IMR Press / JIN / Volume 21 / Issue 2 / DOI: 10.31083/j.jin2102054
Open Access Original Research
Can optic nerve sheath diameter assessment be used as a non-invasive tool to dynamically monitor intracranial pressure?
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1 Department of Neurosurgery, the Second Hospital of Hebei Medical University, 050000 Shijiazhuang, Hebei, China
2 Department of Neurosurgery, Shijiazhuang People’s Hospital, 050000 Shijiazhuang, Hebei, China
3 Department of Neurosurgery, The Third Hospital of Hebei Medical University, 050000 Shijiazhuang, Hebei, China
4 Department of Critical Care medicine, The Third Hospital of Hebei Medical University, 050000 Shijiazhuang, Hebei, China
*Correspondence: ji20210830@163.com (Jian-Ying Guo)
These authors contributed equally.
Academic Editor: Jesús Pastor Gómez
J. Integr. Neurosci. 2022, 21(2), 54; https://doi.org/10.31083/j.jin2102054
Submitted: 30 August 2021 | Revised: 11 November 2021 | Accepted: 29 December 2021 | Published: 22 March 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

This study aims to detect whether the optic nerve sheath diameter (ONSD) can be used to dynamically monitor intracranial pressure (ICP). Adult patients undergoing invasive ICP monitoring on the day of admission are included in this study. For each patient, the ONSD is first measured in the supine position and then in the 30 head-up position. Subsequently, a dynamic test is conducted on 16 patients. The ONSD is measured in the supine position once a day for three consecutive days starting on the day of admission. There is a strong correlation between the ONSD and ICP values in the supine position on admission (r = 0.799), and when patients are changed from the supine to the 30 head-up position, the ICP and ONSD values decrease correspondingly. However, the change in ICP is not strongly correlated with the change in ONSD (r = 0.358). In the dynamic test, a good agreement between the ICP and ONSD only exists in three patients (18.8%), and three patients have completely different profiles for ICP and ONSD. These results suggest that the changes in the ONSD and ICP values are not closely correlated after dynamic observation. Therefore, measurement of the ONSD may not be a suitable tool to dynamically monitor ICP.

Keywords
Optic nerve sheath diameter
Intracranial pressure
Ultrasonography
Dynamic method
Position
Figures
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