medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2021-14-32-35medalphabet-2061Research ArticleСтатьиСовременные представления о неинвазивных методах измерения внутричерепного давленияModern concepts of non-invasive methods for measuring intracranial pressurehttps://orcid.org/0000-0002-3272-7293ЛобзинС. В.LobzinS. V.

Лобзин Сергей Владимирович, д.м.н., проф., зав. кафедрой неврологии имени академика С. Н. Давиденкова

Санкт-Петербург

Lobzin Sergey V., DM Sci, prof., head of Dept of Neurology n. a. academician S. N. Davidenkov

Saint Petersburg

sergei.lobzin@szgmu.ruНикифороваЛ. Г.NikiforovaL. G.

Никифорова Любовь Геннадьевна, врач‑невролог, врач отделения функциональной диагностики

Санкт-Петербург

Nikiforova Lyubov G., neurologist, physician of Functional Diagnostics Dept

Saint Petersburg

l_nikiforova@inbox.ruФГБОУ ВО «Северо-Западный государственный медицинский университет имени И. И. Мечникова» Минздрава РоссииРоссияNorth-Western State Medical University n.a. I. I. MechnikovRussian FederationСПб ГБУЗ «Городская больница № 38 имени Н. А. Семашко»РоссияCity Hospital No. 38 n. a. N. A. SemashkoRussian Federation202128062021014Неврология и психиатрия (2)3235Copyright © Лобзин С.В., Никифорова Л.Г., 20212021Лобзин С.В., Никифорова Л.Г.Lobzin S.V., Nikiforova L.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2061

В статье представлен обзор отечественной и зарубежной литературы с целью выявления наиболее перспективных современных методик неинвазивного измерения внутричерепного давления. Описаны следующие способы оценки внутричерепного давления, основанные на морфологических и функциональных особенностях интракраниальных органов: транскраниальная доплерография, оценка смещения барабанной перепонки, кохлеарная микрофония, оценка кровяного давления в венах сетчатки, оценка диаметра зрительного нерва (ультразвуковое исследование, мультиспиральная компьютерная томография, магнитно‑резонансная томография). Уделено внимание достоинствам и недостаткам представленных технологий, возможностям их использования в клинической практике.

The article presents the review of Russian and foreign literature, with the aim to summarize the results of the researches for the purpose of identification of the most perspective modern techniques of non‑invasive measurement of intracranial pressure. The methods of assessment of intracranial pressure based on morphological and functional features of intracranial organs are described: transcranial Doppler imaging, evaluation of tympanic membrane displacement, evaluation of blood pressure in retinal veins, evaluation of optic nerve diameter, CT imaging and magnetic resonance tomography. The attention is paid to merits and demerits of the presented methods, a possibility of their use in clinical practice.

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The authors declare that there are no conflicts of interest present.