Point-of-care handheld ophthalmic ultrasound in the diagnosis and evaluation of raised intracranial pressure and Terson syndrome: a description of two cases

Palermo, Jennifer; Bojanowski, Michel W.; Langevin, Stéphan; Denault, André

doi:10.1007/s12630-019-01531-4

Cited by 6 publications

(4 citation statements)

References 29 publications

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“…Normal average intracranial optic nerve sheath width should be less than 5.5 mm. 7,8 At that time, the volume status still was 2.1 L greater than at hospital admission. RV systolic function remained depressed, correlating with the presence of portal and femoral vein pulsatility (Fig.…”

Section: Clinical Coursementioning

confidence: 88%

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Femoral Vein Pulsatility: What Does It Mean?

Calderone

Hammoud

Jarry

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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In this report, the clinical evolution of a 72-year-old patient transferred to the surgical intensive care unit after cardiac surgery is described. The presence of a pulsatile Doppler signal of the common femoral vein was noted after surgery. On postoperative day 5, diuretics in addition to a combination of inhaled epoprostenol and milrinone were associated with normalization of femoral vein pulsatility. The observations seen in peripheral venous flow reinforce the hypothesis that pulsatility of the common femoral vein represents an associated echocardiographic sign of right ventricular dysfunction and may be used to monitor systemic venous congestion. Pulsatility in the venous system may be improved by reducing volume overload and improving right ventricular function.

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Section: Clinical Coursementioning

confidence: 88%

“…In comparison, a normal average optic nerve sheath diameter is less than 5.5 mm. 8,9 HR, heart rate. On POD 2, vasoactive support was reduced, and the patient's net volume status was now 1.6 L greater compared with preoperative status.…”

Section: Clinical Coursementioning

confidence: 99%

Femoral Vein Pulsatility: What Does It Mean?

Calderone

Hammoud

Jarry

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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“…We read the interesting case series by Palermo et al concerning ocular ultrasonography in two patients with subarachnoid hemorrhage and Terson syndrome. 1 We would like to comment on some aspects of B-scan ultrasonography to evaluate the optic nerve sheath diameter (ONSD). This ultrasound method is gaining in popularity for its accessibility, low-cost, and safety profile, with wide clinical utility in different medical fields.…”

Section: To the Editormentioning

confidence: 99%

Ocular ultrasonography in patients with subarachnoid hemorrhage and Terson syndrome

Vitiello

Bernardo

Rosa

2020

Can J Anesth/J Can Anesth

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“…We are grateful for the comments of Dr. Vitiello et al 1 regarding our case report on the use of hand-held ultrasound for the diagnosis of increased optic-nerve sheath (ONS) diameter and Terson syndrome. 2 The Blooming or colour bleed artifact is reported to occur when the colour signal indicating blood flow extends beyond its true boundaries, spreading into adjacent regions with no actual flow. We were not aware of a blooming effect on two-dimensional images.…”

Section: To the Editormentioning

confidence: 99%