The safety of intracranial pressure (ICP) monitoring by the subarachnoid bolt was studied in 124 comatose children with global (103 patients) and focal (21 patients) cerebral lesions. None of the children developed cerebral hematoma, diffuse bleeding, epileptical focus, or local or systemic infection. Based on our experience, we advocate the use of the subarachnoid bolt for the purpose of ICP monitoring as a simple and safe modality.
Get full access to this article
View all access options for this article.
References
1.
Nussbaum E., Galant SPIntracranial pressure monitoring as a guide to prognosis in the nearly drowned, severely comatose child. J Pediatr1983; 102:215.
2.
Venes J.Intracranial pressure monitoring in perspective. Child's Brain1980;7:236.
3.
Greenberg RP , Ward JD, Lutz H., et al. In: Grenvik A, Safar P, eds. Brain failure and resuscitation. New York: Churchill Livingstone, 1981:67.
4.
Bruce DA, Raphaely RC, Goldgerg AI, et al. Pathophysiology, treatment and outcome following severe head injury in children. Child's Brain1979; 5:174.
5.
Bruce DA, Schut L., Bruno LA, et al. Outcome following severe head injuries in children. J Neurosurg1978;48: 679.
6.
Seelig JM, Becker DP, Miller JP, et al. Traumatic acute subdural hematoma. N Engl J Med1981; 304:1511.
7.
Narayan RK, Kishore Prs, Becker DP, et al. Intracranial pressure: to monitor or not to monitor. J Neurosurg1982;56:650.
8.
Schaible DH, Cupit GC, Swedlow DBHigh-dose pentobarbital pharmacakinetics in hypothermic brain-injured children . J Pediatr1982;100:655.
9.
Nugent SK, Bausher JA, Moxon ER, et al. Raised intracranial pressure: its management in Neisseria meningitidis meningoencephalitis. Am J Dis Child1979; 133:260.
10.
Vries JK, Becker DP, Young HFA subarachnoid screw for monitoring intracranial pressure. Technical note . J Neurosurg1973;39:416.