Transorbital Ultrasonographic Measurement of Optic Nerve Sheath Diameter for Intracranial Midline Shift in Patients with Head Trauma.

Abstract:

OBJECTIVE:Measurement of the optic nerve sheath diameter (ONSD) by using sonography is a straightforward, noninvasive technique to detect an increased intracranial pressure, which can even be conducted at the bedside. However, the correlation between ONSD and intracranial midline shift has not been studied. METHODS:The authors performed a prospective, blinded observational study in an intensive care unit. Forty-five patients were divided into groups. Of those, 19 patients had a midline shift, whereas 26 had no intracranial pathology or shift and served as control individuals. RESULTS:Spearman rank correlation coefficient of difference of ONSD and midline shift was 0.761 (P < 0.0005), demonstrating a significant positive correlation between patients with midline shift and control group. CONCLUSIONS:Despite small numbers and selection bias, this study suggests that bedside ultrasound may be useful in the diagnosis of midline intracranial shift by measurement of ONSD.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Kazdal H,Kanat A,Findik H,Sen A,Ozdemir B,Batcik OE,Yavasi O,Inecikli MF

doi

10.1016/j.wneu.2015.10.015

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

292-7

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(15)01358-3

journal_volume

85

pub_type

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