Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Jan 21:2019:9215853.
doi: 10.1155/2019/9215853. eCollection 2019.

Ocular Ultrasonography: A Useful Instrument in Patients with Trauma Brain Injury in Emergency Service

Affiliations
Review

Ocular Ultrasonography: A Useful Instrument in Patients with Trauma Brain Injury in Emergency Service

Julie Natalie Jimenez Restrepo et al. Emerg Med Int. .

Abstract

The measurement of the optic nerve sheath by ocular ultrasonography might be an indirect method to assess the quickly increase of the intracranial pressure in patients with moderate trauma brain injury, taking into account that an important proportion of these could develop the increase of the intracranial pressure in a hospital-acquired way. Therefore noninvasive, reliable, and convenient techniques are needed making the ocular ultrasonography a useful tool, due to the invasive monitoring elements' problems and the poor access to measure the intracranial pressure in emergency services. In spite of the limitations and few studies that exist to consider it as a possible early detection, this technique could work as a noninvasive one in the case that could not be possible to do invasive monitoring or when it is not recommended.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Search methods in databases.
Figure 2
Figure 2
Representation of the anatomy under ultrasound vision.
Figure 3
Figure 3
Ocular ultrasonography, mode B, with measurement of the optic nerve sheath, suggestive of endocranial hypertension, (a) transverse view, and (b) sagittal view.

References

    1. Tayal V. S., Neulander M., Norton H. J., Foster T., Saunders T., Blaivas M. Emergency department sonographic measurement of optic nerve sheath diameter to detect findings of increased intracranial pressure in adult head injury patients. Annals of Emergency Medicine. 2007;49(4):508–514. doi: 10.1016/j.annemergmed.2006.06.040. - DOI - PubMed
    1. Raboel P. H., Bartek J., Andresen M., Bellander B. M., Romner B. Intracranial pressure monitoring: Invasive versus non-invasive methods-a review. Critical Care Research and Practice. 2012;2012:14. doi: 10.1155/2012/950393.950393 - DOI - PMC - PubMed
    1. Kimberly H. H., Shah S., Marill K., Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Academic Emergency Medicine. 2008;15(2):201–204. doi: 10.1111/j.1553-2712.2007.00031.x. - DOI - PubMed
    1. Goel R. S., Goyal N. K., Dharap S. B., Kumar M., Gore M. A. Utility of optic nerve ultrasonography in head injury. Injury. 2008;39(5):519–524. doi: 10.1016/j.injury.2007.09.029. - DOI - PubMed
    1. Hassen G. W., Bruck I., Donahue J., et al. Accuracy of Optic Nerve Sheath Diameter Measurement by Emergency Physicians Using Bedside Ultrasound. The Journal of Emergency Medicine. 2015;48(4):450–457. doi: 10.1016/j.jemermed.2014.09.060. - DOI - PubMed

LinkOut - more resources