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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2020 / Cilt: 26 - Sayı: 5

The concordance of optic nerve sheath diameter measurements with the clinical course in children with traumatic head injury

Kafa travmalı çocuklarda optik sinir kılıf çapı ölçümlerinin klinik seyir ile uyumu

Meltem OZDEMIR
Nezih KAVAK
Nurcan ERTAN
Bahadır KULAH
Rasime Pelin KAVAK
Pages
728–734
Publication Date
2022-11-06
DOI
—
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The ONSD valuesand pGCSs of the patients with parenchymal injury were found to be significantly higher than patients with ISF and normal brainCT findings (p

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Objective & Hypothesis:BACKGROUND: Intracranial pressure (ICP) monitoring is of profound importance concerning prognosis and treatment amongchildren with traumatic brain injury (TBI).
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Key Findings & Data:In this study, we aimed to evaluate the correlation of ONSD change in brain computed tomography(CT) with pediatric Glasgow Coma Score (pGCS) in the follow-up of pediatric cases with TBI, and also to evaluate the usability of theONSD, which is the indicator of ICP.METHODS: The data of 921 pediatric patients who were admitted to the emergency department with head injury between January2016 and January 2018 were retrospectively evaluated in this study.
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Conclusion & Impact:The ONSD valuesand pGCSs of the patients with parenchymal injury were found to be significantly higher than patients with ISF and normal brainCT findings (p
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Intracranial pressure (ICP) monitoring is of profound importance concerning prognosis and treatment amongchildren with traumatic brain injury (TBI). Measurements of the optic nerve sheath diameter (ONSD) are one of the methods recommendedfor ICP monitoring. In this study, we aimed to evaluate the correlation of ONSD change in brain computed tomography(CT) with pediatric Glasgow Coma Score (pGCS) in the follow-up of pediatric cases with TBI, and also to evaluate the usability of theONSD, which is the indicator of ICP.METHODS: The data of 921 pediatric patients who were admitted to the emergency department with head injury between January2016 and January 2018 were retrospectively evaluated in this study. Age, gender, trauma type, brain CT finding, pGCS, type ofintracranial hemorrhage (ICH), and isolated skull fracture (ISF) were investigated. The patients were evaluated in three groups basedon CT findings: (i) patients with parenchymal brain injury, (ii) patients with ISF, and (iii) patients with normal brain CT results. Themeasurements of ONSD were performed using CT. Whether the ONSD measurement results of the patients were compatible withthe clinical data was investigated.RESULTS: The median age of the patients was 36 months (interquartile range [IQR] = 64) and 64.2% were male. The ONSD valuesand pGCSs of the patients with parenchymal injury were found to be significantly higher than patients with ISF and normal brainCT findings (p

Özet

AMAÇ: Travmatik beyin hasarlı (TBH) çocuklarda kafa içi basıncının (KİB) takibi prognoz ve tedavi açısından önemlidir. Optik sinir kılıf çapı (OSKÇ) ölçümleri kafa içi basıncının monitorizasyonunda önerilen yöntemlerden birisidir. Bu çalışmada, TBH olan pediatrik olguların takibinde beyin bilgisayarlı tomografideki (BT) OSKÇ değişiminin pediatrik Glasgow Koma Skoru (pGKS) ile korelasyonunu değerlendirmeyi ve aynı zamanda KİB göstergesi olan OSKÇ’nin hasta takibinde kullanılabilirliğini değerlendirmeyi amaçladık. GEREÇ VE YÖNTEM: Ocak 2016–Ocak 2018 tarihleri arasında acil servise kafa travması ile başvuran 921 pediatrik hasta geriye dönük olarak değerlendirildi. Yaş, cinsiyet, travma tipi, beyin BT bulguları, pGKS, serebral hemoraji tipleri ve izole kafatası kırıkları (İKK) incelendi. Hastalar BT bulgularına dayalı; parankimal beyin hasarı, İKK ve normal beyin BT’si olanlar şeklinde üç grupta değerlendirildi. OSKÇ ölçümü BT ile yapıldı. Hastaların OSKÇ ölçüm sonuçlarının klinik verilerle uyumu karşılaştırıldı. BULGULAR: Çalışmamızda hastaların yaş ortancası 36 (IQR=64) ay olup, hastaların %64.2’si erkekti. Parankimal yaralanması hastaların OSKÇ’si ve pGKS’si, İKK olan ve normal beyin BT’si olan hastalardan anlamlı olarak yüksek saptandı (p

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Cite This Article

OZDEMIR, M., KAVAK, N., ERTAN, N., KULAH, B., KAVAK, R. P. (2022). The concordance of optic nerve sheath diameter measurements with the clinical course in children with traumatic head injury. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 26 - Sayı: 5, 728–734. https://ajindex.com/articles/644159

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References (14)

  1. Lovett ME, O’Brien NF, Leonard JR. Children With Severe Traumatic Brain Injury, Intracranial Pressure, Cerebral Perfusion Pressure, What Does it Mean? A Review of the Literature. Pediatr Neurol 2019;94:3— 20
  2. Araki T, Yokota H, Morita A. Pediatric Traumatic Brain Injury: Characteristic Features, Diagnosis, and Management. Neurol Med Chir (Tokyo) 2017;57:82—93
  3. Bardes JM, Benjamin E, Escalante AA, Wu J, Demetriades D. Severe traumatic brain injuries in children: Does the type of trauma center matter?. J Pediatr Surg 2018;53:1523—5
  4. Dilmen ÖK, Akçıl EF, Tunalı Y. Intensive Care Treatment in Traumatic Brain Injury. Turk J Anaesthesiol Reanim 2015;43:1—6
  5. Hussain E. Traumatic Brain Injury in the Pediatric Intensive Care Unit. Pediatr Ann 2018;47:e274—9
  6. Vella MA, Crandall ML, Patel MB. Acute Management of Traumatic Brain Injury. Surg Clin North Am 2017;97:1015—30
  7. Robba C, Bacigaluppi S, Cardim D, Donnelly J, Bertuccio A, Czosnyka M. Non-invasive assessment of intracranial pressure. Acta Neurol Scand 2016;134:4—21
  8. Narayan V, Mohammed N, Savardekar AR, Patra DP, Notarianni C, Nanda A. Noninvasive Intracranial Pressure Monitoring for Severe Traumatic Brain Injury in Children: A Concise Update on Current Methods. World Neurosurg 2018;114:293—300
  9. Sekhon MS, Griesdale DE, Robba C, McGlashan N, Needham E, Walland K, et al. Optic nerve sheath diameter on computed tomography is correlated with simultaneously measured intracranial pressure in patients with severe traumatic brain injury. Intensive Care Med 2014;40:1267—74
  10. Luerssen TG. Intracranial pressure: current status in monitoring and management. Semin Pediatr Neurol 1997;4:146—55
  11. Komut E, Kozacı N, Sönmez BM, Yılmaz F, Komut S, Yıldırım ZN, et al. Bedside sonographic measurement of optic nerve sheath diameter as a predictor of intracranial pressure in ED. Am J Emerg Med 2016;34:963—7
  12. Jenjitranant P, Tunlayadechanont P, Prachanukool T, Kaewlai R. Correlation between optic nerve sheath diameter measured on imaging with acute pathologies found on computed tomography of trauma patients. Eur J Radiol 2020;125:108875
  13. Kerscher SR, Schöni D, Hurth H, Neunhoeffer F, Haas-Lude K, Wolff M, et al. The relation of optic nerve sheath diameter (ONSD) and intracranial pressure (ICP) in pediatric neurosurgery practice - Part I: Correlations, age-dependency and cut-off values. Childs Nerv Syst 2020;36:99—106
  14. Khan MN, Shallwani H, Khan MU, Shamim MS. Noninvasive monitoring intrac