ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2016
High resolution transbulbar sonography in children with suspicion of increased intracranial pressure.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 47 citations in OpenAlex.
- Effect of Tonsillar Retractor on Intracranial and Intraocular Pressure in Children Undergoing Adenotonsillectomy Surgeries.Laryngoscope investigative otolaryngology · 2026Article
- Change in Optic Nerve Sheath Diameter and Cerebral Ventricular Shunt Failure in Children.JAMA network open · 2025Observational
- Quantitative ultrasound image assessment of the optic nerve subarachnoid space during 90-day head-down tilt bed rest.NPJ microgravity · 2024Article
- Non-Invasive Quantitative Approximation of Intracranial Pressure in Pediatric Idiopathic Intracranial Hypertension Based on Point-of-Care Ultrasound of the Optic Nerve Sheath Diameter.Brain sciences · 2023Article
- Optic Nerve Ultrasound Evaluation in Children: A Review.Diagnostics (Basel, Switzerland) · 2023Review
- Optic Nerve Sheath Diameter Ultrasound: A Non-Invasive Approach to Evaluate Increased Intracranial Pressure in Critically Ill Pediatric Patients.Diagnostics (Basel, Switzerland) · 2022Review
- Non-traumatic pediatric intracranial hypertension: key points for different etiologies, diagnosis, and treatment.Acta neurologica Belgica · 2021Review
- Optic nerve sheath diameter does not correlate with intracranial pressure in pediatric neurocritical care patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Is Ocular Sonography a Reliable Method for the Assessment of Elevated Intracranial Pressure in Children?Journal of pediatric intensive care · 2021Review
- Evaluation of the effect of the mouth gag use on optic nerve sheath diameter of pediatric patients undergoing tonsillectomy or Adenotonsillectomy: An observational study.BMC anesthesiology · 2020Observational
- The relation of optic nerve sheath diameter (ONSD) and intracranial pressure (ICP) in pediatric neurosurgery practice - Part II: Influence of wakefulness, method of ICP measurement, intra-individual ONSD-ICP correlation and changes after therapy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- 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.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- Use of neuroimaging measurements of optic nerve sheath diameter to assess intracranial pressure in craniosynostosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
- The efficacy of orbital ultrasonography and magnetic resonance imaging findings with direct measurement of intracranial pressure in distinguishing papilledema from pseudopapilledema.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017Observational
- Non-invasive intracranial pressure assessment.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the accuracy of high resolution transbulbar sonography for the estimation of intracranial pressure (ICP) in children.
methodsIn children and adolescents with acute neurologic symptoms of various origin, transbulbar sonography was performed. Besides measurement of the optic nerve sheath diameter (ONSD), the ultrastructure of the subarachnoid space of the optic nerve sheath was evaluated. The results of transbulbar sonography were correlated with clinical data based on cross-sectional imaging, ICP measurement, and ophthalmologic examination.
resultsEighty-one patients (age 3-17.8 years, mean 11.7 years) were included. In 25 children, cross-sectional imaging and ICP measurement revealed increased intracranial pressure. The mean ONSD was 6.85 ± 0.81 mm. Twenty patients (20/25, 80 %) had a microcystic appearance of the subarachnoid space of the optic nerve. In 56 children without evidence of increased intracranial pressure, the mean ONSD was 5.77 ± 0.48 mm. Forty-nine patients (49/56, 87.5 %) had a normal homogenous appearance of the subarachnoid space. The ONSD in children with increased intracranial pressure was significantly higher than in patients without (p < 0.001).
conclusionHigh resolution transbulbar sonography of the optic nerve is a useful technique for the rapid and non-invasive estimation of intracranial pressure in children. Besides measurement of the optic nerve sheath diameter, evaluation of the ultrastructure of the subarachnoid space of the optic nerve is a helpful parameter.
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