+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Role of serial ultrasonic optic nerve sheath diameter monitoring in head injury

Role of serial ultrasonic optic nerve sheath diameter monitoring in head injury

Neuro-Chirurgie 63(6): 444-448

To compare optic nerve sheath diameter (ONSD) measurements in head injury patients with a group of normal subjects and investigate the significance of serial ONSD monitoring in head injury patients. All patients with a head injury admitted to our hospital with a program of conservative management at the time of admission were included in this prospective study. On admission, the patient was assessed using the Glasgow Coma Scale (GCS), orbital ultrasound for optic nerve sheath diameter (ONSD), and CT brain scan. CT scan findings were tabulated with Marshall and Rotterdam scores. The patient was serially assessed with ONSD every 24 to 48hours. If the patient deteriorated, repeat CT and ONSD measurements were performed. A control group consisting of normal subjects was used for comparison. The case group consisted of 40 patients and the control group included 16 volunteers. The mean age of the case group was 38.9 years and the control group 36.3 years. The mean ONSD was 4.8mm in the case group as compared to 3.4mm in control group (P<0.0001). In the case group, we found a significant correlation between GCS and ONSD, GCS and radiological scores and ONSD and radiological scores. The change in serial recordings of ONSD measurements were termed ascending, descending or static. All the patients with descending trend in serial ONSD values had good outcome and required no surgical intervention. Ultrasound ONSD measurement is a useful investigation tool in a setting where invasive ICP monitoring is not available. Serial recording of ONSD is valuable and provides valuable information regarding decision making.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 060217571

Download citation: RISBibTeXText

PMID: 29122307

DOI: 10.1016/j.neuchi.2017.06.001

Related references

Is initial optic nerve sheath diameter prognostic of specific head injury in emergency departments?. Journal of the National Medical Association 111(2): 210-217, 2019

Intracranial Pressure Assessment in Traumatic Head Injury with Hemorrhage Via Optic Nerve Sheath Diameter. Journal of Neurotrauma 33(23): 2147-2153, 2016

Emergency department sonographic measurement of optic nerve sheath diameter to detect findings of increased intracranial pressure in adult head injury patients. Annals of Emergency Medicine 49(4): 508-514, 2007

Noninvasive Transorbital Assessment of the Optic Nerve Sheath in Children: Relationship Between Optic Nerve Sheath Diameter, Deformability Index, and Intracranial Pressure. Operative Neurosurgery 16(6): 726-733, 2019

Ultrasonic measurement of optic nerve sheath diameter in the management of benign intracranial hypertension. ARVO Annual Meeting Abstract Search & Program Planner : Abstract No 611, 2003

Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients' Daily Monitoring. Biomed Research International 2017: 1621428, 2017

Intra- and interobserver reliability of transorbital sonographic assessment of the optic nerve sheath diameter and optic nerve diameter in healthy adults. Journal of Ultrasound 19(1): 41-45, 2016

Measuring the optic nerve sheath diameter in a head-injured man. Jaapa 21(12): 27-8 30, 2008

Serial optic nerve sheath diameter ultrasonography during pediatric diabetic ketoacidosis management: A pilot study. Journal of Diabetes and its Complications 30(8): 1600-1602, 2016

Ultrasound measurement of optic nerve diameter and optic nerve sheath diameter in healthy Chinese adults. Bmc Neurology 15: 106, 2015

Monitoring of Intracranial Pressure by CT-Defined Optic Nerve Sheath Diameter. Journal of Neuroimaging 26(3): 309-314, 2016

Optic Nerve Sheath Diameter Assessment in Patients with Intracranial Pressure Monitoring. Cureus 10(11): E3546, 2018

Transocular Doppler and optic nerve sheath diameter monitoring to detect intracranial hypertension. Advanced Biomedical Research 4: 231, 2015

Lower body negative pressure reduces optic nerve sheath diameter during head-down tilt. Journal of Applied Physiology 123(5): 1139-1144, 2017

Ultrasonic measurement of optic nerve sheath diameter: a non-invasive surrogate approach for dynamic, real-time evaluation of intracranial pressure. British Journal of Ophthalmology 103(4): 437-441, 2019