal cisterns; TRAUMATIC BRAIN-INJURY; NERVE SHEATH DIAMETER; CEREBRAL-BLOOD-FLOW; OPTIC-NERVE; HEAD-INJURY; COMPUTED-TOMOGRAPHY; PEDIATRIC-PATIENTS; PULSATILITY INDEX; IMAGING FINDINGS; BASAL CISTERNS;

D O I：

10.3389/fped.2018.00032

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Radiological assessment of the head is a routine part of the management of traumatic brain injury. This assessment can help to determine the requirement for invasive intracranial pressure (ICP) monitoring. The radiological correlates of elevated ICP have been widely studied in adults but far fewer specific pediatric studies have been conducted. There is, however, growing evidence that there are important differences in the radiological presentations of elevated ICP between children and adults; a reflection of the anatomical and physiological differences, as well as a difference in the pathophysiology of brain injury in children. Here in, we review the radiological parameters that correspond with increased ICP in children that have been described in the literature. We then describe the future directions of this work and our recommendations in order to develop non-invasive and radiological markers of raised ICP in children.

引用

页数：6

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