Intracranial pressure monitoring in tuberculous meningitis: clinical and computerized tomographic correlation / Johan F. SCHOEMAN in Developmental Medicine & Child Neurology, 27-5 (October 1985)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 27-5 (October 1985) . - p.644-654 Titre : Intracranial pressure monitoring in tuberculous meningitis: clinical and computerized tomographic correlation Type de document : Texte imprimé et/ou numérique Auteurs : Johan F. SCHOEMAN, Auteur ; Deon LE ROUX, Auteur ; Piet B. BEZUIDENHOUT, Auteur ; Peter R. DONALD, Auteur Année de publication : 1985 Article en page(s) : p.644-654 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Cerebrospinal fluid (CSF) pressure was monitored in 24 children with acute tuberculous meningitis. 19 had raised intracranial pressure (ICP) as reflected by increased baseline pressure, pressure waves (e.g. B-waves) and increased amplitude of the pulse wave. Correlation between clinical signs of raised ICP and monitored CSF pressure showed that clinical diagnosis of the presence and degree of raised ICP is unreliable, especially in children with a closed anterior fontanelle. Computerized tomographic (CT) scans showed that hydrocephalus was present in all children with raised CSF pressure. No direct correlation was found between the degree of hydrocephalus and the degree of raised ICP. The rôle of ICP monitoring in the diagnosis and management of raised ICP in children with tuberculous meningitis is discussed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=596 [article] Intracranial pressure monitoring in tuberculous meningitis: clinical and computerized tomographic correlation [Texte imprimé et/ou numérique] / Johan F. SCHOEMAN, Auteur ; Deon LE ROUX, Auteur ; Piet B. BEZUIDENHOUT, Auteur ; Peter R. DONALD, Auteur . - 1985 . - p.644-654. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 27-5 (October 1985) . - p.644-654 Index. décimale : PER Périodiques Résumé : Cerebrospinal fluid (CSF) pressure was monitored in 24 children with acute tuberculous meningitis. 19 had raised intracranial pressure (ICP) as reflected by increased baseline pressure, pressure waves (e.g. B-waves) and increased amplitude of the pulse wave. Correlation between clinical signs of raised ICP and monitored CSF pressure showed that clinical diagnosis of the presence and degree of raised ICP is unreliable, especially in children with a closed anterior fontanelle. Computerized tomographic (CT) scans showed that hydrocephalus was present in all children with raised CSF pressure. No direct correlation was found between the degree of hydrocephalus and the degree of raised ICP. The rôle of ICP monitoring in the diagnosis and management of raised ICP in children with tuberculous meningitis is discussed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=596

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