Intracranial Hypertension Clinical Trial
Official title:
Comparison of the Non-invasive ICP HeadSense Monitor vs Lumbar CSF Pressure Measurement
In current practice patients with a suspected increase of intracranial pressure (ICP) will undergo a lumbar puncture with measurement of cerebral spinal fluid (CSF) pressure (as a marker for ICP). A lumbar puncture is an invasive and sometimes painful procedure. Using a new type of ICP monitor (HeadSense) it is possible to measure ICP non-invasively through an acoustic signal
In this study we will prospectively collect relevant clinical data on 60 neurological
patients, who are being referred for an elective lumbar puncture (eg. suspected multiple
sclerosis, raised intracranial hypertension, etc). Each enrolled patient will be monitored in
parallel to the lumbar puncture with the HeadSense ICP monitor. Subjects who meet the study
inclusion and exclusion criteria will be enrolled in the study.
Step 1: 10 minute measurement of HeadSense monitor. Once the patient is inclined with his
upper body 30 degrees to the bed the pressure values, the clinical procedure can begin. The
device must be preset in a continuous monitoring mode. The continuous monitoring allows a
loop of measurements for an unlimited time in a rate of four measurements per minute.
Step 2: 10 minute measurement of HeadSense monitor in supine position.
Step 3: Patient will be placed in a left lateral position. The lumbar puncture will be done
and CSF pressure will be measured following standard procedures.
Step 4: 10 minute measurement of HeadSense monitor in supine position.
Lumbar puncture and HeadSense measurement will be done by two different doctors and they will
not share measurement values during the procedure.
After the study the patient's ears will be examined for internal ear infection or irritation
that might be caused by the ear buds. Patient adverse events will be documented on the case
report forms in case they occurred and the family or advocate of the patient will be
informed. In case of clinical relevant adverse events appropriate clinical action will be
taken.
As the procedure does not affect the patient management, there is no need to provide any
specific medical care related to the trial. Patients will receive the relevant clinical care
related to their clinical management, without any consideration to their participation in the
trial.
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