Evidence map›Paper›PMID 34161530›Full record

ReviewArquivos de neuro-psiquiatria2021

Noninvasive intracranial pressure monitoring methods: a critical review.

Fabiano Moulin de Moraes, Gisele Sampaio Silva

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Arquivos de neuro-psiquiatria, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05121155 (Brain Skull Deformation as a Non-invasive Intracranial Pressure), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05121155 completednot on this map

Brain Skull Deformation as a Non-invasive Intracranial Pressure (ICP) Measure: Comparison Between Invasive and Noninvasive Methods.

Typeobservational_patient_registrySponsorFederal University of São PauloRan2019 to 2020Enrolled18ConditionsSubarachnoid Hemorrhage, Stroke, Stroke, Ischemic, Stroke HemorrhagicArmsICP wave morphology comparison between a non-invasive (Brain4care) and a invasive method
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Critical care management of acute liver failure.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  14. Article
  15. Article
  16. Observational
  17. Observational
  18. Review
  19. Article
  20. From disease to noninvasive intracranial monitoring.Arquivos de neuro-psiquiatria · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Fabiano Moulin de MoraesUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, Unidade Neurovascular, São Paulo SP, Brazil.ORCID 0000-0002-4838-2840
Gisele Sampaio SilvaUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, Unidade Neurovascular, São Paulo SP, Brazil.ORCID 0000-0002-3247-3123
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracranial pressure (ICP) monitoring has been used for decades in management of various neurological conditions. The gold standard for measuring ICP is a ventricular catheter connected to an external strain gauge, which is an invasive system associated with a number of complications. Despite its limitations, no noninvasive ICP monitoring (niICP) method fulfilling the technical requirements for replacing invasive techniques has yet been developed, not even in cases requiring only ICP monitoring without cerebrospinal fluid (CSF) drainage.

objectivesHere, we review the current methods for niICP monitoring.

methodsThe different methods and approaches were grouped according to the mechanism used for detecting elevated ICP or its associated consequences.

resultsThe main approaches reviewed here were: physical examination, brain imaging (magnetic resonance imaging, computed tomography), indirect ICP estimation techniques (fundoscopy, tympanic membrane displacement, skull elasticity, optic nerve sheath ultrasound), cerebral blood flow evaluation (transcranial Doppler, ophthalmic artery Doppler), metabolic changes measurements (near-infrared spectroscopy) and neurophysiological studies (electroencephalogram, visual evoked potential, otoacoustic emissions).

conclusionIn terms of accuracy, reliability and therapeutic options, intraventricular catheter systems still remain the gold standard method. However, with advances in technology, noninvasive monitoring methods have become more relevant. Further evidence is needed before noninvasive methods for ICP monitoring or estimation become a more widespread alternative to invasive techniques.

Indexed as

Intracranial HypertensionIntracranial PressureEvoked Potentials, VisualHumansReproducibility of ResultsSkull

Identifiers

PMID34161530
PMCPMC9394557
OpenAlexW3175748290

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.