Real time optic nerve sheath diameter measurement during lumbar puncture

Hassen, Getaw Worku; Al-Juboori, Mohammed; Koppel, Barbara S.; Akfirat, Gokhan; Kalantari, Hossein

doi:10.1016/j.ajem.2018.01.037

Cited by 12 publications

(7 citation statements)

References 23 publications

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“…MRI and ultrasound are used at different time points to measure ONSD primarily due to logistical considerations. The inability to use MRI to measure ONSD during spaceflight limits the utility of MRI studies since ONSD changes rapidly as demonstrated by head-down tilt studies, which measured significant changes after 3 min-5 h of HDT [18][19][20] and while undergoing lumbar puncture in terrestrial settings 28 . This rapid change in ONSD diameter may lead to underestimation of ONSD changes as it may have returned to its preflight value before the opportunity for postflight measurement.…”

Section: Summary Of Current Literature Resultsmentioning

confidence: 99%

Optic nerve sheath diameter and spaceflight: defining shortcomings and future directions

et al. 2022

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Neuro-ocular changes during long-duration space flight are known as spaceflight-associated neuro-ocular syndrome (SANS). The ability to detect, monitor, and prevent SANS is a priority of current space medicine research efforts. Optic nerve sheath diameter (ONSD) measurement has been used both terrestrially and in microgravity as a proxy for measurements of elevated intracranial pressure. ONSD shows promise as a potential method of identifying and quantitating neuro-ocular changes during space flight. This review examines 13 studies measuring ONSD and its relationship to microgravity exposure or ground-based analogs, including head-down tilt, dry immersion, or animal models. The goal of this correspondence is to describe heterogeneity in the use of ONSD in the current SANS literature and make recommendations to reduce heterogeneity in future studies through standardization of imaging modalities, measurement techniques, and other aspects of study design.

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Section: Summary Of Current Literature Resultsmentioning

confidence: 99%

Optic nerve sheath diameter and spaceflight: defining shortcomings and future directions

et al. 2022

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“…Transorbital B-mode sonography to assess ONSD in patients with IIH that required LP was performed in several articles, such asin a case report by Singleton et al ( 15 ) 30 min before and 30 min after a therapeutic LP, in another case report by Hassen et al ( 16 ) during LP, in a case-control study by Bäuerle et al ( 17 ) before and 1 day after therapeutic LP, in a case-control study by Del Saz-Saucedo et al ( 18 ) before LP and 30 min after it, in a case-control study published by Kishk et al ( 19 ) before and following LP.…”

Section: Resultsmentioning

confidence: 99%

Optic Nerve Ultrasound Evaluation in Idiopathic Intracranial Hypertension

et al. 2022

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Idiopathic intracranial hypertension (IIH) is a disease with a heterogeneity of possible causes, which needs to be quickly diagnosed. Ocular ultrasonography could be considered a useful tool to diagnose this condition in a fast and non-invasive way. In fact, Karl Ossoinig had already proposed this diagnostic tool in the 1970s for the evaluation of intracranial pressure changes under several pathological conditions, including idiopathic intracranial hypertension. The aim of this review is to analyze scientific articles published in the last 30 years concerning the use of ocular ultrasonography to assess optic nerve indices in patients with idiopathic intracranial hypertension. Specifically, 15 published articles found in PubMed database were included and analyzed in the present review. Our conclusion suggests that ocular ultrasonography is a reliable diagnostic technique to be utilized in all the cases of suspected raised intracranial pressure. To obtain the best possible accuracy and precision in the least invasive way, standardized A-scan seems to be the best choice.

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“…Similarly, a recent case reported by Hassen et al showed the first continuous real-time ONSD dynamic change measurement over 5-10 minutes during an LP for removing CSF in a patient with IIH. The ONSD changed from 7.8 to 5.7 mm at the end of the procedure [28].…”

Section: Onsd Ultrasound: Monitoring Of Osmotherapy Effectmentioning

confidence: 99%

ICP Management by Osmotherapy with Mannitol and Hypertonic Saline in ICU: Real-Time Effect on Optic Nerve Sheath Diameter Monitoring by Ultrasound

Launey

2021

Neurosonology in Critical Care

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Optic nerve sheath diameter (ONSD) ultrasonography is a useful noninvasive and accurate tool to detect raised ICP. 2. The procedure requires a strict technique following safety rules to warrant quality images and patient safety. 3. Serial ONSD measurements may help to detect real-time changes in ICP such as the effect of osmotherapy. 4. ONSD may be a surrogate for ICP monitoring when invasive ICP monitoring is unavailable or contraindicated. 5. There is a need for additional research to validate ONSD use for tracking ICP changes in real time.

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Real time optic nerve sheath diameter measurement during lumbar puncture

Cited by 12 publications

References 23 publications

Optic nerve sheath diameter and spaceflight: defining shortcomings and future directions

Optic nerve sheath diameter and spaceflight: defining shortcomings and future directions

Optic Nerve Ultrasound Evaluation in Idiopathic Intracranial Hypertension

ICP Management by Osmotherapy with Mannitol and Hypertonic Saline in ICU: Real-Time Effect on Optic Nerve Sheath Diameter Monitoring by Ultrasound

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