caa a22 4500 475754964 CHVBK 20180406123535.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s002470000255 doi (NATIONALLICENCE)springer-10.1007/s002470000255 Reliability of cranial CT versus intracerebral pressure measurement for the evaluation of generalised cerebral oedema in children [Elektronische Daten] [W. Hirsch, R. Beck, C. Behrmann, A. Schobess, R. -P. Spielmann] Objective. To examine the extent to which intracranial pressure (ICP) in children after severe brain trauma can be determined by cranial CT.¶Materials and methods. Two experienced paediatric radiologists, without any knowledge of the clinical symptoms, evaluated 124 CT scans from 65 children (average age 5.4 years) who underwent intracranial measurement of their cerebral pressure.¶Results. CT had high sensitivity (99.1 %) for 'high cerebral pressure' but a much lower specificity (78.1 %). The examiners tended to estimate ICP as 'high' even when actual ICP was low. Since therapy for lowering cerebral pressure involves potential risks, actual cerebral pressure measurement, particularly in children, should be considered before intervention (e. g. hyperventilation or trepanation). We report the change in different intracerebral fluid compartments with varying cerebral pressure and modifications of the density of the brain tissue in an inter- and intraobserver comparison.¶Conclusion. The radiologist cannot differentiate, for methodological reasons, between a change in the intracranial fluid compartments not associated with a change in ICP and one in which it is critically elevated. Before any interventional treatments such as decompression-trepanation or hyperventilation are instituted, measurement of ICP should be considered, especially in children. Springer-Verlag Berlin Heidelberg, 2000 Hirsch W. Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut Beck R. Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut Behrmann C. Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut Schobess A. Department of Pediatrics, University Hospital Halle-Wittenberg, 06097 Halle, Germany, DE aut Spielmann R. -P Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut https://doi.org/10.1007/s002470000255 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000255 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hirsch W. Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut NATIONALLICENCE 700 1- Beck R. Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut NATIONALLICENCE 700 1- Behrmann C. Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut NATIONALLICENCE 700 1- Schobess A. Department of Pediatrics, University Hospital Halle-Wittenberg, 06097 Halle, Germany, DE aut NATIONALLICENCE 700 1- Spielmann R. -P Department of Diagnostic Radiology, University Hospital Halle-Wittenberg, 06 097 Halle, Germany, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer