Ultrasonography of the optic nerve sheath in brain death
Autor: | Vida Demarin, Marijana Bosnar Puretić, Vlasta Vuković Cvetković, Bojan Rode, Irena Martinić Popović, Marinko Vucic, A. Lovrenčić-Huzjan, Aleksandar Gopčević, Darja Šodec Šimičević |
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Rok vydání: | 2012 |
Předmět: |
Optic nerve sheath
Brain death Subarachnoid hemorrhage Intracranial pressure business.industry General Medicine Anatomy medicine.disease Sagittal plane Parenchymal hemorrhage Transversal plane medicine.anatomical_structure Optic nerve sheath diameter Optic nerve medicine Ultrasonography business Nuclear medicine brain death optic nerve |
Zdroj: | Perspectives in Medicine. 1:414-416 |
ISSN: | 2211-968X |
DOI: | 10.1016/j.permed.2012.02.060 |
Popis: | Evaluation of optic nerve sheath by means of optic nerve ultrasonography (ONUS) is a reliable tool for assessment of patients with increased intracranial pressure. The aim of this study was to present the usefulness of optic nerve sheath ultrasonography in patients with brain death. Ten patients with brain death as a result of traumatic or non-traumatic causes were evaluated by ONUS. Optic nerve sheath diameter (ONSD) was measured with a 12 MHz linear ultrasound probe (Terason T3000, Teratech Corporation, USA). The probe was adjusted to give a suitable angle for displaying the entry of the optic nerve into the globe, at the depth of 3 mm behind the globe. For each optic nerve four measurements were made, twice in transversal and twice in the sagittal plane, by rotating the probe clockwise. Mean ONSD for brain death patients were compared with mean ONSD of 17 healthy controls. Ten individuals (7 males) with confirmed brain death (5 due to neurotrauma, 2 due to subarachnoid hemorrhage, 2 as a result of ischemic strokes and one of parenchymal hemorrhage), were evaluated. On the left side mean ONSD was 0.71 ± 0.06 cm on transversal plane and 0.72 ± 0.04 cm on sagittal plane. On the right side mean ONSD was 0.73 ± 0.05 cm on transversal plane and 0.73 ± 0.06 on sagittal plane. In controls left mean ONSD was 0.51 ± 0.05 cm on transversal plane and 0.55 ± 0.06 cm on sagittal plane. On the side right mean ONSD was 0.52 ± 0.05 cm on transversal plane and 0.54 ± 0.07 on sagittal plane. Mean ONSD in brain death was 0.72 ± 0.05 cm and 0.53 ± 0.06 cm in controls (p |
Databáze: | OpenAIRE |
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