Werndle, MC;
Saadoun, S;
Phang, I;
Czosnyka, M;
Varsos, G;
Czosnyka, Z;
Smielewski, P;
Jamous, A;
Bell, BA;
Zoumprouli, A;
et al.
Werndle, MC; Saadoun, S; Phang, I; Czosnyka, M; Varsos, G; Czosnyka, Z; Smielewski, P; Jamous, A; Bell, BA; Zoumprouli, A; Papadopoulos, MC
(2016)
Measurement of Intraspinal Pressure After Spinal Cord Injury: Technical Note from the Injured Spinal Cord Pressure Evaluation Study.
Acta Neurochir Suppl, 122.
pp. 323-328.
ISSN 0065-1419
https://doi.org/10.1007/978-3-319-22533-3_64
SGUL Authors: Papadopoulos, Marios Saadoun, Samira
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Abstract
Intracranial pressure (ICP) is routinely measured in patients with severe traumatic brain injury (TBI). We describe a novel technique that allowed us to monitor intraspinal pressure (ISP) at the injury site in 14 patients who had severe acute traumatic spinal cord injury (TSCI), analogous to monitoring ICP after brain injury. A Codman probe was inserted subdurally to measure the pressure of the injured spinal cord compressed against the surrounding dura. Our key finding is that it is feasible and safe to monitor ISP for up to a week in patients after TSCI, starting within 72 h of the injury. With practice, probe insertion and calibration take less than 10 min. The ISP signal characteristics after TSCI were similar to the ICP signal characteristics recorded after TBI. Importantly, there were no associated complications. Future studies are required to determine whether reducing ISP improves neurological outcome after severe TSCI.
Item Type: | Article | ||||
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Additional Information: | This is a post-peer-review, pre-copyedit version of an chapter published in Intracranial Pressure and Brain Monitoring XV. The final authenticated version is available online at: http://dx.doi.org/10.1007/978-3-319-22533-3_64 | ||||
Keywords: | Monitoring, Perfusion pressure, Spinal cord injury, Neurology & Neurosurgery, 1103 Clinical Sciences, 1109 Neurosciences | ||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Neuroscience (INCCNS) |
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Journal or Publication Title: | Acta Neurochir Suppl | ||||
ISSN: | 0065-1419 | ||||
Language: | eng | ||||
Dates: |
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Publisher License: | Publisher's own licence | ||||
PubMed ID: | 27165930 | ||||
Go to PubMed abstract | |||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/108125 | ||||
Publisher's version: | https://doi.org/10.1007/978-3-319-22533-3_64 |
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