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Placement of an external ventricular shunt is one of the most common neurosurgical procedures in neuro-resuscitation. However, the modalities of its withdrawal are not, the subject of recommendations but rather of service habits. It has been recently demonstrated that pupillary monitoring by an electronic pupillometer was more reliable than standard clinical monitoring in brain injury patients. This tool provides access to a rich pupillary semiology at the patient's bed.
So the goal is to study the evolution of the various pupillary parameters analyzed by the electronic pupillometer during the external ventricular shunt weaning tests and to highlight the predictive factors of failure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intensive care patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electronic pupillometer analysis | Other | Electronic pupillometer analysis |
|
| Measure | Description | Time Frame |
|---|---|---|
| The difference in pupillary contraction speed during the photomotor reflex measured by electronic pupillometer as a function of the outcome of the External ventricular lead clamping test | 48 HOURS |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of the pupillometry parameters between neuro wronged's patients and not neuro wronged's patients (parameters measured by pupillometer) | 48 HOURS |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients who have benefited from an external ventricular bypass, whatever the indication, and for whom the doctor in charge prescribes a clamping test.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital La Timone | Marseille | 13005 | France | |||
| CHU de la Réunion |
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| Saint-Pierre |
| 97448 |
| France |