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. 1987 Feb;62(2):152–155. doi: 10.1136/adc.62.2.152

New fontanometer for continuous estimation of intracranial pressure in the newborn.

M J Rochefort, P Rolfe, A R Wilkinson
PMCID: PMC1778258  PMID: 3827293

Abstract

Intracranial pressure was estimated by a new pneumatic applanation fontanometer in babies in intensive care. A close correlation with cerebrospinal fluid pressure was found on 35 separate occasions. In 12 control babies the mean (SD) fontanelle pressure was 5.2 (2.2) cm H2O, in eight with a hypoxic-ischaemic encephalopathy it was 12.6 (4.3) cm H2O, and in nine with post-haemorrhagic hydrocephalus it was 10.8 (4.3) cm H2O. In four babies monitored continuously over seven days the correlation remained good. The fontanometer enables pressure to be monitored accurately, continuously, and non-invasively in neonates at risk of raised intracranial pressure.

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Selected References

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  1. GILES H. M., PUGH R. C., DARMADY E. M., STRANACK F., WOOLF L. I. The nephrotic syndrome in early infancy: a report of three cases. Arch Dis Child. 1957 Jun;32(163):167–180. doi: 10.1136/adc.32.163.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Hill A. Intracranial pressure measurements in the newborn. Clin Perinatol. 1985 Feb;12(1):161–178. [PubMed] [Google Scholar]
  3. Horbar J. D., Yeager S., Philip A. G., Lucey J. F. Effect of application force on noninvasive measurements of intracranial pressure. Pediatrics. 1980 Sep;66(3):455–457. [PubMed] [Google Scholar]
  4. Kaiser A. M., Whitelaw A. G. Cerebrospinal fluid pressure during post haemorrhagic ventricular dilatation in newborn infants. Arch Dis Child. 1985 Oct;60(10):920–924. doi: 10.1136/adc.60.10.920. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Levene M. I., Evans D. H. Continuous measurement of subarachnoid pressure in the severely asphyxiated newborn. Arch Dis Child. 1983 Dec;58(12):1013–1015. doi: 10.1136/adc.58.12.1013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. McWilliam R. C., Stephenson J. B. Rapid bedside technique for intracranial pressure monitoring. Lancet. 1984 Jul 14;2(8394):73–75. doi: 10.1016/s0140-6736(84)90244-7. [DOI] [PubMed] [Google Scholar]
  7. Menke J. A., Miles R., McIlhany M., Bashiru M., Chua C., Schwied E., Menten T. G., Khanna N. N. The fontanelle tonometer: a noninvasive method for measurement of intracranial pressure. J Pediatr. 1982 Jun;100(6):960–963. doi: 10.1016/s0022-3476(82)80528-3. [DOI] [PubMed] [Google Scholar]
  8. Philip A. G., Long J. G., Donn S. M. Intracranial pressure. Sequential measurements in full-term and preterm infants. Am J Dis Child. 1981 Jun;135(6):521–524. [PubMed] [Google Scholar]
  9. Philip A. G. Noninvasive monitoring of intracranial pressure: a new approach for neonatal clinical pharmacology. Clin Perinatol. 1979 Mar;6(1):123–137. [PubMed] [Google Scholar]
  10. Robinson R. O., Rolfe P., Sutton P. Non-invasive method for measuring intracranial pressure in normal newborn infants. Dev Med Child Neurol. 1977 Jun;19(3):305–308. doi: 10.1111/j.1469-8749.1977.tb08365.x. [DOI] [PubMed] [Google Scholar]
  11. Salmon J. H., Hajjar W., Bada H. S. The fontogram: a noninvasive intracranial pressure monitor. Pediatrics. 1977 Nov;60(5):721–725. [PubMed] [Google Scholar]
  12. Vidyasagar D., Raju T. N. A simple noninvasive technique of measuring intracranial pressure in the newborn. Pediatrics. 1977 Jun;59 (Suppl)(6 Pt 2):957–961. [PubMed] [Google Scholar]

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