Pearls &amp; Oy-sters: Diagnosis and monitoring of elevated intracranial pressure through ultrasound of the optic nerve

J, Bar; Rosenberg, Jon; Chan, Wilma; Panebianco, Nova L.

doi:10.1212/wnl.0000000000006888

Cited by 1 publication

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References 12 publications

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“…Traumatic brain injury (TBI) is a health condition that affects the whole society and especially young adults. TBI is responsible from one third of trauma-related deaths 1,2 .…”

Section: Introductionmentioning

confidence: 99%

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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“…Traumatic brain injury (TBI) is a health condition that affects the whole society and especially young adults. TBI is responsible from one third of trauma-related deaths 1,2 .…”

Section: Introductionmentioning

confidence: 99%

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

Çelik

Demiryürek

2021

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

Pearls & Oy-sters: Diagnosis and monitoring of elevated intracranial pressure through ultrasound of the optic nerve

Cited by 1 publication

References 12 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

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