Evaluation of Optic Nerve Sheath Diameter and Transcranial Doppler As Noninvasive Tools to Detect Raised Intracranial Pressure in Children

@article{Sharawat2020EvaluationOO,
  title={Evaluation of Optic Nerve Sheath Diameter and Transcranial Doppler As Noninvasive Tools to Detect Raised Intracranial Pressure in Children},
  author={I. Sharawat and A. Kasinathan and A. Bansal and J. Sahu and K. Sodhi and M. Dogra and N. Sankhyan},
  journal={Pediatric Critical Care Medicine},
  year={2020},
  volume={21},
  pages={959 - 965}
}
Supplemental Digital Content is available in the text. Objectives: To compare the diagnostic accuracy of the ultrasonography-guided optic nerve sheath diameter with transcranial Doppler-guided middle cerebral artery flow indices against the gold standard invasive intraparenchymal intracranial pressure values in children. Design: A single-center prospective cohort study. Setting: PICU of a tertiary care teaching hospital in North India. Patients: Eligible children (2–12 yr) are admitted to ICU… Expand
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References

SHOWING 1-10 OF 20 REFERENCES
Bedside sonographic measurement of optic nerve sheath diameter as a predictor of increased intracranial pressure in children.
TLDR
The sensitivity and specificity of bedside sonographic measurement of optic nerve sheath diameter is inadequate to aid medical decisionmaking in children with suspected increased intracranial pressure. Expand
Optic Nerve Ultrasound for the Detection of Raised Intracranial Pressure
TLDR
Bedside ONSD measurement, performed by neurointensivists, is an accurate, non-invasive method to identify ICP > 20 mmHg in a heterogeneous group of patients with acute brain injury. Expand
Clinical Validation of a Transcranial Doppler-Based Noninvasive Intracranial Pressure Meter: A Prospective Cross-Sectional Study.
TLDR
The Vittamed ICP meter had fair agreement with lumbar CSF pressure measurement, which would preclude using this version of the device as a stand-alone method for ICP determination, but may be useful if combined with other ICP screening methods. Expand
The relationship between transorbital ultrasound measurement of the optic nerve sheath diameter (ONSD) and invasively measured ICP in children
TLDR
Transorbital ultrasound measurement of the OSND is a reliable and reproducible technique, demonstrating a good relationship with ICP and high diagnostic accuracy for detecting raised ICP. Expand
Monitoring of increased intracranial pressure resulting from cerebral edema with transcranial Doppler sonography in patients with middle cerebral artery infarction.
TLDR
Transcranial Doppler sonography enables noninvasive monitoring of raised intracranial pressure in patients with large infarctions and provides information for detecting cerebral herniation and deciding on the medical or surgical therapy. Expand
Transcranial Doppler sonography pulsatility index (PI) reflects intracranial pressure (ICP).
BACKGROUND In patients with intracranial pathology, especially when comatose, it is desirable to have knowledge of the intracranial pressure (ICP). To investigate the relationship between ICP andExpand
Improved diagnostic value of a TCD-based non-invasive ICP measurement method compared with the sonographic ONSD method for detecting elevated intracranial pressure
TLDR
The non-invasive ICP measurement method based on two-depth TCD technology has a better diagnostic reliability on neurological patients than the ONSD method when expressed by the sensitivity and specificity for detecting elevated ICP >14·7 mmHg. Expand
Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review
TLDR
An overview of the advantages and disadvantages of the most common and well-known methods as well as whether noninvasive techniques can be used as reliable alternatives to the invasive techniques is provided. Expand
New transcranial Doppler index in infants with hydrocephalus: transsystolic time in clinical practice.
TLDR
Measuring transsystolic time as measured with TCD can be helpful in the decision-making process about whether to perform CSF diversion in infants with hydrocephalus, and has a closer relation to ICP than the PI and the RI. Expand
Blood Flow Velocities Are Reduced in the Optic Nerve of Children with Elevated Intracranial Pressure
TLDR
Spectral Doppler imaging is a noninvasive test well tolerated in children that identifies blood flow velocity changes in elevated intracranial pressure. Expand
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