COMMENT ON CHANGE IN INCRANIAL PRESSURE AND OPTIC NERVE SHEATH DIAMETER BY UNTRASOUND IN ACUTE STROKE

Anh Tuấn Nguyễn1,, Xuân Trung Vương1
1 Bach Mai hospital

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Abstract

The ultrasound of ONSD (optic nerve sheath diameter) is a mordern and noninvasive technique to evaluate the trend of intracranial pressure (ICP) in clinical setting. It is more crucial bedside method to apply in severe stroke patient at the emergency department. We setup the study to compare the variation of ONSD in ultrasound with the change of ICP to increase or decrease by invasived method in 29 neuroICU patients at Bachmai hospital to appraise the technique.   Results: there is a close correlation between two values with r = 0,85 (p<0,05) if the ICP number range of 20-40 mmHg. If ICP increased greater than 40 mmHg, we did not find the correlation. The correlation is better with the increase of the ICP (r=0,84, p<0,05) than the decrease of it (r=0,39, p=0,2). Conclusion: Untrasound of ONSD was accurated if ICP number between 20-40 mmHg.

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References

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