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Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform

brain4care, a new Food and Drug Administration (FDA)-cleared non-invasive sensor that monitors intracranial pressure waveforms, was used in a 13-year-old girl who presented with untreatable headaches. The patient had a history of craniopharyngioma resection and a ventriculoperitoneal shunt placement...

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Autores principales: Paraguassu, Geraldo, Khilnani, Mark, Rabelo, Nicollas Nunes, Cobos, Luiza D'Ottaviano, Frigieri, Gustavo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928322/
https://www.ncbi.nlm.nih.gov/pubmed/33679296
http://dx.doi.org/10.3389/fnins.2021.601945
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author Paraguassu, Geraldo
Khilnani, Mark
Rabelo, Nicollas Nunes
Cobos, Luiza D'Ottaviano
Frigieri, Gustavo
author_facet Paraguassu, Geraldo
Khilnani, Mark
Rabelo, Nicollas Nunes
Cobos, Luiza D'Ottaviano
Frigieri, Gustavo
author_sort Paraguassu, Geraldo
collection PubMed
description brain4care, a new Food and Drug Administration (FDA)-cleared non-invasive sensor that monitors intracranial pressure waveforms, was used in a 13-year-old girl who presented with untreatable headaches. The patient had a history of craniopharyngioma resection and a ventriculoperitoneal shunt placement 7 years prior to the use of the device. Secondary obstructive hydrocephalus was also a present factor in the case. The hypothesis was that due to the hydrocephalus, the child presented chronic headaches and needed constant readjustment into the ventriculoperitoneal shunt to regulate the cerebrospinal fluid inside her ventricles in order to control the patient's intracranial pressure (ICP). The device was chosen considering the risks to submit a patient into the regular invasive method to measure ICP. It was identified that the device could also indicate altered intracranial compliance due to the ratio between the P1 and P2 amplitudes (P2/P1 ratio > 1).
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spelling pubmed-79283222021-03-04 Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform Paraguassu, Geraldo Khilnani, Mark Rabelo, Nicollas Nunes Cobos, Luiza D'Ottaviano Frigieri, Gustavo Front Neurosci Neuroscience brain4care, a new Food and Drug Administration (FDA)-cleared non-invasive sensor that monitors intracranial pressure waveforms, was used in a 13-year-old girl who presented with untreatable headaches. The patient had a history of craniopharyngioma resection and a ventriculoperitoneal shunt placement 7 years prior to the use of the device. Secondary obstructive hydrocephalus was also a present factor in the case. The hypothesis was that due to the hydrocephalus, the child presented chronic headaches and needed constant readjustment into the ventriculoperitoneal shunt to regulate the cerebrospinal fluid inside her ventricles in order to control the patient's intracranial pressure (ICP). The device was chosen considering the risks to submit a patient into the regular invasive method to measure ICP. It was identified that the device could also indicate altered intracranial compliance due to the ratio between the P1 and P2 amplitudes (P2/P1 ratio > 1). Frontiers Media S.A. 2021-02-10 /pmc/articles/PMC7928322/ /pubmed/33679296 http://dx.doi.org/10.3389/fnins.2021.601945 Text en Copyright © 2021 Paraguassu, Khilnani, Rabelo, Cobos and Frigieri. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Paraguassu, Geraldo
Khilnani, Mark
Rabelo, Nicollas Nunes
Cobos, Luiza D'Ottaviano
Frigieri, Gustavo
Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform
title Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform
title_full Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform
title_fullStr Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform
title_full_unstemmed Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform
title_short Case Report: Untreatable Headache in a Child With Ventriculoperitoneal Shunt Managed by Use of New Non-invasive Intracranial Pressure Waveform
title_sort case report: untreatable headache in a child with ventriculoperitoneal shunt managed by use of new non-invasive intracranial pressure waveform
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928322/
https://www.ncbi.nlm.nih.gov/pubmed/33679296
http://dx.doi.org/10.3389/fnins.2021.601945
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