ArticleTurkish journal of emergency medicine2019
Association of optic nerve sheath diameter in ocular ultrasound with prognosis in patients presenting with acute stroke symptoms.
Article in Turkish journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Radiologically measured optic nerve sheath diameter as a predictor of mortality and functional outcomes in stroke patients: A systematic review and meta-analysis.Pakistan journal of medical sciences · 2026Review
- Applications of ocular point-of-care ultrasound assessment in the emergency setting: a scoping review.Clinical and experimental emergency medicine · 2025Article
- Article
- Ultrasonographic assessment of optic nerve sheath diameter on the affected and unaffected sides as a predictor of clinical deterioration at discharge in patients with large hemispheric infarction.Frontiers in neurology · 2025Article
- Prognostic Value of Optic Nerve Sheath Diameters after Acute Ischemic Stroke According to Slice Thickness on Computed Tomography.Diagnostics (Basel, Switzerland) · 2024Article
- Dilated optic nerve sheath by ultrasound predicts mortality among patients with acute intracerebral hemorrhage.Arquivos de neuro-psiquiatria · 2023Article
- Ultrasonic optic nerve sheath diameter could improve the prognosis of acute ischemic stroke in the intensive care unit.Frontiers in pharmacology · 2022Article
- Article
- Ultrasound of Optic Nerve Sheath Diameter and Stroke Outcomes.Critical care explorations · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMeasurement of optic nerve sheath diameter (ONSD) by means of ocular ultrasound (US), can diagnose elevated intracranial pressure (ICP). Stroke accompanied by elevated ICP might have a worse prognosis.
objectiveTo determine the relationship of ONSD in ocular US with prognosis in acute stroke in the emergency department (ED).
methodsPatients with acute presentations of stroke, presenting to the ED in 2017 (during six months), were enrolled in our study. US exam was performed on all of them and ONSD was determined in two longitudinal and transverse dimensions. Demographic data, rate of patients' admission in the ward or intensive care unit, one-month patients' outcome and type of stroke were recorded. The relationship of mean ONSD was evaluated with study variables.
resultsIn this study, 60 patients were enrolled. The mean ± SD ONSD in the deceased cases was 4.40 ± 0.64 mm and in the survived patients was 3.83 ± 0.56 mm. Youden index calculated ONSD>3.9 mm as the best cut-off point in mortality prognosis. It has a sensitivity of 83.3% and a specificity of 59.2%.
conclusionsIncreased ONSD had a direct relationship with mortality rate in acute stroke.
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