Evidence map›Paper›PMID 37071182›Full record

ArticleActa neurochirurgica2023

Interpretation of telemetric intracranial pressure recordings in people with idiopathic intracranial hypertension after shunt implantation.

Fardad T Afshari, Mahmoud Samara, Kyaw Zayar Thant, Marian E Byrne, Alexandra J Sinclair, Susan P Mollan, Georgios Tsermoulas

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In one paragraph

Article in Acta neurochirurgica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Fardad T AfshariDepartment of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2TH, UK.
Mahmoud SamaraDepartment of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2TH, UK.
Kyaw Zayar ThantDepartment of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2TH, UK.
Marian E ByrneDepartment of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2TH, UK.
Alexandra J SinclairInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Susan P MollanInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Georgios TsermoulasDepartment of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2TH, UK. georgios.tsermoulas@nhs.net.ORCID 0000-0001-5658-2335
Queen Elizabeth Hospital Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe M.scio telesensor (Aesculap-Miethke, Germany) is a device integrated within a ventriculoperitoneal (VP) shunt for non-invasive measurement of the intracranial pressure (ICP). The purpose of this study was to analyze the telemetric recordings with the M.scio system in shunted patients with idiopathic intracranial hypertension (IIH), in order to determine reference values and assist the interpretation of telemetric data.

methodsThis was a cohort study of consecutive patients with fulminant IIH who underwent primary VP shunt insertion between July 2019 and June 2022. The first telemetric measurements after surgery in the sitting and supine positions were analyzed. Telemetric ICP values, wave morphology, and pulse amplitude were determined for functioning and malfunctioning shunts.

resultsFifty-seven out of 64 patients had available telemetric recordings. The mean ICP was - 3.8 mmHg (standard deviation (SD) = 5.9) in the sitting and 16.4 mmHg (SD = 6.3) in the supine position. The ICP curve demonstrated pulsatility in 49 (86%) patients. A pulsatile curve with mean ICP in the above ranges indicated a functioning shunt, whereas the lack of pulsatility was challenging to interpret. There was a significant positive correlation between ICP versus amplitude, ICP versus body mass index (BMI), and amplitude versus BMI.

conclusionsThis clinical study defined ICP values and curves in IIH patients with a shunt. The results will assist the interpretation of telemetric ICP recordings in clinical decision making. More research is required to model longitudinal recordings and explore the link between telemetric measurements with clinical outcomes.

Indexed as

Pseudotumor CerebriCohort StudiesHumansIntracranial PressureTelemetryVentriculoperitoneal ShuntCerebrospinal fluidIdiopathic intracranial hypertensionIntracranial pressureM.scioPseudotumour cerebriTelesensor

Identifiers

PMID37071182
OpenAlexW4366241964

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Registered trials

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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.