Headache and Other Factors Modifying Cerebrospinal Fluid Opening Pressure in Pediatric Patients
Cerebrospinal fluid opening pressure values are associated with various neurologic diseases; however, numerous factors can modify this measurement. This study aims to describe factors related to modifications in opening pressure measurements in pediatric patients. Methods: A retrospective analysis o...
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| Veröffentlicht in: | Journal of child neurology 2024-05, Vol.39 (5-6), p.195-200 |
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| creator | Espitia Segura, Oscar M. Bedoya Morales, Ana M. Ramírez-Sierra, Cristina L. Farfán-Albarracín, Juan D. Pérez Cárdenas, Sofy H. Sánchez Rincón, Juan D. Guzmán-Porras, Jennifer J. López Mora, Luisa F. Ramírez Salazar, Mateo H. Ceballos Inga, Leydi A. Rueda Rodríguez, María C. Téllez Prada, Hugo A. Castro Rubio, Juan C. Lemus Espitia, Ingrid Guevara Ramos, Juan D. |
| description | Cerebrospinal fluid opening pressure values are associated with various neurologic diseases; however, numerous factors can modify this measurement. This study aims to describe factors related to modifications in opening pressure measurements in pediatric patients. Methods: A retrospective analysis of lumbar punctures in pediatric patients conducted by the neuropediatrics group with institutional standardization. Bivariate and linear regression analyses were performed to determine the association between opening pressure and variables included in the study. Results: 544 events, median age 107 months, median opening pressure 19.7 cm H2O. Bivariate analysis found no association with medication use; anesthetics that increased opening pressure were remifentanil (P = .02) and propofol (P = .05), along with a positive linear correlation between opening pressure and age (P |
| doi_str_mv | 10.1177/08830738241252209 |
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This study aims to describe factors related to modifications in opening pressure measurements in pediatric patients. Methods: A retrospective analysis of lumbar punctures in pediatric patients conducted by the neuropediatrics group with institutional standardization. Bivariate and linear regression analyses were performed to determine the association between opening pressure and variables included in the study. Results: 544 events, median age 107 months, median opening pressure 19.7 cm H2O. Bivariate analysis found no association with medication use; anesthetics that increased opening pressure were remifentanil (P = .02) and propofol (P = .05), along with a positive linear correlation between opening pressure and age (P < .0001). Multiple linear regression analysis revealed that age, BMI, male gender, and remifentanil use were associated with an increase in opening pressure, whereas corticosteroid withdrawal was associated with a reduction in opening pressure. There is an interaction between age and headache, with an association with increased opening pressure up to around 140 months. Conclusion: This study identifies factors associated with changes in opening pressure, crucial for estimating normal opening pressure values in children. Headaches, anesthetic use, and corticosteroid withdrawal are confirmed as significant factors.</description><identifier>ISSN: 0883-0738</identifier><identifier>EISSN: 1708-8283</identifier><identifier>DOI: 10.1177/08830738241252209</identifier><identifier>PMID: 38748539</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Age Factors ; Cerebrospinal Fluid Pressure - physiology ; Child ; Child, Preschool ; Female ; Headache - physiopathology ; Humans ; Infant ; Male ; Retrospective Studies ; Spinal Puncture - methods</subject><ispartof>Journal of child neurology, 2024-05, Vol.39 (5-6), p.195-200</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-1f452cd1d845a53982cc0b0cdb001e2d4fbce0790c54362b7e53ac50eb2fc61b3</cites><orcidid>0000-0002-3706-4951</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/08830738241252209$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/08830738241252209$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38748539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Espitia Segura, Oscar M.</creatorcontrib><creatorcontrib>Bedoya Morales, Ana M.</creatorcontrib><creatorcontrib>Ramírez-Sierra, Cristina L.</creatorcontrib><creatorcontrib>Farfán-Albarracín, Juan D.</creatorcontrib><creatorcontrib>Pérez Cárdenas, Sofy H.</creatorcontrib><creatorcontrib>Sánchez Rincón, Juan D.</creatorcontrib><creatorcontrib>Guzmán-Porras, Jennifer J.</creatorcontrib><creatorcontrib>López Mora, Luisa F.</creatorcontrib><creatorcontrib>Ramírez Salazar, Mateo H.</creatorcontrib><creatorcontrib>Ceballos Inga, Leydi A.</creatorcontrib><creatorcontrib>Rueda Rodríguez, María C.</creatorcontrib><creatorcontrib>Téllez Prada, Hugo A.</creatorcontrib><creatorcontrib>Castro Rubio, Juan C.</creatorcontrib><creatorcontrib>Lemus Espitia, Ingrid</creatorcontrib><creatorcontrib>Guevara Ramos, Juan D.</creatorcontrib><title>Headache and Other Factors Modifying Cerebrospinal Fluid Opening Pressure in Pediatric Patients</title><title>Journal of child neurology</title><addtitle>J Child Neurol</addtitle><description>Cerebrospinal fluid opening pressure values are associated with various neurologic diseases; however, numerous factors can modify this measurement. This study aims to describe factors related to modifications in opening pressure measurements in pediatric patients. Methods: A retrospective analysis of lumbar punctures in pediatric patients conducted by the neuropediatrics group with institutional standardization. Bivariate and linear regression analyses were performed to determine the association between opening pressure and variables included in the study. Results: 544 events, median age 107 months, median opening pressure 19.7 cm H2O. Bivariate analysis found no association with medication use; anesthetics that increased opening pressure were remifentanil (P = .02) and propofol (P = .05), along with a positive linear correlation between opening pressure and age (P < .0001). Multiple linear regression analysis revealed that age, BMI, male gender, and remifentanil use were associated with an increase in opening pressure, whereas corticosteroid withdrawal was associated with a reduction in opening pressure. There is an interaction between age and headache, with an association with increased opening pressure up to around 140 months. Conclusion: This study identifies factors associated with changes in opening pressure, crucial for estimating normal opening pressure values in children. Headaches, anesthetic use, and corticosteroid withdrawal are confirmed as significant factors.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Cerebrospinal Fluid Pressure - physiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Headache - physiopathology</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Spinal Puncture - methods</subject><issn>0883-0738</issn><issn>1708-8283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLFOwzAQhi0EoqXwACzII0vK2Y4bZ0QVpUhF7QBz5NiX1lWaBDsZ-vYkamFBYrrhvv_X3UfIPYMpY0nyBEoJSITiMeOSc0gvyJgloCLFlbgk42EfDcCI3ISwBwAlU7gmI6GSWEmRjkm2RG212SHVlaXrdoeeLrRpax_oe21dcXTVls7RY-7r0LhKl3RRdq5nG6yG3cZjCJ1H6iq6Qet0652hG906rNpwS64KXQa8O88J-Vy8fMyX0Wr9-jZ_XkWGp7yNWBFLbiyzKpa6P0xxYyAHY3MAhtzGRW4QkhSMjMWM5wlKoY0EzHlhZiwXE_J46m18_dVhaLODCwbLUldYdyETIKVKY6lmPcpOqOk_Ch6LrPHuoP0xY5ANXrM_XvvMw7m-yw9ofxM_IntgegKC3mK2rzvfmwr_NH4DEdKAaQ</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Espitia Segura, Oscar M.</creator><creator>Bedoya Morales, Ana M.</creator><creator>Ramírez-Sierra, Cristina L.</creator><creator>Farfán-Albarracín, Juan D.</creator><creator>Pérez Cárdenas, Sofy H.</creator><creator>Sánchez Rincón, Juan D.</creator><creator>Guzmán-Porras, Jennifer J.</creator><creator>López Mora, Luisa F.</creator><creator>Ramírez Salazar, Mateo H.</creator><creator>Ceballos Inga, Leydi A.</creator><creator>Rueda Rodríguez, María C.</creator><creator>Téllez Prada, Hugo A.</creator><creator>Castro Rubio, Juan C.</creator><creator>Lemus Espitia, Ingrid</creator><creator>Guevara Ramos, Juan D.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3706-4951</orcidid></search><sort><creationdate>20240501</creationdate><title>Headache and Other Factors Modifying Cerebrospinal Fluid Opening Pressure in Pediatric Patients</title><author>Espitia Segura, Oscar M. ; Bedoya Morales, Ana M. ; Ramírez-Sierra, Cristina L. ; Farfán-Albarracín, Juan D. ; Pérez Cárdenas, Sofy H. ; Sánchez Rincón, Juan D. ; Guzmán-Porras, Jennifer J. ; López Mora, Luisa F. ; Ramírez Salazar, Mateo H. ; Ceballos Inga, Leydi A. ; Rueda Rodríguez, María C. ; Téllez Prada, Hugo A. ; Castro Rubio, Juan C. ; Lemus Espitia, Ingrid ; Guevara Ramos, Juan D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-1f452cd1d845a53982cc0b0cdb001e2d4fbce0790c54362b7e53ac50eb2fc61b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Cerebrospinal Fluid Pressure - physiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Headache - physiopathology</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Spinal Puncture - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Espitia Segura, Oscar M.</creatorcontrib><creatorcontrib>Bedoya Morales, Ana M.</creatorcontrib><creatorcontrib>Ramírez-Sierra, Cristina L.</creatorcontrib><creatorcontrib>Farfán-Albarracín, Juan D.</creatorcontrib><creatorcontrib>Pérez Cárdenas, Sofy H.</creatorcontrib><creatorcontrib>Sánchez Rincón, Juan D.</creatorcontrib><creatorcontrib>Guzmán-Porras, Jennifer J.</creatorcontrib><creatorcontrib>López Mora, Luisa F.</creatorcontrib><creatorcontrib>Ramírez Salazar, Mateo H.</creatorcontrib><creatorcontrib>Ceballos Inga, Leydi A.</creatorcontrib><creatorcontrib>Rueda Rodríguez, María C.</creatorcontrib><creatorcontrib>Téllez Prada, Hugo A.</creatorcontrib><creatorcontrib>Castro Rubio, Juan C.</creatorcontrib><creatorcontrib>Lemus Espitia, Ingrid</creatorcontrib><creatorcontrib>Guevara Ramos, Juan D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Espitia Segura, Oscar M.</au><au>Bedoya Morales, Ana M.</au><au>Ramírez-Sierra, Cristina L.</au><au>Farfán-Albarracín, Juan D.</au><au>Pérez Cárdenas, Sofy H.</au><au>Sánchez Rincón, Juan D.</au><au>Guzmán-Porras, Jennifer J.</au><au>López Mora, Luisa F.</au><au>Ramírez Salazar, Mateo H.</au><au>Ceballos Inga, Leydi A.</au><au>Rueda Rodríguez, María C.</au><au>Téllez Prada, Hugo A.</au><au>Castro Rubio, Juan C.</au><au>Lemus Espitia, Ingrid</au><au>Guevara Ramos, Juan D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Headache and Other Factors Modifying Cerebrospinal Fluid Opening Pressure in Pediatric Patients</atitle><jtitle>Journal of child neurology</jtitle><addtitle>J Child Neurol</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>39</volume><issue>5-6</issue><spage>195</spage><epage>200</epage><pages>195-200</pages><issn>0883-0738</issn><eissn>1708-8283</eissn><abstract>Cerebrospinal fluid opening pressure values are associated with various neurologic diseases; however, numerous factors can modify this measurement. This study aims to describe factors related to modifications in opening pressure measurements in pediatric patients. Methods: A retrospective analysis of lumbar punctures in pediatric patients conducted by the neuropediatrics group with institutional standardization. Bivariate and linear regression analyses were performed to determine the association between opening pressure and variables included in the study. Results: 544 events, median age 107 months, median opening pressure 19.7 cm H2O. Bivariate analysis found no association with medication use; anesthetics that increased opening pressure were remifentanil (P = .02) and propofol (P = .05), along with a positive linear correlation between opening pressure and age (P < .0001). Multiple linear regression analysis revealed that age, BMI, male gender, and remifentanil use were associated with an increase in opening pressure, whereas corticosteroid withdrawal was associated with a reduction in opening pressure. There is an interaction between age and headache, with an association with increased opening pressure up to around 140 months. Conclusion: This study identifies factors associated with changes in opening pressure, crucial for estimating normal opening pressure values in children. Headaches, anesthetic use, and corticosteroid withdrawal are confirmed as significant factors.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>38748539</pmid><doi>10.1177/08830738241252209</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3706-4951</orcidid></addata></record> |
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| subjects | Adolescent Age Factors Cerebrospinal Fluid Pressure - physiology Child Child, Preschool Female Headache - physiopathology Humans Infant Male Retrospective Studies Spinal Puncture - methods |
| title | Headache and Other Factors Modifying Cerebrospinal Fluid Opening Pressure in Pediatric Patients |
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