Correlation between optic nerve sheath diameter measured on imaging with acute pathologies found on computed tomography of trauma patients

Jenjitranant, Pinporn; Tunlayadechanont, Padcha; Prachanukool, Thidathit; Kaewlai, Rathachai

doi:10.1016/j.ejrad.2020.108875

Cited by 16 publications

(15 citation statements)

References 39 publications

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“…The difference between minutes 0 and 120 it has been shown to be consistent with measurements made by US 10 . The elevation of ONSD due to the increase of ICP in patients with TBI was shown in several studies 11,12,13,14 . Although the importance of urgent intervention for ICP increase, there is no method developed for ICP monitoring in the emergency clinic including the acute trauma period.…”

Section: Gcs Minute 0 Minute 60 Minute 120mentioning

confidence: 84%

“…It has been specified that the optic nerve sheath diameter (ONSD) increases along with the increase of ICP due to the extension of the dura mater surrounding the optic nerve, and the most adequate measurement site is 3 mm distant from the distal side of the ocular globe 6,7 . Several studies were conducted through brain tomography (CT), magnetic resonance imaging, and ultrasound (US) and consistent results were obtained 9,10,11,12 . A meta-analysis stated that ONSD thickness wider than 5 mm measured by US is an indicator for the increase in ICP, and sensitivity and specificity of such measurement are 99 and 77%, respectively 13 .…”

Section: Introductionmentioning

confidence: 80%

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The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma

Çelik

Demiryürek

2021

Arq. Neuro-Psiquiatr.

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Background: Although intracranial pressure (ICP) monitoring is the gold standard method for measuring intracranial pressure after traumatic brain injury, optic nerve sheath diameter (ONSD) measurement with ultrasound (US) is also used in the evaluation of ICP. Objective: To investigate the association between a series of OSND measurements by US and changes in clinical presentation of the patient. Methods: Prospective study including 162 patients with traumatic brain injury. Age, sex, cerebral CT findings, ONSD levels by US at minutes 0, 60, and 120, Glasgow Coma Scale (GCS) within same period, change of consciousness, treatment, and mortality data were reviewed. The association of ONSD levels with GCS, change of consciousness, treatment, and mortality was evaluated. Results: There was no difference in ONSD changes in the patients’ sample within the period (p=0.326). ONSD significantly increased in patients who died (p<0.001), but not in those who survived (p=0.938). There was no significant change in ONSD of the patients who received anti-edema therapy (p=801), but significantly increased ONSD values were found in those who received anti-edema therapy (p=0.03). Patients without change of consciousness did not have any significant change in ONSD (p=0.672), but ONSD values increased in patients who consciousness became worse, and decreased in those who presented a recovery (respectively, p<0.001, p=0.002). A negative correlation was detected between ONSD values and GSC values measured at primary, secondary, and tertiary time periods (for all p<0.001). Conclusions: ONSD follow-up may be useful to monitor ICP increase in patients with acute traumatic brain injury.

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Section: Gcs Minute 0 Minute 60 Minute 120mentioning

confidence: 84%

Section: Introductionmentioning

confidence: 80%

The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma

Çelik

Demiryürek

2021

Arq. Neuro-Psiquiatr.

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“…5,9 Dilatasi selubung nervus optikus dapat dinilai secara tidak langsung dari pencitraan CT-scan kepala, MRI, atau ultrasonografi. 1,9,10 CT-scan kepala, dikombinasikan dengan gejala dan tanda klinis, dapat menjadi petunjuk awal diagnosis dan penentuan penatalaksanaan selanjutnya. CT-scan juga dapat melihat abnormalitas otak lain seperti kelainan bentuk sisterna dan ventrikel, midline shift, hematoma, dan diferensiasi substansia grissea/alba.…”

Section: Pendahuluanunclassified

Pengukuran Diameter Selubung Nervus Optikus (Optic Nerve Sheath Diameter) Berbasis Ultrasonografi: Metode Pemantauan Tekanan Intrakranial Non-invasif Selanjutnya?

Hioe¹

2022

CDK

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<p>Pemantauan tekanan intrakranial dibutuhkan sebagai upaya untuk menghindari kerusakan otak sekunder. Pemeriksaan baku emas untuk pemantauan ini masih bersifat invasif dan meningkatkan risiko infeksi dan perdarahan. Oleh karena itu, diperlukan pemeriksaan non-invasif yang dapat menggambarkan tekanan intrakranial secara kontinu. Salah satu pemeriksaan tersebut adalah pengukuran diameter selubung nervus optikus berbasis ultrasonografi. Pemeriksaan ini telah terbukti mempunyai sensitivitas dan spesifisitas yang baik dan berkorelasi baik dengan tekanan intrakranial. Pemeriksaan ini juga murah, aman, cepat, dan dapat diulang.</p>

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“…There are studies reporting that computed tomography (CT), magnetic resonance imaging and ultrasonography (USG) can also be used for this purpose. [11][12][13][14] The ONSD diameter has been reported to increase if there is an increase in the ICP since the dura mater extends to surround the optic nerve, and the most suitable area for the measurement has been reported to be 3 mm behind the globe in particular. [7,9] Pediatric Glasgow Coma Score (pGCS) is a significant scoring system that can be used in the follow-up of patients with TBI and can guide the clinician.…”

Section: Introductionmentioning

confidence: 99%

“…According to the current data, ICP monitoring is important in the management of treatment in cases with a pGCS of 8 or less. [5,8,12] We aimed to investigate the correlation between the ONSD change on brain CT used in the follow-up of pediatric patients with TBI and pGCS and the usability of ONSD, an indicator of ICP, in the follow-up of patients.…”

Section: Introductionmentioning

confidence: 99%

The Concordance of Optic Nerve Sheath Diameter Measurements with the Clinical Course in Children with Traumatic Head Injury

Kavak¹

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Intracranial pressure (ICP) monitoring is of profound importance concerning prognosis and treatment among children with traumatic brain injury (TBI). Measurements of the optic nerve sheath diameter (ONSD) are one of the methods recommended for ICP monitoring. In this study, we aimed to evaluate the correlation of ONSD change in brain computed tomography (CT) with pediatric Glasgow Coma Score (pGCS) in the follow-up of pediatric cases with TBI, and also to evaluate the usability of the ONSD, which is the indicator of ICP. METHODS:The data of 921 pediatric patients who were admitted to the emergency department with head injury between January 2016 and January 2018 were retrospectively evaluated in this study. Age, gender, trauma type, brain CT finding, pGCS, type of intracranial hemorrhage (ICH), and isolated skull fracture (ISF) were investigated. The patients were evaluated in three groups based on CT findings: (i) patients with parenchymal brain injury, (ii) patients with ISF, and (iii) patients with normal brain CT results. The measurements of ONSD were performed using CT. Whether the ONSD measurement results of the patients were compatible with the clinical data was investigated. RESULTS:The median age of the patients was 36 months (interquartile range [IQR] = 64) and 64.2% were male. The ONSD values and pGCSs of the patients with parenchymal injury were found to be significantly higher than patients with ISF and normal brain CT findings (p<0.05). The pGCSs showed a significant negative correlation with the first and second measurement results of ONSD (p<0.05). In groups undergoing control brain CT, ONSD levels in the second brain CT were found to be significantly high (p<0.05). CONCLUSION:In the clinical follow-up, ONSD measurements are reliable and significant parameters when evaluated with brain CT findings and pGCSs. We think that repeated ONSD measurements will be useful in determining possible adverse effects of secondary injury, as well as in determining the severity of the trauma during admission.

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Correlation between optic nerve sheath diameter measured on imaging with acute pathologies found on computed tomography of trauma patients

Cited by 16 publications

References 39 publications

The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma

The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma

Pengukuran Diameter Selubung Nervus Optikus (Optic Nerve Sheath Diameter) Berbasis Ultrasonografi: Metode Pemantauan Tekanan Intrakranial Non-invasif Selanjutnya?

The Concordance of Optic Nerve Sheath Diameter Measurements with the Clinical Course in Children with Traumatic Head Injury

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