Ultrasonography Monitoring of Optic Nerve Sheath Diameter and Retinal Vessels in Patients with Cerebral Hemorrhage

Naldi, Andrea; Pivetta, Emanuele; Coppo, Lorenzo; Cantello, Roberto; Comi, Cristoforo; Stecco, Alessandro; Cerrato, Paolo; Lesmeister, Martin; Lochner, Piergiorgio

doi:10.1111/jon.12604

Cited by 26 publications

(16 citation statements)

References 32 publications

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“…They emphasize that relative enlargement of the ONSD is a more sensitive indicator of raised ICP than the absolute ONSD value [27]. Naldi et al also investigated ONSD in patients with ICH and have shown that the second assessment of ONSD measurements may be useful in identifying patients with the persistency of elevated ICP [28]. Both studies have indicated the need for more research in this field.…”

Section: Discussionmentioning

confidence: 99%

Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients

et al. 2020

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Background Optic nerve sheath diameter (ONSD) sonography has been proposed as a reliable bedside tool for the detection of increased intracranial pressure (ICP). ONSD reacts almost simultaneously to oscillations in ICP. The aim of this study was to investigate the ONSD dynamics in the acute stage of intracerebral hemorrhage (ICH) and to compare ONSD dynamics to the clinical outcome. Methods We enrolled 35 acute ICH patients and 20 healthy volunteers in this prospective study. At the admission, all patients underwent brain CT scan and ONSD sonography. We repeated the ONSD on the second and the third day in all patients while CT scan was repeated if a patient condition deteriorated. The changes in serial ONSD measurements were termed as stable or unstable ONSD trend. ONSD trend was considered as unstable if variations of average ONSD were above 5%. The outcome of the patient was assessed with the Modified Rankin Scale (mRS) and Glasgow Outcome Scale (GOS). Results In healthy volunteers serial ONSD recordings for 3 days revealed a stable trend in 100%. However, in the study group, 23 patients had unstable and 12 had stable ONSD trend during the acute stage of ICH. The patients with unstable ONSD trend were more likely to have worse outcomes (p value 0.003). Conclusion In patients with ICH, the acute-phase ONSD dynamics can help in predicting the clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients

et al. 2020

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“…Previous studies stated that ONSD is over 5 mm when ICP is over 20 mmHg; ONSD of patients with TBI elevated up to 6.3 to 6.4 mm 29,30,31 . Moreover, ONSD is higher in patients with lower GCS, higher ICP, and in those who die from the injury 7,31,32,33 .…”

Section: Onsdmentioning

confidence: 94%

The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma

Çelik

Demiryürek

2021

Arq. Neuro-Psiquiatr.

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Background: Although intracranial pressure (ICP) monitoring is the gold standard method for measuring intracranial pressure after traumatic brain injury, optic nerve sheath diameter (ONSD) measurement with ultrasound (US) is also used in the evaluation of ICP. Objective: To investigate the association between a series of OSND measurements by US and changes in clinical presentation of the patient. Methods: Prospective study including 162 patients with traumatic brain injury. Age, sex, cerebral CT findings, ONSD levels by US at minutes 0, 60, and 120, Glasgow Coma Scale (GCS) within same period, change of consciousness, treatment, and mortality data were reviewed. The association of ONSD levels with GCS, change of consciousness, treatment, and mortality was evaluated. Results: There was no difference in ONSD changes in the patients’ sample within the period (p=0.326). ONSD significantly increased in patients who died (p<0.001), but not in those who survived (p=0.938). There was no significant change in ONSD of the patients who received anti-edema therapy (p=801), but significantly increased ONSD values were found in those who received anti-edema therapy (p=0.03). Patients without change of consciousness did not have any significant change in ONSD (p=0.672), but ONSD values increased in patients who consciousness became worse, and decreased in those who presented a recovery (respectively, p<0.001, p=0.002). A negative correlation was detected between ONSD values and GSC values measured at primary, secondary, and tertiary time periods (for all p<0.001). Conclusions: ONSD follow-up may be useful to monitor ICP increase in patients with acute traumatic brain injury.

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“…In recent years, development of digital imaging technology, especially the neonatal digital wide-area fundus imaging system made it possible to conduct screening for neonatal eye diseases in ophthalmic hospitals [28,29]. Neonatal digital wide-area fundus imaging systems overcome some of the shortcomings of traditional inspection equipment.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study on Optic Disc Features of Premature Infants and Term Infants

Feng¹,

Ye²,

Pan³

et al. 2020

Preprint

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Background To study optic disc features of premature infants and compare to that of term infants to explore the pattern and features of newborn optic disc development and provide the basis for the diagnosis of newborn optic disc disease. Methods This is a prospective clinical research. Newborns underwent newborn fundus disease screening from January 1st, 2016 to October 31st, 2016 in the neonatal ward of Ruian City Maternal and Child Health Hospital were selected. RetCam 3 Version6.1.25.0 Wide-Field Digital Pediatric Retinal Imaging System developed by Clarity Medical Systems, Inc was adopted to conduct fundus examination on both eyes, 130 degree wide-angle lens was used to film the images centering optic disc. Results For both premature infants and term infants, vertical diameter of the optic disc to lateral diameter of the optic disc ratio was > 1, and the shape of the optic disc was a vertical oval. The difference of each optic disc parameter between premature infants and term infants was not statistically significant (P > 0.05). There’s a difference of constitution of sclerotic ring type on optic disc between premature infants and term infants. Among which, the proportion of single ring type and double ring type in premature infants was higher than that in term infants (P < 0.05). The proportion of no ring type in term infants was higher than that in premature infants (P < 0.05). The proportion of mixed type had no significant difference (P > 0.05) between premature infants and term infants. Conclusions We found that The proportion of mature types (single ring type and double ring type) in term infants was higher than that in premature infants. While there’s no statistical difference of the proportion of mixed types between premature infants and term infants.Double ring type is a normal stage of the development of optic disc.

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Ultrasonography Monitoring of Optic Nerve Sheath Diameter and Retinal Vessels in Patients with Cerebral Hemorrhage

Cited by 26 publications

References 32 publications

Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients

Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients

The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma

Comparative Study on Optic Disc Features of Premature Infants and Term Infants

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