KSCCM
Search
- Page Path
- HOME > Search
Original Article
- Trauma
- Bedside ultrasonographic evaluation of optic nerve sheath diameter for monitoring of intracranial pressure in traumatic brain injury patients: a cross sectional study in level II trauma care center in India
- Sujit J. Kshirsagar, Anandkumar H. Pande, Sanyogita V. Naik, Alok Yadav, Ruchira M. Sakhala, Sangharsh M. Salve, Aysath Nuhaimah, Priyanka Desai
- Acute Crit Care. 2024;39(1):155-161. Published online February 23, 2024
- DOI: https://doi.org/10.4266/acc.2023.01172
- 20,143 View
- 616 Download
- 13 Web of Science
- 12 Crossref
-
Abstract
PDF - Background
Optic nerve sheath diameter (ONSD) is an emerging non-invasive, easily accessible, and possibly useful measurement for evaluating changes in intracranial pressure (ICP). The utilization of bedside ultrasonography (USG) to measure ONSD has garnered increased attention due to its portability, real-time capability, and lack of ionizing radiation. The primary aim of the study was to assess whether bedside USG-guided ONSD measurement can reliably predict increased ICP in traumatic brain injury (TBI) patients.
Methods
A total of 95 patients admitted to the trauma intensive care unit was included in this cross sectional study. Patient brain computed tomography (CT) scans and Glasgow Coma Scale (GCS) scores were assessed at the time of admission. Bedside USG-guided binocular ONSD was measured and the mean ONSD was noted. Microsoft Excel was used for statistical analysis.
Results
Patients with low GCS had higher mean ONSD values (6.4±1.0 mm). A highly significant association was found among the GCS, CT results, and ONSD measurements (P<0.001). Compared to CT scans, the bedside USG ONSD had 86.42% sensitivity and 64.29% specificity for detecting elevated ICP. The positive predictive value of ONSD to identify elevated ICP was 93.33%, and its negative predictive value was 45.00%. ONSD measurement accuracy was 83.16%.
Conclusions
Increased ICP can be accurately predicted by bedside USG measurement of ONSD and can be a valuable adjunctive tool in the management of TBI patients. -
Citations
Citations to this article as recorded by
- Comparison of the Effects of Conventional and Piezoelectric Osteotomy on Intracranial Pressure Changes in Rhinoplasty Using Ultrasonographic Measurement of Optic Nerve Sheath Diameter
Akif Gunes, Elif Karali, Yusuf Ozgur Bicer, Isa Yildiz, Sıddıka Halicioglu, Nurcan Akbas Gunes
Aesthetic Plastic Surgery.2026; 50(9): 3132. CrossRef - Exploring the impact of electroconvulsive therapy on intracranial pressure: A study of optic nerve sheath diameter measurements
Iram Fatima, Aung Khine Phyoe, Abhimanyu Sharma, Shubh Mehta, Sara Tabassum, Manjeet Singh, Rama Siddiqui, Shivendra Shah, Kirpa Kaur, Hend Makky, Aadil Mahmood Khan
The International Journal of Psychiatry in Medicine.2026; 61(1): 39. CrossRef - Personalized treatment approaches in neurocritical care
Jae Hyun Kim, Chang-Hyun Kim, Hanwool Jeon, Hyun-Chul Jung, Seungjoo Lee
Acute and Critical Care.2026; 41(1): 33. CrossRef - Optic nerve changes detected with ocular ultrasonography during epiduroscopy: a narrative review
İlker Çöven, Yasin Tire, Aydın Mermer, Abdullah Celep, Serhat Cömert
Frontiers in Surgery.2026;[Epub] CrossRef - Relationship between optic nerve sheath diameter, Glasgow Coma Scale, and the impact of PEEP in critically ill patients: a prospective observational study
Merve İkbal Göncü, Engin İhsan Turan, Ezgi Aydın İnan, Oktay İnan, Ebru Kaya, Ayça Sultan Şahin
Turkish Journal of Intensive Care.2026; 24(1): 21. CrossRef - Pediatric Neurologic Emergencies in Resource-Limited Settings: A Clinical Framework and Guidance
Mohammed Alsabri, Emma Cravo, Chibuike Daniel Onyejesi, Louna Abouainain, Eslam Abady, Vincent Tsoi, Ammarah TariQ, Sohaila Abdelbar
Current Emergency and Hospital Medicine Reports.2026;[Epub] CrossRef - Automated Semisupervised Measurement of Optic Nerve Sheath Diameter From CT Following Traumatic Brain Injury
Emily Wittrup, Alan Kay, Elizabeth Lombard, Jett Rosen, Ethan Schnathorst, Christine Geng, Haoyuan Ma, Erica B. Stein, Kevin R. Ward, Craig Williamson, Kayvan Najarian, Nitin Kumar
International Journal of Biomedical Imaging.2026;[Epub] CrossRef - Assessment of optic nerve sheath enlargement and Frisen classification in idiopathic intracranial hypertension: Implications for estimating intracranial pressure and grading chronic papilledema
Raghda Shawky El-Gendy, Ahmad Shehata Abd ElHamid, Ayman ElSayed Ali Galhom, Nihal Adel Hassan, Ehab Mahmoud Ghoneim
Taiwan Journal of Ophthalmology.2025; 15(4): 618. CrossRef - Bedside Ultrasonographic Measurement of Optic Nerve Sheath Diameter for Assessing Increased Intracranial Pressure: An Observational Study
Saurav Shekhar, Raj B Singh, Preeti Sharma, Swapna Lata, Nitin Kumar, Ranjeet Rana De, Amit Kumar
Cureus.2025;[Epub] CrossRef - Noninvasive Intracranial Pressure Prediction Using a Multimodal Ultrasound-Based Hemispheric Modeling Strategy: A Prospective Dual-Center Study
Jun Qiu, Tong-Juan Zou, Dong-Mei Wang, Hai-Rong Luo, Hai-Tao Yu, Ling Lei, Wan-Hong Yin
Neurocritical Care.2025; 43(3): 911. CrossRef - Correlation of Optic Nerve Sheath Diameter With Severity and Outcome in Head Injury: Ultrasonographic and CT Evaluation
Syed Ali Mehsam, Sarosh Alam, Zunaira Rizwan , Haris Hanif, Fatima Tariq, Saharish Mansoor Khan
Cureus.2025;[Epub] CrossRef - Measurement of Optic Nerve Sheath Diameter by Bedside Ultrasound in Patients With Traumatic Brain Injury Presenting to Emergency Department: A Review
Preethy Koshy, Charuta Gadkari
Cureus.2024;[Epub] CrossRef
- Comparison of the Effects of Conventional and Piezoelectric Osteotomy on Intracranial Pressure Changes in Rhinoplasty Using Ultrasonographic Measurement of Optic Nerve Sheath Diameter
First
Prev
