Optic nerve sheath sonography is a promising tool for assessment of raised intracranial pressure in patients admitted to neurological intensive care unit
| Autor: | Ivana Kobasić, Marijana Bosnar-Puretić, Ivana Hustić, Marina Roje-Bedeković, Mislav Budišić, Arijana Lovrenčić-Huzjan, Lejla Ćorić |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
030213 general clinical medicine 0209 industrial biotechnology Subarachnoid hemorrhage Traumatic brain injury Optic nerve Intracranial pressure lcsh:Medicine 02 engineering and technology 03 medical and health sciences 020901 industrial engineering & automation 0302 clinical medicine Modified Rankin Scale medicine Humans cardiovascular diseases Original Scientific Papers Aged Ultrasonography Intracerebral hemorrhage business.industry lcsh:R Glasgow Coma Scale General Medicine Middle Aged medicine.disease nervous system diseases Hospitalization Intensive Care Units Intraventricular hemorrhage Anesthesia Brain injuries traumatic Female brain injuries traumatic intracranial pressure optic nerve ultrasonography Intracranial Hypertension business |
| Zdroj: | Acta Clinica Croatica, Vol 59, Iss 1., Pp 50-54 (2020) Acta Clinica Croatica |
| Popis: | SUMMARY Optic nerve sheath diameter (ONSD) enlargement is detectable in traumatic brain injury patients with raised intracranial pressure (ICP). The aim was to assess its value in neurological patients suspected to have increased ICP. Patient clinical imaging data and hospitalization outcome were analyzed. Patients were divided into groups according to brain pathology and level of consciousness with Glasgow Coma Score (GCS). Poor hospitalization outcome was assessed by modified Rankin scale (mRS) >3. Data obtained by ocular sonography performed in acute setting were compared with data of 100 control subjects. Data were expressed as mean ± SD. Intergroup comparison was performed by Student’s t-test. Data of 34 patients (63+16 years) were suitable for analysis, including 8 primary intracerebral hemorrhage (PICH), 8 subarachnoid hemorrhage (SAH), 12 PICH or SAH and intraventricular hemorrhage (IVH), 4 tumors and 2 ischemic strokes. The mean ONSD was 5.86+0.69 mm in patients versus 4.38+0.41 mm in controls (p0.05). Pronounced enlargement of ONSD was observed in patients with ICH or SAH with IVH, and in patients with GCS 3). |
| Databáze: | OpenAIRE |
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