From: Intracranial pressure monitoring in neurosurgery: the present situation and prospects
Principles | Methods | Advantages | Disadvantages |
---|---|---|---|
Fluid dynamics | TCD 51–55 | 1. Get the cerebral vessel condition, cerebral blood flow and other parameters 2. NIRs use for the earlier recognition traumatic brain injury secondary insults | 1. Pathological vessels and CSF will affect the result 2. Different processing Models will get different results 3. There is plenty variation in NIRS techniques and the reference measurements |
TDTD 60 | |||
Dynamic MRI 56–59 | |||
Near-infrared spectroscopy 67 | |||
Jugular bulb monitoring | |||
Otology | Tympanic membrane displacementw 69,70 | CM measurements have been routinely used for decades in audiology | 1. TMD complications, long-lasting intubation may resulting auditory-tube dysfunction and insufficient middle-ear ventilation or effusion 2. TMD variability varies considerably due to spontaneous pulsing and cochlear aqueduct 3. TMD limited by daily safe noise exposure limits and sedative drugs 4. Need exclude the abnormal transmission of sound through the ear |
Cochlear microphonic potential (CM) 68 | |||
Distortionproduct oto-acoustic emissions | |||
Ophthalmology | ONSD 43–50 | 1. Only need commom ophthalmic examinations 2. NPI may predict patient prognosis | 1. Patients with ophthalmic diseases will influce the measurement result 2. Individual differences |
Neurological pupil index (NPI) 65 | |||
Spontaneous venous eye measurement | |||
Venous opthalmodynamometry | |||
Tonometry | |||
Electrophysiology | Rheoencephalography (REG) 61 | 1.Visual evoked potential can measure the pressure of the left and right compartments separately 2.The measurement results of EIT do not depend on the operator's experience | 1.Exist time delay between EEG and ICP 2.Visual evoked potential influced by anatomic injury of the visual pathway 3.Disturbed by some drugs, severe acidosis, liver func-tion damage, sedation, and anesthesia |
Electroencephalogram (EEG) 62,63 | |||
Electrical impedance tomography (EIT) 66 | |||
Visual evoked potential 64 | |||
Other | Tissue resonance analysis | Innovative technology | Lack of clinical experiment need further research |
Acoustoelasticity | |||
Anterior fontanelle pressure monitoring | |||
Skull elasticity |