Pregled bibliografske jedinice broj: 1268612
Optic nerve sheath sonography is a promising tool for assessment of raised intracranial pressure in patients admitted to neurological intensive care unit
Optic nerve sheath sonography is a promising tool for assessment of raised intracranial pressure in patients admitted to neurological intensive care unit // Acta clinica Croatica, 50 (2020), 1; 50-54 doi:10.20471/acc.2020.59.01.06 (međunarodna recenzija, članak, znanstveni)
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Naslov
Optic nerve sheath sonography is a promising tool for assessment
of raised intracranial pressure in patients admitted to
neurological intensive care unit
Autori
Lovrenčić-Huzjan, Arijana ; Bosnar-Puretić, Marijana ; Hustić, Ivana ; Kobasić, Ivana ; Budišić, Mislav ; Ćorić, Lejla ; Roje-Bedeković Marina
Izvornik
Acta clinica Croatica (0353-9466) 50
(2020), 1;
50-54
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
brain injuries ; traumatic ; intracranial pressure ; optic nerve ; ultrasonography
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).
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Ustanove:
Stomatološki fakultet, Zagreb,
Medicinski fakultet, Zagreb,
KBC "Sestre Milosrdnice"
Citiraj ovu publikaciju:
Časopis indeksira:
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE