Use of non-invasive sensor to assess intracranial compliance in the management of migraine patients: case report

Abstract

The objective of this study is to report the use of a non-invasive sensor to assess intracranial compliance (ICC) in patients complaining of migraine. This case report presents a 34-year-old, female patient that was treated for idiopathic intracranial hypertension (IIH) by placing a non-adjustable lumboperitoneal shunt. After one year, she presented with headache and signs of overdrainage. Non-invasive monitoring of ICC was done, suggesting a reduction in the ICC, but no change in the opening pressure of the valve. A diagnosis of migraine was made, with improvement after brain monitoring, leading treatment without any new surgical intervention. With this case, we conclude that the use of non-invasive sensor helped the medical team to understand the information obtained by the ICP curve in the office, and in the management of patients with headache complaints, supporting clinical decision making, improving the quality of care, correlated with underlying diseases and procedural and patient safety.

Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?

“…Apart from experimental and non-original papers, most of these articles were piloting the use of the device in patients with various neurological and non-neurological conditions. These included cryptococcal meningitis [5], renovascular hypertension [26], pediatric hydrocephalus [2], obesity [8], critical COVID-19 [10], end-stage renal disease [41], pregnancy [19], patients sedated for gastrointestinal endoscopy [24], sedentary chronic stroke patients [40], hemodialysis patients [42], prostatectomy surgery patients [45], fibromyalgia [33], cardiovascular surgery patients [1], diabetes and chronic kidney disease [35], and migraine [14]. To the best of our knowledge, this is the first prospective study to compare the Brain4Care noninvasive method with the invasive gold standard in TBI.…”