Real time optic nerve sheath diameter measurement during lumbar puncture

Getaw Worku Hassen; Mohammed Al-Juboori; Barbara Koppel; Gokhan Akfirat; Hossein Kalantari

doi:10.1016/j.ajem.2018.01.037

Real time optic nerve sheath diameter measurement during lumbar puncture

Am J Emerg Med. 2018 Apr;36(4):736.e1-736.e3. doi: 10.1016/j.ajem.2018.01.037. Epub 2018 Jan 10.

Authors

Getaw Worku Hassen¹, Mohammed Al-Juboori², Barbara Koppel³, Gokhan Akfirat³, Hossein Kalantari⁴

Affiliations

¹ NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY, United States. Electronic address: getawworku.hassen@nychhc.org.
² NYMC, Metropolitan Hospital Center, Department of Medicine, New York, NY, United States.
³ NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, Division of Neurology, New York, NY, United States.
⁴ NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY, United States.

PMID: 29338967
DOI: 10.1016/j.ajem.2018.01.037

Abstract

Measurement of optic nerve sheath diameter (ONSD) using point of care ultrasound has been used to indirectly assess the intracranial pressure (ICP) particularly in conditions where it is raised. Direct pressure measurements using probes reaching the ventricle system correlated with ONSD using ultrasound. Attempts were made to measure the ONSD pre and post lumbar puncture (LP) after draining cerebrospinal fluid (CSF) as well as post ventricular shunt placement. We report ONSD measurement and demonstrate dynamic changes during LP in a patient with known idiopathic intracranial hypertension (IIH).

Publication types

Case Reports

MeSH terms

Aged
Cerebrospinal Fluid
Drainage / methods*
Female
Humans
Intracranial Pressure*
Optic Nerve / anatomy & histology*
Optic Nerve / diagnostic imaging*
Point-of-Care Testing*
Pseudotumor Cerebri / physiopathology*
Pseudotumor Cerebri / therapy*
Spinal Puncture*
Ultrasonography