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In the recent paper by Farahmand et al1 a new fully implantable telemetered intracranial pressure monitoring device (Raumedic AG, Helmbrecht, Germany) is used to study changes in intracranial pressure that occur in various positions and with various valve settings. The patient population studied here included 15 adult patients with ‘communicating hydrocephalus’ who underwent ventriculoperitoneal shunting using a Strata valve (Medtronic Inc, Goleta, California, USA).
With the development of adjustable valves for the treatment of hydrocephalus and effective devices to prevent severely negative intracranial pressure from siphoning, it has become possible to make intracranial pressure (ICP) and …
Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.