Neuroradiology
(2026-2027)
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, gold standard ICP measurement ventriculostomy
"Gold standard" for ICP measurement ventriculostomy
-accurate diagnostic tool
-also therapeutic --> drainage of CSF
-thin cable, fiberoptic device placed camino/bolt
intraparenchymally to measure ICP
-lower risk of infection and hemorrhage
-once placed, unable to re-calibrate
-NOT therapeutic, does not drain CSF
Kocher's point placement for ventriculostomy
where exactly is Kocher's point? about 10 cm back from hairline (ANTERIOR to coronal suture so as not to
damage sensory cortex) and midpupillary line
at what ICP is ventriculostomy indicated? >20
speaking, judgement impairment, loss of voluntary frontal lobe
movement, memory deficit - lesion where?
not able to distinguish left from right, decreased parietal lobe
sensation, reading impairment - lesion where?
vision impairment - lesion where? occipital
language comprehension impairment, speech temporal lobe
production impairment, object recognition impairment
- lesion where?