Measurement of Optic Nerve Sheath Diameter to Detect Increased Intracranial Pressure in Hypertensive Patients
Journal Title: Eurasian Journal of Emergency Medicine - Year 2020, Vol 19, Issue 1
Abstract
Aim: Our aim was to measure optic nerve sheath diameter (ONSDM) by ultrasonography and to detect whether ONSDM reflected intracranial pressure in hypertensive patients. Materials and Methods: This observational study was performed prospectively in 149 individuals, 77 (51.7%) of whom were female, including 54 hypertensive-symptomatic patients, 45 hypertensive-asymptomatic patients, and 50 healthy volunteers referred to Emergency Medicine Service of Necmettin Erbakan University, Faculty of Medicine. Blood pressure was measured on the right and left upper extremities by the same sphygmomanometer following at least five minutes of rest. ONSDM was recorded. All measurements of hypertensive-symptomatic patients were repeated at 30th minute following antihypertensive therapy. Results: Moderate-to-well statistically significant correlations were determined between initial mean systolic blood pressure and ONSDM (rho=0.629, p=0.001) as well as between initial mean diastolic blood pressure and ONSDM (rho=0.561, p=0.001) in all study groups. Statistically significant differences were determined between the mean pre- and post-treatment systolic and diastolic blood pressures as well as the mean pre- and post-treatment ONSDM values of 40 patients who received antihypertensive therapy (p=0.000, p=0.000, p=0.000, respectively). Conclusion: Ultrasonographic ONSDM reflected increased intracranial pressure in hypertensive patients. The reduction of intracranial pressure was also detected by the same method following antihypertensive treatment. Ultrasonographic ONSDM along with clinical findings and blood pressure measurements may be used for evaluation of response to treatment and deciding on further imaging.
Authors and Affiliations
Cesareddin Dikmetaş, Mehmet Ergin, Çiğdem Savaş Duman, Mustafa Gülpembe, Tarık Acar, Kenan Yavuz, Başar Cander, Sadık Girişgin, Sedat Koçak
Keywords
Related Articles
- EP ID EP684352
- DOI 10.4274/eajem.galenos.2019.71463
- Views 200
- Downloads 0
Poorly Developed Scenarios May Interface with Reliability of Triage Scales
no summary
Characteristics of Patients with Tramadol Use or Abuse: A Systematic Review and Meta-Analysis
Recently, an increasing number of studies have reported an association between the incidence of seizures and the use or abuse of tramadol. The aim of this study was to review articles involving patients with tramadol-ind...
An Unusual Case of Bacterial Meningitis
Bacterial meningitis is a medical emergency that requires prompt identification and treatment in the emergency department (ED). Medical management is the mainstay of treatment. However, some patients may require neurosur...
The Effect of Low Dose Ketamine on the Need for Morphine in Patients with Multiple Trauma in Emergency Department
Aim: There are a few analgesic drugs (morphine, ketamine, Paracetamol, etc.) used for pain control in injury patients. Previous studies showed that low-dose ketamine (doses less than 1 mg/kg) promptly and satisfactorily...
Evaluation of the Impact of a 2-Day Point-of-care Ultrasonography Course on the Theoretical Knowledge and Practical Skills of Physicians
Aim: This study aimed to evaluate the impact of Turkey’s first European accredited 2-day point-of-care ultrasonography (POCUS) course on the theoretical knowledge and practical skills of physicians. Materials and Method...