Noninvasive ICP Monitoring by Serial Transcranial Doppler in Coagulopathic Patient

NCJ_cover.jpgBy Shivani Ghoshal, Jonathan Gomez, Aarti Sarwal

First Online: 07 May 2019

Intracranial pressure (ICP) monitoring is often a crucial component in the management of neurocritical care patients. However, standard methods for ICP monitoring, such as intraventricular catheters, intra-parenchymal sensors, and subarachnoid bolts, are largely invasive and their placement carries particular risk of hemorrhage in coagulopathic patients. Methods for noninvasive monitoring of ICP (nICP) are evolving to fill this need for patients who are not candidates for standard ICP monitor placement. Here, we present a case using serial transcranial Doppler (TCD) ultrasonography as a method of nICP monitoring.

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