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Ultrasonography monitoring of optic nerve sheath diameter and retinal vessels in patients with cerebral hemorrhage

Journal of Neuroimaging Feb 09, 2019

Naldi A, et al. - Researchers assessed the diagnostic accuracy of optic nerve sheath diameter (ONSD) and Doppler indices of central retinal arteries and veins for the detection of increased intracranial pressure (ICP) in intracerebral hemorrhage (ICH). Further, in monitoring of ICH, they assessed the usefulness of assessing these variables a second time. Recruiting a total of 46 acute ICH patients with (group 1, n = 25) and without (group 2, n = 21) clinical and radiological computed tomography signs of raised ICP and 40 healthy controls, they observed higher accuracy of median binocular ONSD evaluation for the estimation of elevated ICP vs Doppler indices of retinal vessels. Persistence of the ONSD enlargement detected in the early phase of ICH was noted at control time.

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