Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/43481 |
Resumo: | Introduction: Intracranial hypertension (IH) is a clinical condition secondary to the loss of cerebral compensatory mechanisms. There are distinct methodologies used to diagnose IH and among them is the brain4care (b4c) sensor, which allows non-invasive monitoring of intracranial volume and pressure variations, intracranial compliance. Objective: To characterize the epidemiological profile of patients with suspected IH in the pediatric age range. Method: A cross-sectional study was carried out in a reference pediatric hospital in Brazil, with patients with signs and symptoms of IH monitored with the non-invasive B4C sensor. The patients underwent neurological evaluation and were submitted to exams - ophthalmological evaluation, lumbar puncture, magnetic resonance imaging (MRI) and computed tomography (CT). Result: 58 patients were evaluated, of whom 32 are female (55.2%) and 26 are male (44.8%); most patients presented symptoms such as drowsiness (81%), nausea (77.6%), headache (74.1%), vomiting (63.8%). The ophthalmoscopic examination 77.6% (n=58) of the patients did not show signs of papilledema. On CT and MRI, no changes were found in 84.5% (n=58) and 69.2% (n=26), respectively. Lumbar puncture showed changes in 57.1% (n=21). Considering the interpretation that would be made in adult patients, the b4c sensor monitoring (n=58) showed probable changes in the lying and sitting positions, respectively, in 46.3% and 38.9%. Conclusion: It was found that the b4c device can provide a possible complement of clinical information in the process of monitoring cerebral compliance. |
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Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral complianceEstudio epidemiológico de pacientes pediátricos con signos y síntomas de hipertensión intracraneal con monitorización no invasiva de la distensibilidad cerebralEstudo epidemiológico de pacientes pediátricos com sinais e sintomas de hipertensão intracraniana com monitoramento da complacência cerebral não invasivaHipertensión intracranealPresión intracranealPediatría.Hipertensão intracranianaPressão intracranianaPediatria.Intracranial hypertensionIntracranial pressurePediatrics.Introduction: Intracranial hypertension (IH) is a clinical condition secondary to the loss of cerebral compensatory mechanisms. There are distinct methodologies used to diagnose IH and among them is the brain4care (b4c) sensor, which allows non-invasive monitoring of intracranial volume and pressure variations, intracranial compliance. Objective: To characterize the epidemiological profile of patients with suspected IH in the pediatric age range. Method: A cross-sectional study was carried out in a reference pediatric hospital in Brazil, with patients with signs and symptoms of IH monitored with the non-invasive B4C sensor. The patients underwent neurological evaluation and were submitted to exams - ophthalmological evaluation, lumbar puncture, magnetic resonance imaging (MRI) and computed tomography (CT). Result: 58 patients were evaluated, of whom 32 are female (55.2%) and 26 are male (44.8%); most patients presented symptoms such as drowsiness (81%), nausea (77.6%), headache (74.1%), vomiting (63.8%). The ophthalmoscopic examination 77.6% (n=58) of the patients did not show signs of papilledema. On CT and MRI, no changes were found in 84.5% (n=58) and 69.2% (n=26), respectively. Lumbar puncture showed changes in 57.1% (n=21). Considering the interpretation that would be made in adult patients, the b4c sensor monitoring (n=58) showed probable changes in the lying and sitting positions, respectively, in 46.3% and 38.9%. Conclusion: It was found that the b4c device can provide a possible complement of clinical information in the process of monitoring cerebral compliance.Introducción: La hipertensión intracraneal (HI) es una condición clínica secundaria a la pérdida de los mecanismos compensadores cerebrales. Existen distintas metodologías utilizadas para diagnosticar HI y entre ellas se encuentra el sensor Brain4care (b4c), que permite el monitoreo no invasivo de las variaciones de volumen y presión intracraneal y la distensibilidad intracraneal. Objetivo: Caracterizar el perfil epidemiológico de los pacientes con sospecha de HI en el rango de edad pediátrica. Método: Se realizó un estudio transversal en un hospital pediátrico de referencia en Brasil, con pacientes con signos y síntomas de HI monitoreados con el sensor no invasivo B4C. Los pacientes fueron sometidos a evaluación neurológica y fueron sometidos a exámenes: evaluación oftalmológica, punción lumbar, resonancia magnética (MRI) y tomografía computarizada (TC). Resultado: Se evaluaron 58 pacientes, de los cuales 32 son mujeres (55,2%) y 26 son hombres (44,8%); la mayoría de los pacientes presentó síntomas como somnolencia (81%), náuseas (77,6%), dolor de cabeza (74,1%), vómitos (63,8%). El examen oftalmoscópico el 77,6% (n=58) de los pacientes no presentaron signos de papiledema. En la TC y la RM no se encontraron cambios en el 84,5% (n=58) y el 69,2% (n=26), respectivamente. La punción lumbar mostró cambios en el 57,1% (n=21). Considerando la interpretación que se haría en pacientes adultos, el monitoreo del sensor b4c (n=58) mostró cambios probables en las posiciones de acostado y sentado, respectivamente, en el 46,3% y el 38,9%. Conclusión: Se encontró que el dispositivo b4c puede proporcionar un posible complemento de información clínica en el proceso de monitoreo de la complianza cerebral.Introdução: A hipertensão intracraniana (HI) é uma condição clínica secundária à perda de mecanismos compensatórios cerebrais. Existem metodologias distintas utilizadas para diagnosticar HI e entre elas está o sensor brain4care (b4c), que permite monitoramento não invasivo do volume intracraniano e das variações de pressão, complacência intracraniana. Objetivo: Caracterizar o perfil epidemiológico dos pacientes com suspeita de HI na faixa etária pediátrica. Método: Foi realizado um estudo transversal em um hospital pediátrico de referência no Brasil, com pacientes com sinais e sintomas de HI monitorados com sensor não invasivo B4C. Os pacientes foram submetidos à avaliação neurológica e foram submetidos a exames - avaliação oftalmológica, punção lombar, ressonância magnética (RM) e tomografia computadorizada (TC). Resultado: foram avaliados 58 pacientes, sendo 32 do sexo feminino (55,2%) e 26 do sexo masculino (44,8%); a maioria dos pacientes apresentou sintomas como sonolência (81%), náusea (77,6%), cefaleia (74,1%), vômito (63,8%). Ao exame oftalmoscópico 77,6% (n=58) dos pacientes não apresentaram sinais de papiledema. Na TC e na RM não foram encontradas alterações em 84,5% (n=58) e 69,2% (n=26), respectivamente. A punção lombar apresentou alterações em 57,1% (n=21). Considerando a interpretação que seria feita em pacientes adultos, o monitoramento do sensor b4c (n=58) mostrou prováveis alterações nas posições deitada e sentada, respectivamente, em 46,3% e 38,9%. Conclusão: Verificou-se que o dispositivo b4c pode fornecer um possível complemento de informação clínica no processo de monitorização da complacência cerebral.Research, Society and Development2023-10-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4348110.33448/rsd-v12i10.43481Research, Society and Development; Vol. 12 No. 10; e115121043481Research, Society and Development; Vol. 12 Núm. 10; e115121043481Research, Society and Development; v. 12 n. 10; e1151210434812525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/43481/35031Copyright (c) 2023 Luana Say; Miqueias Moreira Correia; Caroline Mensor Folchini; Guilherme de Rosso Manços; Marinei Campos Ricieri; Fábio de Araújo Motta; Adriano Keijiro Maeda; Simone Carreiro Vieira Karutahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSay, Luana Correia, Miqueias Moreira Folchini, Caroline Mensor Manços, Guilherme de Rosso Ricieri, Marinei Campos Motta, Fábio de Araújo Maeda, Adriano Keijiro Karuta, Simone Carreiro Vieira 2023-10-20T10:57:42Zoai:ojs.pkp.sfu.ca:article/43481Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2023-10-20T10:57:42Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance Estudio epidemiológico de pacientes pediátricos con signos y síntomas de hipertensión intracraneal con monitorización no invasiva de la distensibilidad cerebral Estudo epidemiológico de pacientes pediátricos com sinais e sintomas de hipertensão intracraniana com monitoramento da complacência cerebral não invasiva |
title |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance |
spellingShingle |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance Say, Luana Hipertensión intracraneal Presión intracraneal Pediatría. Hipertensão intracraniana Pressão intracraniana Pediatria. Intracranial hypertension Intracranial pressure Pediatrics. |
title_short |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance |
title_full |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance |
title_fullStr |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance |
title_full_unstemmed |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance |
title_sort |
Epidemiological study of pediatric patients with signs and symptoms of intracranial hypertension with non-invasive cerebral compliance |
author |
Say, Luana |
author_facet |
Say, Luana Correia, Miqueias Moreira Folchini, Caroline Mensor Manços, Guilherme de Rosso Ricieri, Marinei Campos Motta, Fábio de Araújo Maeda, Adriano Keijiro Karuta, Simone Carreiro Vieira |
author_role |
author |
author2 |
Correia, Miqueias Moreira Folchini, Caroline Mensor Manços, Guilherme de Rosso Ricieri, Marinei Campos Motta, Fábio de Araújo Maeda, Adriano Keijiro Karuta, Simone Carreiro Vieira |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Say, Luana Correia, Miqueias Moreira Folchini, Caroline Mensor Manços, Guilherme de Rosso Ricieri, Marinei Campos Motta, Fábio de Araújo Maeda, Adriano Keijiro Karuta, Simone Carreiro Vieira |
dc.subject.por.fl_str_mv |
Hipertensión intracraneal Presión intracraneal Pediatría. Hipertensão intracraniana Pressão intracraniana Pediatria. Intracranial hypertension Intracranial pressure Pediatrics. |
topic |
Hipertensión intracraneal Presión intracraneal Pediatría. Hipertensão intracraniana Pressão intracraniana Pediatria. Intracranial hypertension Intracranial pressure Pediatrics. |
description |
Introduction: Intracranial hypertension (IH) is a clinical condition secondary to the loss of cerebral compensatory mechanisms. There are distinct methodologies used to diagnose IH and among them is the brain4care (b4c) sensor, which allows non-invasive monitoring of intracranial volume and pressure variations, intracranial compliance. Objective: To characterize the epidemiological profile of patients with suspected IH in the pediatric age range. Method: A cross-sectional study was carried out in a reference pediatric hospital in Brazil, with patients with signs and symptoms of IH monitored with the non-invasive B4C sensor. The patients underwent neurological evaluation and were submitted to exams - ophthalmological evaluation, lumbar puncture, magnetic resonance imaging (MRI) and computed tomography (CT). Result: 58 patients were evaluated, of whom 32 are female (55.2%) and 26 are male (44.8%); most patients presented symptoms such as drowsiness (81%), nausea (77.6%), headache (74.1%), vomiting (63.8%). The ophthalmoscopic examination 77.6% (n=58) of the patients did not show signs of papilledema. On CT and MRI, no changes were found in 84.5% (n=58) and 69.2% (n=26), respectively. Lumbar puncture showed changes in 57.1% (n=21). Considering the interpretation that would be made in adult patients, the b4c sensor monitoring (n=58) showed probable changes in the lying and sitting positions, respectively, in 46.3% and 38.9%. Conclusion: It was found that the b4c device can provide a possible complement of clinical information in the process of monitoring cerebral compliance. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/43481 10.33448/rsd-v12i10.43481 |
url |
https://rsdjournal.org/index.php/rsd/article/view/43481 |
identifier_str_mv |
10.33448/rsd-v12i10.43481 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/43481/35031 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 12 No. 10; e115121043481 Research, Society and Development; Vol. 12 Núm. 10; e115121043481 Research, Society and Development; v. 12 n. 10; e115121043481 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052631734026240 |