Invasive intracranial pressure monitoring in posterior cranial fossa after neurosurgery: an exclusive option or a necessity?

• Published in: Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko Vol. 86; no. 2; p. 71
• Main Authors: Gavryushin, A V, Oshorov, A V, Savin, I A
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 2022
• Subjects: Cranial Fossa, Posterior - surgery; Edema; Humans; Intracranial Pressure; Neurosurgery; Retrospective Studies; pressure gradient; intracranial pressure; intracranial pressure monitoring; posterior cranial fossa
• ISSN: 0042-8817
• DOI: 10.17116/neiro20228602171

Posterior cranial fossa (PCF) surgery is associated with the risk of increased intracranial pressure
ICP) under tentorium. The last one can lead to severe brainstem syndromes and postoperative complications. The currently recommended method for ICP control with a supratentorial parenchymal sensor or CSF pressure measurement through an external ventricular drainage is ineffective. Indeed, these methods do not show the true situation in the PCF.
To determine the feasibility of ICP sensor insertion into cerebellar parenchyma for PCF edema after neurosurgery.
We retrospectively analyzed literature data (15 references) and 3 patients after ICP sensor insertion into cerebellar parenchyma for ICP control in PCF.
ICP sensor insertion into cerebellar parenchyma is indicated for infratentorial postoperative edema.