Epidural Blood Patches Performed with Miethke Sensor Reservoir for Continuous Intracranial Pressure Monitoring

An epidural blood patch (EBP) is a procedure performed by injecting autologous blood into a patient’s epidural space, usually at the site of a suspected CSF leak. It is typically performed in patients with characteristic postural headaches due to low intracranial pressure. We report a case of a young female with an implanted Miethke Sensor Reservoir, which was used for continuous intracranial pressure (ICP) monitoring during a two-level epidural blood patch. ICP increased only with thoracic injection, suggesting thoracic EBP may have greater efficacy than lumbar EBP in treating SIH and PDPH when the site of CSF leak is unknown.

颅内压监测在硬膜外血肿合并脑挫裂伤患者中的应用

目的探讨有创性颅内压监测在硬膜外血肿合并脑挫裂伤患者中的应用价值,指导重症监护与治疗。方法回顾性分析两组硬膜外血肿合并脑挫裂伤患者,观察颅内压监测对硬膜外血肿清除后迟发性颅内血肿的预警价值与患者转归。结果两组中迟发性血肿的发病率未见统计学差异,有创颅内压监测组患者的GOS评分优于非监测组,平均住院日明显缩短,而人均住院费用差异无显著性。结论有创性颅内压监测对硬膜外血肿合并脑挫裂伤患者就迟发性血肿的发生与否具有早期预警价值,为采取恰当的后续治疗措施提供依据。

新型多功能经腰硬脊膜外腔颅内压监护仪

介绍一种新型多功能经腰硬脊外腔颅内压监护仪的工作原理和结构性能。仪器采用微导管球囊及充液装置作为测压探头，临床应用证明该机操作方便，创伤小，稳定性好。