Journal ArticleDOI
Ultrasonography of the optic nerve sheath may be useful for detecting raised intracranial pressure after severe brain injury
Thomas Geeraerts,Yoann Launey,Laurent Martin,Julien Pottecher,Bernard Vigué,Jacques Duranteau,Dan Benhamou +6 more
TLDR
In the early posttraumatic period, ocular ultrasound scans may be useful for detecting high ICP after severe TBI in patients with severe traumatic brain injury.Abstract:
Objective
To assess at admission to the ICU the relationship between optic nerve sheath diameter (ONSD) and intracranial pressure (ICP) and to investigate whether increased ONSD at patient admission is associated with raised ICP in the first 48 h after trauma.read more
Citations
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Journal ArticleDOI
Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis
TL;DR: Ultrasonography of ONSD shows a good level of diagnostic accuracy for detecting intracranial hypertension, which may help physicians decide to transfer patients to specialized centers or to place an invasive device when specific recommendations for this placement do not exist.
Journal ArticleDOI
Optic nerve ultrasound for the detection of raised intracranial pressure.
TL;DR: 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.
Journal ArticleDOI
Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods-A Review
TL;DR: 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.
Journal ArticleDOI
Non-invasive assessment of intracranial pressure using ocular sonography in neurocritical care patients
TL;DR: In sedated neurocritical care patients, non-invasive sonographic measurements of ONSD are correlated with invasive ICP, and the probability to have raised ICP if ONSD is less than 5.86 mm is very low.
Journal ArticleDOI
Use of T2-weighted magnetic resonance imaging of the optic nerve sheath to detect raised intracranial pressure
Thomas Geeraerts,Virginia F. J. Newcombe,Jonathan P. Coles,Maria Giulia Abate,Iain E Perkes,Peter J. Hutchinson,Joanne G. Outtrim,Doris A. Chatfield,David K. Menon +8 more
TL;DR: When brain MRI is indicated, ONSD measurement on images obtained using routine sequences can provide a quantitative estimate of the likelihood of significant intracranial hypertension.
References
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Journal ArticleDOI
Traumatic brain injury.
TL;DR: Quantification of cerebral perfusion by monitoring of intracranial pressure and treatment of cerebral hypoperfusion decrease secondary injury and an organised trauma system that allows rapid resuscitation and transport directly to an experienced trauma centre significantly lowers mortality and morbidity.
Journal ArticleDOI
The role of secondary brain injury in determining outcome from severe head injury.
Randall M. Chesnut,Lawrence F. Marshall,Melville R. Klauber,Barbara A. Blunt,Nevan Baldwin,Howard M. Eisenberg,John A. Jane,Anthony Marmarou,Mary A. Foulkes +8 more
TL;DR: The increased morbidity and mortality related to severe trauma to an extracranial organ system appeared primarily attributable to associated hypotension, and improvements in trauma care delivery over the past decade have not markedly altered the adverse influence of hypotension.
Journal ArticleDOI
The outcome from severe head injury with early diagnosis and intensive management
TL;DR: It is proposed that vigorous surgical and medical therapy, by preventing or reversing secondary cerebral insults, enables some patients who would have died to make a good recovery without increasing the proportion of severely disabled patients.
Journal Article
The diagnosis of head injury requires a classification based on computed axial tomography.
Lawrence F. Marshall,Sharon Bowers Marshall,Melville R. Klauber,Van Berkum Clark M,Howard M. Eisenberg,John A. Jane,Thomas G. Luerssen,A Marmarou,Mary A. Foulkes +8 more
TL;DR: A new classification scheme to be used both as a research and a clinical tool in association with other predictors of neurologic status is described.
Journal ArticleDOI
Initial CT findings in 753 patients with severe head injury. A report from the NIH Traumatic Coma Data Bank
Howard M. Eisenberg,Gary He,Aldrich Ef,C Saydjari,B. Turner,Mary A. Foulkes,John A. Jane,A Marmarou,Lawrence F. Marshall,Harold F. Young +9 more
TL;DR: Diffuse hemispheric swelling was found to be associated with an early episode of either hypoxia or hypotension and midline shift: compression or obliteration of the mesencephalic cisterns: and the presence of subarachnoid blood.