Optic Nerve Sheath Diameter Measurement in Children Presenting to a Pediatric Emergency Department with Head Trauma
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2019, Vol 6, Issue 1
Abstract
Introduction: Optic nerve sheath diameter (ONSD) measurement is a non-invasive and easy imaging technique for the estimation of intracranial pressure in children and adults. We aimed to measure the ONSD in pediatric patients with head trauma. Methods: In this study, 40 patients with head trauma and age- and sex-matched 40 healthy children were included. Nerve sheath diameter was measured by transorbital sonography. Results: Diameter of the mean optic nerve sheath of the right and left eye of the patients were 0.408±0.064 mm and 0.417±0.065 mm, respectively; both results were higher in patients than in controls. In the right eyes of the patients, the ONSD values had a negative correlation with Glasgow Coma Scale scores. There was a positive correlation between systolic and diastolic blood pressures and optic nerve sheath diameters of patients. Clinical status of the patients at admission and blood pH levels were associated with ONSD. Conclusion: The result of our study indicated that ONSD measurement is a non-invasive technique and can be used easily to estimate increased intracranial pressure in pediatric emergency departments.
Authors and Affiliations
Sabiha Şahin, Kürşat Bora Carman, Coşkun Yarar
Keywords
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- EP ID EP539027
- DOI 10.4274/cayd.galenos.2019.47450
- Views 93
- Downloads 0
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