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Sonography of the optic nerve sheath beyond the hyperacute stage of intracerebral hemorrhage

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Abstract

Purpose

To evaluate the feasibility and utility of serial measuring of the optic nerve sheath diameter beyond the hyperacute and acute stage of intracerebral hemorrhage (ICH).

Methods

Four patients with extensive ICH in the left basal ganglia were followed using ultrasound (US) and cerebral CT scans.

Results

Optic nerve sheath diameter values assessed beyond the acute stage of ICH showed a high correlation (ρ = 0.84, p = 0.0022) with midline shift of the third ventricle seen on CT scans.

Conclusions

Optic nerve sonography can be useful to evaluate patients with extensive ICH beyond the acute stage and help monitoring clinical evolution in these patients, when ICP monitoring is not feasible.

Riassunto

Obiettivi

Valutare l′utilità clinica della misurazione seriale del diametro del nervo ottico e dei suoi rivestimenti dopo la fase acuta dell′emorragia cerebrale.

Metodi

Quattro pazienti con emorragia cerebrale sono stati sottoposti ad ecografia del nervo ottico e tomografia assiale computerizzata (TAC) del cranio.

Risultati

I valori del diametro del nervo ottico e dei suoi rivestimenti correlavano in maniera marcata con lo shift della linea mediana del terzo ventricolo evidenziato alla TAC cerebrale.

Conclusioni

La sonografia del nervo ottico con la misurazione del diametro del nervo ottico e dei suoi rivestimenti potrebbe costituire un utile strumento nel valutare l’evoluzione clinica dei pazienti con estesa emorragia intracranica, qualora la misurazione della pressione intracranica non fosse eseguibile.

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References

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Conflict of interest

Piergiorgio Lochner, Cornelia Mader, Raffaele Nardone, Frediano Tezzon, Maria Luisa Zedde, Giovanni Malferrari, Francesco Brigo declare that they have no conflict of interest

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). All patients provided written informed consent to enrolment in the study and to the inclusion in this article of information that could potentially lead to their identification.

Human and animal studies

The study was conducted in accordance with all institutional and national guidelines for the care and use of laboratory animals.

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Authors and Affiliations

  1. Department of Neurology, Franz Tappeiner Hospital, Rossini Street 5, 39012, Merano, BZ, Italy

    Piergiorgio Lochner, Cornelia Mader, Raffaele Nardone, Frediano Tezzon & Francesco Brigo

  2. Department of Neurology, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria

    Raffaele Nardone

  3. Neurology Department, Arcispedale S. Maria Nuova, Reggio, Italy

    Maria Luisa Zedde & Giovanni Malferrari

  4. Section of Clinical Neurology, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy

    Francesco Brigo

Authors
  1. Piergiorgio Lochner
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  2. Cornelia Mader
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  3. Raffaele Nardone
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  4. Frediano Tezzon
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  5. Maria Luisa Zedde
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  6. Giovanni Malferrari
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  7. Francesco Brigo
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Corresponding author

Correspondence to Piergiorgio Lochner.

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Lochner, P., Mader, C., Nardone, R. et al. Sonography of the optic nerve sheath beyond the hyperacute stage of intracerebral hemorrhage. J Ultrasound 17, 225–228 (2014). https://doi.org/10.1007/s40477-014-0069-6

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  • DOI: https://doi.org/10.1007/s40477-014-0069-6

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