Intraventricular catheter placement by electromagnetic navigation safely applied in a paediatric major head injury patient.
BACKGROUND
In the management of severe head injuries, the use of intraventricular catheters for intracranial pressure (ICP) monitoring and the option of cerebrospinal fluid drainage is gold standard. In children and adolescents, the insertion of a cannula in a compressed ventricle in case of elevated intracranial pressure is difficult; therefore, a pressure sensor is placed more often intraparenchymal as an alternative option.


CONCLUSIONS
In cases of persistent elevated ICP despite maximal brain pressure management, the use of an intraventricular monitoring device with the possibility of cerebrospinal fluid drainage is favourable. We present the method of intracranial catheter placement by means of an electromagnetic navigation technique.
Department of Pediatric Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland. christoph.aufdenblatten@ksl.ch
Christoph Alexander
CA
Aufdenblatten
Stefan
S
Altermatt
D000293:Adolescent; D001930:Brain Injuries / Q000150:complications / Q000601:surgery*; D002404:Catheterization / Q000379:methods*; D002552:Cerebral Ventricles / Q000601:surgery; D055590:Electromagnetic Phenomena; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000601:surgery*; D008297:Male; D038361:Neuronavigation / Q000295:instrumentation* / Q000379:methods*; D014057:Tomography, X-Ray Computed