Sonographic Assessment of the Optic Nerve Sheath and Transorbital Monitoring of Treatment Effects in a Patient with Spontaneous Intracranial Hypotension: Case Report. Issue 2 (1st September 2011)

• Record Type: Journal Article
• Authors: Bäuerle, Jochen; Gizewski, Elke R.; Stockhausen, Kerstin von; Rosengarten, Bernhard; Berghoff, Martin; Grams, Astrid E.; Kaps, Manfred; Nedelmann, Max
• Is Part Of: Journal of neuroimaging. Volume 23:Issue 2(2013)
• Page Start: 237
• Page End: 239
• Publication Date: 2011-09-01
• Subjects: Diagnostic imaging -- Periodicals; Nervous system -- Diseases -- Diagnosis -- Periodicals; Imagerie pour le diagnostic -- Périodiques; Système nerveux -- Maladies -- Diagnostic -- Périodiques; Imagerie médicale; Neuroimagerie; Neurologie; Système nerveux; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.804754
• DOI: 10.1111/j.1552-6569.2011.00640.x
• Languages: English
• ISSNs: 1051-2284

Abstract

<abstract abstract-type="main" xml:lang="en"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="abs1-1" sec-type="section"> <title>ABSTRACT</title> </sec> <sec id="abs1-2" sec-type="section"> <title>OBJECTIVE</title> <p>To investigate the potential of the ultrasound‐based evaluation of the optic nerve sheath in a patient with spontaneous intracranial hypotension due to cervical <bold>cerebrospinal fluid</bold> (CSF) leakage.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>METHODS</title> <p>Repeated measurements of the optic nerve sheath diameter (ONSD) using B‐mode sonography were performed before treatment initiation, during medical treatment, and during a course of repeated placement of epidural blood patches.</p> </sec> <sec id="abs1-4" sec-type="section"> <title>RESULTS</title> <p>On admission, transorbital sonography revealed a decreased ONSD of 4.1 mm on the right and 4.3 mm on the left side. After 8 months of treatment with caffeine and computed tomography‐guided epidural blood patches a gradual distension of the ONSD into the normal range was bilaterally observed (right: 5.2 mm; left: 5.3 mm).</p> </sec> <sec id="abs1-5" sec-type="section"> <title>CONCLUSIONS</title> <p>The ultrasound‐based evaluation of the optic nerve sheath may be helpful in detecting CSF hypovolemia and for determination of treatment effects. This report should be seen as a basis for future investigations on the sonographic assessment of the optic nerve sheath in diagnosis and treatment of intracranial hypotension.</p> </sec> </abstract>