The evaluation value of ultrasound measurement of optic disc combined with optic nerve sheath in patients with severe high intracranial pressure
- VernacularTitle:超声测量视盘联合视神经鞘对重症高颅压患者的评估价值
- Author:
Zeyang YU
1
;
Xiaonan SONG
1
;
Cong LI
1
Author Information
- Publication Type:Journal Article
- Keywords: Ultrasound; Optic nerve sheath diameter; Optic disc height; Intracranial hypertension
- From: Journal of Apoplexy and Nervous Diseases 2021;38(11):976-979
- CountryChina
- Language:Chinese
- Abstract: To explore whether ultrasound measurement of optic disc height can evaluate intracranial hypertension and the value of ultrasound measurement of optic nerve sheath diameter combined with optic disc height in the diagnosis of elevated intracranial hypertension. Methods Enrolled patients who needed lumbar puncture in the Department of Neurology of the First Hospital of Jilin University between July 2019 and November 2020.Complete ultrasound examination before lumbar puncture，measure ONSD and ODH. According to the lumbar puncture pressure，the patients were divided into normal intracranial pressure group and intracranial hypertension group. Singlefactor and multifactor analysis were performed to obtain the relationship between ICP and each ultrasound data. Analyze the correlation between ICP and ONSD and ODH. Generate ROC curve，evaluate and compare the value of ONSD，ODH and ONSD combined with ODH in diagnosing intracranial hypertension. Results A total of 78 patients，39 cases in each group. There was no statistical difference in baseline data between the two groups. （1） ONSD［（5.04±0.34） mm］in intracranial hypertension group is higher than normal intracranial pressure group［（4.17±0.38） mm］（P<0.001）；ODH［0.81 （0.59-1） mm］in intracranial hypertension group is higher than normal intracranial pressure group［0.39 （0-0.59） mm］（P<0.001）；（2）Correlation analysis showed that ICP was positively correlated with ONSD （r=0.779，P<0.001）and ODH（r=0.572，P<0.001）；（3） The cutoff value of ODH for diagnosing elevated ICP is 0.54 mm，the sensitivity and specificity are 85% and 72%，respectively；the cutoff value of ONSD for diagnosing elevated ICP is 4.68 mm，the sensitivity and specificity are 87% and 95%，respectively；The sensitivity and specificity of ONSD combined with ODH in the diagnosis of elevated ICP are 95% and 95%，respectively；（4）Compare the value of the three in diagnosing elevated ICP，ONSD is greater than ODH （P=0.036），ONSD combined with ODH is greater than ONSD（P=0.043）or ODH （P=0.001） alone. Conclusion Ultrasound measurement of ODH can be used to diagnose intracranial hypertension.ONSD combined with ODH can improve the sensitivity of diagnosing elevated ICP.
- Full text:2024072822322250917The evaluation value of ultrasound measurement of optic disc combined with optic nerve sheath in patients with severe high intracranial pressure.pdf
