Application of ultrasound monitoring optic nerve sheath diameter in diagnosis and treatment of adult patients with intracranial hypertension
10.3760/cma.j.cn115455-20210521-00674
- VernacularTitle:超声监测视神经鞘直径在成年人颅内压增高患者诊治中的应用
- Author:
Chengyin LIU
1
;
Xiang′en SHI
;
Youquan WANG
;
Jinju YANG
;
Yuming SUN
;
Fangjun LIU
;
Hui SHEN
;
Fuzheng ZHANG
Author Information
1. 北京市平谷区医院神经外科，北京 101200
- Keywords:
Ultrasonography, Doppler, transcranial;
Optic nervel;
Intracranial pressure;
Osmotic therapy
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(5):403-406
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of ultrasound measurement of optic nerve sheath diameter (ONSD) in adult patients with elevated intracranial pressure (ICP).Method:From June 2017 to March 2020, A total of 64 patients (32 patients with elevated ICP and 32 patients with normal ICP) were placed with invasive intracranial pressure monitoring probe in Beijing Pinggu Hospital. Their ICP and ONSD were continuously monitored. Thirty-two healthy volunteers were recruited as control group to check ONSD. The correlation between ONSD and ICP, and the changes of ICP and ONSD after osmotic therapy were observed.Results:The ONSD in ICP increased group was significantly higher than that in normal ICP group: (5.77 ± 0.3) mm vs. (5.01 ± 0.1) mm, with statistical difference ( P<0.05), and there was a positive correlation between ONSD and ICP. There was no significant difference in ONSD between normal ICP group and control group ( P>0.05). Conclusions:Ultrasound monitoring ONSD can reflect the level of ICP and evaluate the effect of osmotic therapy and the prognosis of patients. Bedside ultrasound examination of optic nerve sheath diameter could be used to judge ICP and to evaluate the curative effect of osmotic therapy, with high clinical application value.
