The evaluation of intracranial pressure evaluation by optic nerve sheath diameter measurement on bedside ultrasonography after ischemic stroke

We aimed to predict intracranial pressure(ICP)after cerebral ischemic stroke by measuring diameter of the optic nerve sheath(ONSD)with bedside ultrasonography(US). In order to see the ICP changes,it was planned to record delta ICP changes at the 3rd and 5th day follow-up of the patients Patients age...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2021-10, Vol.209, p.106914-106914, Article 106914
Main Authors: Yildiz, Goknur, Acar, Nurdan, Cevik, Arif Alper, Ozdemir, Atilla Ozcan, Metintas, Selma, Kaplan, Davut, Ozakin, Engin, Yıldız, Can Gökay, Ayyildiz, Ayse
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Correlation analysis
Decompression
Edema
Emergency medical care
Emergency ultrasonography
Female
Humans
Intracranial pressure
Intracranial Pressure - physiology
Ischemia
Ischemic Stroke - diagnostic imaging
Ischemic Stroke - physiopathology
Magnetic resonance imaging
Male
Middle Aged
Neurology
Optic nerve
Optic Nerve - diagnostic imaging
Optic Nerve - physiopathology
Optic nerve sheath diameter
Patients
Prospective Studies
Stroke
t-Plasminogen activator
Ultrasonic imaging
Variance analysis
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Summary:We aimed to predict intracranial pressure(ICP)after cerebral ischemic stroke by measuring diameter of the optic nerve sheath(ONSD)with bedside ultrasonography(US). In order to see the ICP changes,it was planned to record delta ICP changes at the 3rd and 5th day follow-up of the patients Patients aged 18 years or older who were admitted to the emergency department(ED)with stroke symptoms for one year were included.Demographic data,time elapsed since the onset of symptoms,neurogical status assesment scales,ONSD values measured by US in three time periods(the day the patient was admitted to the ED,the 3rd and 5th days of hospitalization),MDCT findings when the patient was admitted,ONSD values in MDCT,whether they received tissue plasminogen activator(tPA)and whether they underwent decompression surgery were recorded. The average age of the 82 patients was 67.5(range 33–89)years.Forty-two patients(51.2%)were male.On both the right and left sides,ONSD on the 3rd day was larger(>5 mm)than on first day(p  0.05). All ONSD results measured using both US and MDCT showed a positive correlation between the same eye and contralateral eye measurements(p 
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2021.106914