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Türkiye'de Sağlıklı Erişkinlerde Optik Sinir Kılıfı Çapının Değerlendirilmesi

Year 2021, , 85 - 90, 22.03.2021
https://doi.org/10.31832/smj.787427

Abstract

Amaç:
Biz bu çalışmada Türk populasyonundaki normal sağlıklı gönüllülerde optik sinir kılıf çapının normal değerlerinin nasıl dağıldığını araştırmak istedik.
Gereç ve Yöntem:
Bu prospektif çalışma 15 Kasım 2019 ile 15 Nisan 2020 tarihleri arasında planlandı. Çalışmaya 18 yaş üstü ,akut ve kronik sistemik rahatsızlığı bulunmayan 160 sağlıklı gönüllü dahil edildi. Deneklerin her iki gözden ultrasonografik olarak ONSD’leri ölçüldü.
Bulgular:
Deneklerin sağ ve sol göz ONSD ortalamaları (median,IQR) sırasıyla 4,87 (0,41) mm ve 4,86 (0,32) mm olarak ölçüldü. Sağ göz ve sol göz ONSD ölçümleri bayan cinsiyette erkelere göre daha düşük saptandı ve bu fark istatiksel olarak anlamlıydı. (p=0,017 ve p=0,031, sırasıyla).
Sonuç:
Sağlıklı bireylerde ONSD optimal referans değerlerinin belirlenebilmesi klinik pratikte kafa içi basınç artışını öngörmede fayda sağlayacaktır.

Supporting Institution

yok

Project Number

yok

Thanks

Bu çalışmaya katılan sağlıklı gönüllülere en içten teşekkürlerimizi sunuyoruz.

References

  • 1. Çökük A, Kozacı N, Ay MO, Açıkalın A, Seviner M, Satar S. Acil Servise Başvuran Kafa Travması Olgularının Değerlendirilmesi. Cukurova Medical Journal. 2013;38(1):63-71.
  • 2. Dölen D, Sabanci PA. Kafa Travmasında Beyin Ödemi ve İntrakranyal Basınç Değişimleri. Türk Nöroşir Derg. 2020;30(2):187-193.
  • 3. Kimberly HH, Shah S, Marill K, Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Acad Emerg Med. 2008;15(2):201-4.
  • 4. Emmez ÖH, Egemen E. Kafa içi basınç artışı tedavisinde pratik yaklaşımlar. Yoğun Bakım Derg. 2010; 9(2):77-84.
  • 5. Harary M, Dolmans RG, Gormley WB. Intracranial pressure monitoring—review and avenues for development. Sensors. 2018;18(2):465.
  • 6. Changa AR, Czeisler BM, Lord AS. Management of Elevated Intracranial Pressure: a Review. Current neurology and neuroscience reports. 2019;19(12):99.
  • 7. Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012;367(26):2471-81.
  • 8. Aiolfi A, Benjamin E, Khor D, Inaba K, Lam L, Demetriades D. Brain trauma foundation guidelines for intracranial pressure monitoring: Compliance and effect on outcome. World J Surg. 2017;41(6):1543-9.
  • 9. Hansen H, Helmke K. The subarachnoid space surrounding the optic nerves. An ultrasound study of the optic nerve sheath. Surg Radiol Anat. 1996;18(4):323-8.
  • 10. 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(6):963-7.
  • 11. Rajajee V, Vanaman M, Fletcher JJ, Jacobs TL. Optic nerve ultrasound for the detection of raised intracranial pressure. Neurocrit Care. 2011;15(3):506-15.
  • 12. Robba C, Santori G, Czosnyka M, Corradi F, Bragazzi N, Padayachy L, et al. Optic nerve sheath diameter measured sonographically as non-invasive estimator of intracranial pressure: a systematic review and meta-analysis. Intensive Care Med. 2018;44(8):1284-94.
  • 13. Chen H, Ding G-S, Zhao Y-C, Yu R-G, Zhou J-X. Ultrasound measurement of optic nerve diameter and optic nerve sheath diameter in healthy Chinese adults. BMC Neurol. 2015;15(1):106.
  • 14. Goeres P, Zeiler FA, Unger B, Karakitsos D, Gillman LM. Ultrasound assessment of optic nerve sheath diameter in healthy volunteers. J Crit Care. 2016;31(1):168-71.
  • 15. Maude RR, Hossain MA, Hassan MU, Osbourne S, Sayeed KLA, Karim MR, et al. Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh. PloS one. 2013;8(12):e81013.
  • 16. Bäuerle J, Lochner P, Kaps M, Nedelmann M. Intra‐and interobsever reliability of sonographic assessment of the optic nerve sheath diameter in healthy adults. J Neuroimaging. 2012;22(1):42-5.
  • 17. Sargsyan A, Blaivas M, Geeraerts T, Karakitsos D. Ocular ultrasound in the intensive care unit. Lumb P,Karakitsos D. Critical Care Ultrasound. Vol.1. Philadelphia, Elsevier Saunders. 2014. p. 45-50.

Assesment of Optic Nerve Sheath Diameter in Healthy Adults in Turkey

Year 2021, , 85 - 90, 22.03.2021
https://doi.org/10.31832/smj.787427

Abstract

Introduction:
In this study, we aimed to investigate how the normal values of optic nerve sheath diameter are distributed in normal healthy volunteers in Turkish population.
Materials and Methods:
This prospective study was planned between November 15, 2019 and April 15, 2020. The study included 160 healthy volunteers who were over 18 years of age and didn’t have acute and chronic systemic disorders. The optic nerve sheath diameters (ONSD) of the subjects were measured from both eyes ultrasonographically.
Results:
ONSD means (median, IQR) of right and left eyes of the subjects were measured as 4.87 (0.41) mm and 4.86 (0.32) mm, respectively. Right and left eye ONSD measurements were detected lower in female gender than men, and this difference was statistically significant. (p = 0.017 and p = 0.031, respectively).
Conclusion:
Determination of ONSD optimal reference values in healthy individuals would benefit in predicting increase in intracranial pressure in clinical practice.

Project Number

yok

References

  • 1. Çökük A, Kozacı N, Ay MO, Açıkalın A, Seviner M, Satar S. Acil Servise Başvuran Kafa Travması Olgularının Değerlendirilmesi. Cukurova Medical Journal. 2013;38(1):63-71.
  • 2. Dölen D, Sabanci PA. Kafa Travmasında Beyin Ödemi ve İntrakranyal Basınç Değişimleri. Türk Nöroşir Derg. 2020;30(2):187-193.
  • 3. Kimberly HH, Shah S, Marill K, Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Acad Emerg Med. 2008;15(2):201-4.
  • 4. Emmez ÖH, Egemen E. Kafa içi basınç artışı tedavisinde pratik yaklaşımlar. Yoğun Bakım Derg. 2010; 9(2):77-84.
  • 5. Harary M, Dolmans RG, Gormley WB. Intracranial pressure monitoring—review and avenues for development. Sensors. 2018;18(2):465.
  • 6. Changa AR, Czeisler BM, Lord AS. Management of Elevated Intracranial Pressure: a Review. Current neurology and neuroscience reports. 2019;19(12):99.
  • 7. Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012;367(26):2471-81.
  • 8. Aiolfi A, Benjamin E, Khor D, Inaba K, Lam L, Demetriades D. Brain trauma foundation guidelines for intracranial pressure monitoring: Compliance and effect on outcome. World J Surg. 2017;41(6):1543-9.
  • 9. Hansen H, Helmke K. The subarachnoid space surrounding the optic nerves. An ultrasound study of the optic nerve sheath. Surg Radiol Anat. 1996;18(4):323-8.
  • 10. 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(6):963-7.
  • 11. Rajajee V, Vanaman M, Fletcher JJ, Jacobs TL. Optic nerve ultrasound for the detection of raised intracranial pressure. Neurocrit Care. 2011;15(3):506-15.
  • 12. Robba C, Santori G, Czosnyka M, Corradi F, Bragazzi N, Padayachy L, et al. Optic nerve sheath diameter measured sonographically as non-invasive estimator of intracranial pressure: a systematic review and meta-analysis. Intensive Care Med. 2018;44(8):1284-94.
  • 13. Chen H, Ding G-S, Zhao Y-C, Yu R-G, Zhou J-X. Ultrasound measurement of optic nerve diameter and optic nerve sheath diameter in healthy Chinese adults. BMC Neurol. 2015;15(1):106.
  • 14. Goeres P, Zeiler FA, Unger B, Karakitsos D, Gillman LM. Ultrasound assessment of optic nerve sheath diameter in healthy volunteers. J Crit Care. 2016;31(1):168-71.
  • 15. Maude RR, Hossain MA, Hassan MU, Osbourne S, Sayeed KLA, Karim MR, et al. Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh. PloS one. 2013;8(12):e81013.
  • 16. Bäuerle J, Lochner P, Kaps M, Nedelmann M. Intra‐and interobsever reliability of sonographic assessment of the optic nerve sheath diameter in healthy adults. J Neuroimaging. 2012;22(1):42-5.
  • 17. Sargsyan A, Blaivas M, Geeraerts T, Karakitsos D. Ocular ultrasound in the intensive care unit. Lumb P,Karakitsos D. Critical Care Ultrasound. Vol.1. Philadelphia, Elsevier Saunders. 2014. p. 45-50.
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Emre Gökçen 0000-0002-6018-6105

İbrahim Çaltekin 0000-0002-3973-0655

Levent Albayrak 0000-0002-4288-8170

Atakan Savrun 0000-0001-7468-4159

Dilek Atik 0000-0002-3270-8711

Sevilay Vural 0000-0002-1722-7987

Nuray Kılıç 0000-0003-1371-3600

Mikail Kuşdoğan 0000-0003-4075-8601

Hasan Burak Kaya 0000-0001-8851-2614

Project Number yok
Publication Date March 22, 2021
Submission Date August 29, 2020
Published in Issue Year 2021

Cite

AMA Gökçen E, Çaltekin İ, Albayrak L, Savrun A, Atik D, Vural S, Kılıç N, Kuşdoğan M, Kaya HB. Assesment of Optic Nerve Sheath Diameter in Healthy Adults in Turkey. Sakarya Tıp Dergisi. March 2021;11(1):85-90. doi:10.31832/smj.787427

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