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January 29, 2013; 80 (5) WriteClick: Editor’s Choice

Clinical Assessment of Noninvasive Intracranial Pressure Absolute Value Measurement MethodAuthor ResponseAuthor Response

David S. Liebeskind, A. Ragauskas, Marijean M. Miller, A. Ragauskas, E. Marcinkevicius, M. Pranevicius, O. Pranevicius, V. Matijosaitis, R. Zakelis, K. Petrikonis, D. Rastenyte, I. Piper, G. Daubaris, Taeun Chang, Robert Keating, Craig Sable, V. Matijosaitis, R. Zakelis, K. Petrikonis, D. Rastenyte, I. Piper, G. Daubaris
First published January 28, 2013, DOI: https://doi.org/10.1212/WNL.0b013e318281bfa4
David S. Liebeskind
Los Angeles
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A. Ragauskas
Kaunas, Lithuania
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Marijean M. Miller
Los Angeles
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A. Ragauskas
Kaunas, Lithuania
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E. Marcinkevicius
Kaunas, Lithuania
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M. Pranevicius
New York
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O. Pranevicius
New York
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V. Matijosaitis
Kaunas, Lithuania
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R. Zakelis
Kaunas, Lithuania
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K. Petrikonis
Kaunas, Lithuania
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D. Rastenyte
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I. Piper
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G. Daubaris
Kaunas, Lithuania
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Taeun Chang
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Robert Keating
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Craig Sable
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V. Matijosaitis
Kaunas, Lithuania
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R. Zakelis
Kaunas, Lithuania
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K. Petrikonis
Kaunas, Lithuania
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D. Rastenyte
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I. Piper
Glasgow, Scotland
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G. Daubaris
Kaunas, Lithuania
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Citation
Clinical Assessment of Noninvasive Intracranial Pressure Absolute Value Measurement MethodAuthor ResponseAuthor Response
David S. Liebeskind, A. Ragauskas, Marijean M. Miller, A. Ragauskas, E. Marcinkevicius, M. Pranevicius, O. Pranevicius, V. Matijosaitis, R. Zakelis, K. Petrikonis, D. Rastenyte, I. Piper, G. Daubaris, Taeun Chang, Robert Keating, Craig Sable, V. Matijosaitis, R. Zakelis, K. Petrikonis, D. Rastenyte, I. Piper, G. Daubaris
Neurology Jan 2013, 80 (5) 507-508; DOI: 10.1212/WNL.0b013e318281bfa4

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Editors’ Note: WriteClick correspondence this week centers on the article by Dr. Ragauskas et al., “Clinical assessment of noninvasive intracranial pressure absolute value measurement method.” Dr. Liebeskind et al. bring up variability in the microanatomy of the ophthalmic artery that argues against the authors' methodology. Dr. Miller et al. disagree that extracranial ophthalmic arterial blood flow is independent of CSF, citing their own data on the subject. Authors Ragauskas et al. dispute both claims. Megan Alcauskas, MD, and Robert C. Griggs, MD

Ragauskas et al.1 demonstrated that when external pressure is applied, the orbit tends to equilibrate flow in the ipsilateral ophthalmic artery (OA) when its level approaches intracranial pressure (ICP). The authors detected this relationship by making the OA into a “natural pair of scales, in which the intracranial segment of the OA is compressed by extracranial pressure (Pe) applied to the orbit.”

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