Postsurgical Monitoring Intracranial Pressure In Of The Giant Meningiomas Parasagittal And Superior Sagittal Sinus

Objective:Radical resection of giant meningiomas invading thesuperior sagittal sinus(SSS) presents several hazards. Serious complicationsincluded brain swelling and postoperative hematoma， which alwaysprominent feature of intracranial hypertension(ICH) and often contributesto neurologic dysfunction and impaired quality of life. When intracranialpressure(ICP) becomes elevated monitoring has become an establishedcomponent of brain monitoring postoperative. We report our experienceabout ICP monitoring postoperative of giant meningiomas parasagittal andSSS.Methods: Between February to November2009,53patients withgiant meningioma beside the parasagittal and SSS were given continuousand dynamic monitoring of ICP.We retrospectively reviewed the pre-andpostoperative Clinical charts, radiological studies, pathological features,operative notes,and analyzed the low of ICP.Results:The law of postsurgical monitoring:Initial ICP was low levelwithin6h ranged from-8to35mmHg（5.87±10.33）mmHg, then gradually elevated during6h-72h (10.62±13.21) mmHg,and reach the peak at72hpost-operation（13.36±11.43）mmHg.there was significant difference inlevel between within6h and the other two time periods (P<0.05),but herewas not difference between6h-72h and>72h (P>0.05).Conclusion:Continuous and dynamical monitoring the ICP atpostoperation can discover the change regularly of ICP and according tomediate the therapeutic measurements.The safety in perioperative wasimproved because of cerebral hemorrhage and cerebral edema would befound prior to symptom presented.