Izvorni znanstveni članak

https://doi.org/10.20471/acc.2020.59.01.06

Optic Nerve Sheath Sonography Is a Promising Tool for Assessment of Raised Intracranial Pressure in Patients Admitted to Neurological Intensive Care Unit

Arijana Lovrenčić-Huzjan orcid.org/0000-0002-6911-4159 ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia; University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Marijana Bosnar-Puretić ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Ivana Hustić orcid.org/0000-0002-4481-1281 ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Ivana Kobasić orcid.org/0000-0001-7506-3530 ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Mislav Budišić ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Lejla Ćorić ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Marina Roje-Bedeković orcid.org/0000-0002-3469-1589 ; Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia

Sažetak

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 (p<0.01). ONSD was 6.28+0.61 mm in patients with GCS <8 and 5.77+0.55 mm in other patients (p<0.05). ONSD was 5.72+0.59 mm in
PICH versus 6.20+0.65 mm in PICH/SAH with IVH (p=0.1). ONSD was 5.73+0.38 mm in SAH in comparison to PICH/SAH with IVH (p=0.05). There was no statistically significant difference in optic nerve diameter between patients and controls (2.48+0.28 mm vs. 2.39+0.33 mm; p>0.05). Pronounced enlargement of ONSD was observed in patients with ICH or SAH with IVH, and in patients with GCS <8. Enlarged ONSD was associated with poor neurological outcome (mRS >3).

Ključne riječi

Optic nerve; Brain injuries, traumatic; Intracranial pressure; Ultrasonography

Hrčak ID:

242195

URI

https://hrcak.srce.hr/242195

Datum izdavanja:

1.3.2020.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.426 *