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Review
. 2021 Mar;10(1):14-22.
doi: 10.1055/s-0040-1716385. Epub 2020 Sep 7.

Is Ocular Sonography a Reliable Method for the Assessment of Elevated Intracranial Pressure in Children?

Dincer Yildizdas  1 , Nagehan Aslan  1
Affiliations
Review

Is Ocular Sonography a Reliable Method for the Assessment of Elevated Intracranial Pressure in Children?

Dincer Yildizdas et al. J Pediatr Intensive Care. 2021 Mar.

Abstract

Point-of-care ultrasound has been widely used by clinicians at the bedside in recent years. Various types of point-of-care ultrasound practices are employed, especially in pediatric emergency rooms and intensive care units. Pediatric intensive care specialists perform point-of-care ultrasound virtually as a part of physical examination since it provides just-in-time vital clinical information, which could assist in acute management strategies in critically ill patients. Measurement of optic nerve sheath diameter using point-of-care ultrasound is a noninvasive and radiation-free technique to determine raised intracranial pressure. Ophthalmic artery and central retinal artery Doppler indices can be used as transcranial Doppler to assess raised intracranial pressure. The aim of this review was to provide detailed information on ultrasonographic measurements of optic nerve sheath diameter and central retinal artery Doppler indices as techniques of interest for predicting increased intracranial pressure in pediatric patients in view of the literature.

Keywords: optic nerve sheath diameter; orbital artery Doppler indices; pediatric intensive care unit; point-of-care ultrasound.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Ultrasonographic view of optic globe and ONSD Ultrasonographic measurement techniques for ONSD. ONSD, optic nerve sheath diameter.
Fig. 2
Fig. 2
( A ) Axial approach, ( B ) coronal approach.
Fig. 3
Fig. 3
Color Doppler assessment of orbital arteries. Measurements of PSV and EDV and calculation of RI with these values. EDV, end-diastolic velocity; PSV, peak systolic velocity; RI, resistive index.
See this image and copyright information in PMC

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