ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2011
The relationship between basal cisterns on CT and time-linked intracranial pressure in paediatric head injury.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 38 citations in OpenAlex.
- Diagnostic performance of digital markings on head computed tomography for evaluating intracranial hypertension in neonates and infants.Japanese journal of radiology · 2026Article
- Prognostic value of CT scoring systems and a simplified prediction model for pediatric moderate-to-severe traumatic brain injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Investigation of Cranial Bone Changes Indicative of Increased Intracranial Pressure in Diverse Phenotypes of Craniosynostosis.Plastic and reconstructive surgery. Global open · 2025Article
- Intracranial Hypertension with Patent Basal Cisterns: Controlled Lumbar Drainage as a Therapeutic Option. Selected Case Series.Neurocritical care · 2024Article
- An update on pediatric traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Diagnostic Value of the Combination of Ultrasonographic Optic Nerve Sheath Diameter and Width of Crural Cistern with Respect to the Intracranial Pressure in Patients Treated with Decompressive Craniotomy.Neurocritical care · 2023Observational
- Thresholds for identifying pathological intracranial pressure in paediatric traumatic brain injury.Scientific reports · 2019Article
- Radiological Correlates of Raised Intracranial Pressure in Children: A Review.Frontiers in pediatrics · 2018Review
- Decompressive craniectomy for traumatic intracranial hypertension: application in children.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017Review
- Anatomical and Physiological Differences between Children and Adults Relevant to Traumatic Brain Injury and the Implications for Clinical Assessment and Care.Frontiers in neurology · 2017Review
- Noninvasive methods of detecting increased intracranial pressure.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016Review
- Multimodality monitoring consensus statement: monitoring in emerging economies.Neurocritical care · 2014Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough intracranial pressure (ICP) monitoring is a cornerstone of care for severe traumatic brain injury (TBI), the indications for ICP monitoring in children are unclear. Often, decisions are based on head computed tomography (CT) scan characteristics. Arguably, the patency of the basal cisterns is the most commonly used of these signs. Although raised ICP is more likely with obliterated basal cisterns, the implications of open cisterns are less clear. We examined the association between the status of perimesencephalic cisterns and time-linked ICP values in paediatric severe TBI.
methodsICP data linked to individual head CT scans were reviewed. Basal cisterns were classified as open or closed by blinded reviewers. For the initial CT scan, we examined ICP values for the first 6 h after monitor insertion. For follow-up scans, we examined ICP values 3 h before and after scanning. Mean ICP and any episode of ICP ≥ 20 mmHg during this period were recorded.
resultsData from 104 patients were examined. Basal cisterns were patent in 51.72% of scans, effaced in 34.48% and obliterated in 13.79%. Even when cisterns were open, more than 40% of scans had at least one episode of ICP ≥ 20 mmHg, and 14% of scans had a mean ICP ≥ 20 mmHg. The specificity of open cisterns in predicting ICP < 20 mmHg was poor (57.9%). Age-related data were worse.
conclusionChildren with severe TBI frequently may have open basal cisterns on head CT despite increased ICP. Open cisterns should not discourage ICP monitoring.
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