Value of Ultrasonographic Optic Nerve Sheath Diameter in Assessing Increased Intracranial Pressure in Patients With Moderate to Severe Traumatic Brain Injury
نویسندگان
چکیده
Methods We enrolled 40 patients admitted over a period of 6 months with moderate to severe traumatic brain injury to the Department of Critical Care Medicine at the Alexandria Main University Hospital. ONSD measurements were performed by means of transorbital sonography daily for 7 days. Marshall and Rotterdam head CT neuroimaging scales were recorded on admission, 48 hours and 5 to 7 days later. Glasgow Outcome Scale (GOS) was assessed six months after discharge for survivors.
منابع مشابه
Optic nerve sheath diameter on initial brain CT, raised intracranial pressure and mortality after severe TBI: an interesting link needing confirmation
Optic nerve sheath diameter (ONSD) enlargement on initial computed tomography (CT) scan has been found to be associated with increased mortality after severe traumatic brain injury. This could offer the possibility to detect patients with raised intracranial pressure requiring urgent therapeutic interventions and/or invasive intracranial monitoring to guide the treatment. The method to measure ...
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PURPOSE Increased intracranial pressure (ICP) is associated with worse outcomes following traumatic brain injury (TBI). Studies have confirmed that ICP is correlated with optic nerve sheath diameter (ONSD) on ultrasound. The aim of our study was to assess the independent relationship between ONSD measured using CT and mortality in a population of patients admitted with severe TBI. METHODS We ...
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