Mithun Murali
Department of Emergency Medicine, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, IndiaPublications
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Research Article
Utility of Optic Nerve Sheath Diameter Measurement by Point of Care Ultrasound to Detect Raised Intracranial Pressure: A Prospective Observational Study
Author(s): Hemanth VS, Sethu Babu* and Mithun Murali
Introduction: The main objective of the study was to evaluate the diagnostic utility of Optic Nerve Sheath Diameter (ONSD) measured by Point of Care Ultrasound (POCUS) to detect raised Intracranial Pressure (ICP) among high risk patients in the Emergency Department (ED). Materials and Methods: Patients above the age of 18 years who presented to the Emergency department with signs and symptoms of raised ICP were included in the study. Patients with cataracts, severe maxillofacial injury, previous history of traumatic brain injury, or ocular surgery were excluded from the study. As per the institutional protocol, the patient was taken for CT head after initial stabilisation. Once the patient had returned back to the ED, investigator performed POCUS to measure ONSD. ONSD value equal to or greater than 5 mm (whether on right eye or left eye) was t.. Read More»