Serial Optic Nerve Sheath Diameter via Radiographic Imaging

McLaughlin, Diane; Anderson, Lisa; Guo, Jinhong; McNett, Molly

doi:10.1212/cpj.0000000000001038

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…The correlation between ONSD measured on CT and ICP was r = 0.5, p < 0.05. 16 Jiang et al 17 were able to demonstrate similar findings when correlating ONSD with cerebrospinal fluid pressure in patients with leptomeningeal metastasis. However, the non-linearity of the relationship between ONSD and ICP has to be considered.…”

Section: Discussionmentioning

confidence: 65%

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Retrospective longitudinal assessment of optic nerve sheath diameter in patients with malignant glioma

Feucht,

Kerscher,

Ruff

et al. 2023

Cancer Medicine

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IntroductionGlioblastoma (GBM) is a tumor with rapid growth and a possible relationship to elevated intracranial pressure (ICP). High ICP may not always be associated with clinical signs. A non‐invasive technique for assessment of ICP is measuring the optic nerve sheath diameter (ONSD). Identifying patients who need immediate intervention is of importance in neuro‐oncological care. The goal of this study is to assess the available magnetic resonance imaging (MRI) of patients with GBM with respect to pre‐ and postoperative ONSD.Methods and MaterialsRetrospective data analysis was performed on all patients operated for GBM at a tertiary care center between 2010 and 2020. Two pre and one postoperative MRI had to be available. Clinical data and ONSD at multiple time points were analyzed and correlated, as well as preoperative volumetrics.ResultsSixty‐seven patients met the inclusion criteria. Clinical signs of elevated ICP were seen in 25.4% (n = 17), while significant perifocal edema was present in 67.2% (n = 45) of patients. Clinical signs of preoperatively elevated ICP were associated with significantly elevated ONSD at diagnosis (p < 0.001) as well as preoperative tumor volume (p < 0.001). Significant perifocal edema at the time of diagnosis was associated with elevated ONSD (p = 0.029) and higher tumor volume (p = 0.003). In patients with significant edema, ONSD increased significantly between preoperative MRIs (p = 0.003/005). In patients with clinical signs of raised ICP, ONSD also increased, whereas it was stable in asymptomatic patients (yes: 5.01+/−4.17 to 5.83+/−0.55 mm, p = 0.010, no: 5.17+/−0.46 mm to 5.38+/−0.41 mm, p = 0.81). A significant increase of ONSD from diagnosis to preoperative MRI and a significant decrease until 3 months postoperatively were observed (p < 0.001).ConclusionsONSD might help identify high ICP in patients with GBM. In this first‐of‐its kind study, we observed a significant increase of ONSD preoperatively, likely associated with edema. Postoperatively, ONSD decreased significantly until 3 months after surgery and increased again at 12 months. Further prospective data collection is warranted.

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Section: Discussionmentioning

confidence: 65%

“…This agrees with a recent study of adult neurological patients with ICP elevation and invasive ICP monitoring. The correlation between ONSD measured on CT and ICP was r = 0.5, p < 0.05 16 . Jiang et al 17 .…”

Section: Discussionmentioning

confidence: 87%

Retrospective longitudinal assessment of optic nerve sheath diameter in patients with malignant glioma

Feucht,

Kerscher,

Ruff

et al. 2023

Cancer Medicine

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“…Sustained elevation of ICP may cause postoperative delirium (POD) (8). Optic nerve sheath diameter (ONSD), as assessed by ultrasound, has shown sufficient correlation with real-time evaluation of ICP (9)(10)(11). Unfortunately, the effect of IJV catheterization on ICP and POD during robot-assisted laparoscopy has not been extensively investigated.…”

Section: Introductionmentioning

confidence: 99%

Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery

Yang

Liang

et al. 2023

Front. Med.

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BackgroundWe aimed to evaluate the effects of internal jugular vein (IJV) catheterization on intracranial pressure (ICP) and postoperative delirium (POD) during robot-assisted laparoscopic surgery by measuring the optic nerve sheath diameter (ONSD).MethodsData from a prospective single-center cohort study, conducted from October 2021 to February 2022, were used. Forty out of 80 patients scheduled for laparoscopic radical hysterectomy or prostatectomy were assigned to the group receiving IJV catheterization (Group I), and the other 40 only received peripheral venous cannulation (Group C) according to clinical need of patients. Ultrasonography of ONSDs, the proportion of regurgitation time in a cardiac cycle, and hemodynamic parameters were measured at four time points: immediately after induction of anesthesia in the supine position (T0), 30 min (T1), 60 min (T2) after orienting to the Trendelenburg position, and before returning to the supine position at the end of surgery (T3). Time to eye opening and emergence stay, POD, and QoR-15 were compared.ResultsThe ONSDs increase gradually as the surgery progressed. Group I showed a higher value of ONSD at T1 (4.72 ± 0.29 mm vs. 4.5 ± 0.33 mm, p = 0.0057) and T3 (5.65 ± 0.33 mm vs. 5.26 ± 0.31 mm, p < 0.0001). The proportions of the regurgitation time of IJVV were greater in Group I than those in Group C at T1 (14.95, 8.5%–18.9% vs. 9.6%, 0%–17.2%, p < 0.0001) and T3 (14.3, 10.6%–18.5% vs. 10.4%, 0%–16.5%, p = 0.0003). Group I had a delayed time to eye opening (10.7 ± 1.72 min vs. 13.3 ± 2.35 min, p < 0.0001) and emergence stay (32.2 ± 5.62 min vs. 39.9 ± 6.7 min, p < 0.0001). There were no significant differences in POD and QoR-15 between the two groups on day three.ConclusionIJV cannulation may not be the preferred approach in robot-assisted laparoscopic surgery as it was risk factor for IJVV regurgitation, ICP elevation, emergence delayed.

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Ultrasonic measurement of optic nerve sheath diameter in predicting intracranial hypertension after craniotomy

Yan,

Yao,

Chen

2023

Soft Comput

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Serial Optic Nerve Sheath Diameter via Radiographic Imaging

Cited by 6 publications

References 17 publications

Retrospective longitudinal assessment of optic nerve sheath diameter in patients with malignant glioma

Retrospective longitudinal assessment of optic nerve sheath diameter in patients with malignant glioma

Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery

Ultrasonic measurement of optic nerve sheath diameter in predicting intracranial hypertension after craniotomy

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