A novel method for long-term monitoring of intracranial pressure in rats

BACKGROUND In preclinical neurological studies, monitoring intracranial pressure (ICP) in animal models especially in rodents is challenging. Further, the lack of methods for long-term ICP monitoring has limited the possibilities to conduct prolonged studies on ICP fluctuations in parallel to disease progression or therapeutic interventions. For these reasons we aimed to set up a simple and valid method for long-term ICP recordings in rats. NEW METHOD A novel ICP method employing epidural probes was developed and validated by simultaneously ICP recordings in the lateral ventricle and in the epidural space. The two pressures were recorded twice a week for 59 days and the correlation was studied. RESULTS The two pressure recordings correlated exceptionally well and the R(2) values on each recording day ranged between 0.99 and 1.00. However, the ventricular probes caused a number of complications including loss of patency and tissue damage probably due to cerebral infection, whereas the epidural probes were safe and reliable throughout the entire study. COMPARISON WITH EXISTING METHODS Epidural probes are much easier to implant than ventricular probes. In addition, these new probes are far less invasive and induce no apparent mechanical tissue damage and highly decrease the infection risk associated with ICP recordings. CONCLUSION Epidural ICP recorded with this new method is identical to the ventricular ICP for at least 59 days but is far less complicated and safer for the animals. The long-term method described is reliable, valid, inexpensive, and may be used in multiple disease models to study ICP.

[1]  M. Zwienenberg,et al.  ICP monitoring in the rat: comparison of monitoring in the ventricle, brain parenchyma, and cisterna magna. , 1999, Journal of neurotrauma.

[2]  M. Borgers,et al.  Fiberoptic intracranial pressure monitoring in rats , 1990, Journal of Neuroscience Methods.

[3]  R. Young,et al.  Intracranial pressure monitoring: fiberoptic monitor compared with the ventricular catheter. , 1992, Surgical neurology.

[4]  G. Silasi,et al.  Use of telemetry blood pressure transmitters to measure intracranial pressure (ICP) in freely moving rats. , 2009, Current neurovascular research.

[5]  A. Raabe,et al.  Reliability of epidural pressure measurement in clinical practice: behavior of three modern sensors during simultaneous ipsilateral intraventricular or intraparenchymal pressure measurement. , 1998, Neurosurgery.

[6]  S. Chatterjee,et al.  Overview of post-infective hydrocephalus , 2011, Child's Nervous System.

[7]  M. Wiesmann,et al.  Experimental bacterial meningitis in rats: Demonstration of hydrocephalus and meningeal enhancement by magnetic resonance imaging , 2002, Neurological research.

[8]  H. Hansson,et al.  The peptide AF-16 abolishes sickness and death at experimental encephalitis by reducing increase of intracranial pressure , 2008, Brain Research.

[9]  M. Dujovny,et al.  Advances in ICP monitoring techniques , 2003, Neurological research.

[10]  N. Bruder,et al.  A comparison of extradural and intraparenchymatous intracranial pressures in head injured patients , 1995, Intensive Care Medicine.

[11]  M. Poca,et al.  Is intracranial pressure monitoring in the epidural space reliable? Fact and fiction. , 2007, Journal of neurosurgery.

[12]  G Gambardella,et al.  Monitoring of brain tissue pressure with a fiberoptic device. , 1992, Neurosurgery.

[13]  John H. Zhang,et al.  New lumbar method for monitoring cerebrospinal fluid pressure in rats , 2004, Journal of Neuroscience Methods.

[14]  John H. Zhang,et al.  Isoflurane Provides Neuroprotection in Neonatal Hypoxic Ischemic Brain Injury , 2013, Journal of Investigative Medicine.

[15]  N. Lundberg,et al.  Continuous recording and control of ventricular fluid pressure in neurosurgical practice. , 1962, Acta psychiatrica Scandinavica. Supplementum.

[16]  W. Young,et al.  A chronic model to simultaneously measure intracranial pressure, cerebral blood flow, and study the pial microvasculature , 1997, Journal of Neuroscience Methods.

[17]  S. Goren,et al.  The Effects of Sevoflurane and Isoflurane on Intracranial Pressure and Cerebral Perfusion Pressure After Diffuse Brain Injury in Rats , 2001, Journal of neurosurgical anesthesiology.

[18]  N. Shahrokhi,et al.  Effect of sex steroid hormones on brain edema, intracranial pressure, and neurologic outcomes after traumatic brain injury. , 2010, Canadian journal of physiology and pharmacology.

[19]  K. Cooper,et al.  Induced changes in intracranial pressure in the anesthetized rat and rabbit , 1985, Brain Research Bulletin.

[20]  L. Edvinsson,et al.  Early events triggering delayed vasoconstrictor receptor upregulation and cerebral ischemia after subarachnoid hemorrhage , 2013, BMC Neuroscience.

[21]  H. Nornes,et al.  Simultaneous recording of the ventricular fluid pressure and the epidural pressure. , 1972, European neurology.

[22]  C. Avezaat,et al.  Risk factors for infections related to external ventricular drainage , 2008, Acta Neurochirurgica.

[23]  M. Morgalla,et al.  The Problem of Long-Term ICP Drift Assessment: Improvement by Use of the ICP Drift Index , 2002, Acta Neurochirurgica.

[24]  R. Pearlstein,et al.  Acute changes in intracranial pressure and pressure-volume index after forebrain ischemia in normoglycemic and hyperglycemic rats. , 1996, Stroke.

[25]  I. Tyssebotn,et al.  Measurement of cerebrospinal fluid pressure in conscious rats. , 1997, Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc.

[26]  L. Pitts,et al.  An epidural intracranial pressure monitor for experimental use in the rat. , 1988, Neurological research.

[27]  R. Gibson,et al.  A comparison of extradural pressure with cerebrospinal fluid pressure. , 1972, European neurology.

[28]  Per Kristian Eide,et al.  Comparison of simultaneous continuous intracranial pressure (ICP) signals from ICP sensors placed within the brain parenchyma and the epidural space. , 2008, Medical engineering & physics.

[29]  R. A. Solomon,et al.  A simple and reliable technique to monitor intracranial pressure in the rat: technical note. , 1992, Neurosurgery.

[30]  Crockard Ha,et al.  Behavior of an extradural pressure monitor in clinical use. Comparison of extradural with intraventricular pressure in patients with acute and chronically raised intracranial pressure. , 1985 .

[31]  C. Spiss,et al.  Comparative analysis between epidural (Gaeltec) and suboural (Camino) intracranial pressure probes , 1992, Journal of Clinical Monitoring.

[32]  N. Spratt,et al.  Epidural intracranial pressure measurement in rats using a fiber-optic pressure transducer. , 2012, Journal of visualized experiments : JoVE.

[33]  Christian Brandt,et al.  In vivo study of experimental pneumococcal meningitis using magnetic resonance imaging , 2008, BMC Medical Imaging.

[34]  E. Zimmermann,et al.  Continuous measurement of cerebrospinal fluid pressure in unrestrained rats , 1980, Physiology & Behavior.

[35]  E. Kasper,et al.  A review of lumbar spinal instrumentation: evidence and controversy , 2011, Journal of Neurology, Neurosurgery & Psychiatry.

[36]  M. Freire,et al.  Infection rate and risk factors associated with infections related to external ventricular drain , 2011, Infection.