Ultrasound Measurement of Optic Nerve Sheath Diameter as Non-Invasive Detector of Raised Intracranial Pressure in Adult Traumatic and Non-Traumatic Neurocritical Patients in ICU

Ain Shams University

Status: Completed

Conditions: Optic Nerve Sheath Diameter; Intracranial Pressure; Intensive Care Unit; Non-Invasive; Ultrasound; Neurocritical

Treatments: Device: Ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT06993961

MD 265/2022

Details and patient eligibility

About

This study aimed to assess the role of ultrasound as a non-invasive method (bedside) to measure the rise of intracranial pressure by measuring the optic nerve sheath diameter in traumatic and nontraumatic neurocritical patients.

Full description

Measurement of intracranial pressure (ICP) is crucial in the management of many neurological conditions. However, due to the invasiveness, high cost, and required expertise of available ICP monitoring techniques, many patients who could benefit from it do not receive it. As a result, a substantial effort has been made to explore and develop novel non-invasive ICP monitoring techniques to improve the overall clinical care of patients suffering from ICP disorders.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age >18 years old.
• Both sexes.
• Patients with suspected high intracranial pressure.

Exclusion criteria

• Cases suffering from eye disease or optic nerve problems (Glaucoma, optic Nerve Tumor, Neuritis, Orbital Fracture).
• Patients suffering from mental illness render them incapable of communication & cooperation (For Example: Dementia and irritability).
• Any previous intensive care surgeries & hyperthyroidism (due to exophthalmos)

Trial design

50 participants in 1 patient group

Study group

Description:

Patient with suspected high intracranial pressure (ICP) as determined by initial computed tomography (CT) brain.

Treatment:

Device: Ultrasound