MedPath

Comparison of Optic Nerve Sheath Diameter Measured by Ultrasonography Before and After Ventriculoperitoneal Shunt Surgery in Adult Patients With Hydrocephalus

Withdrawn
Conditions
Hydrocephalus
Interventions
Device: ultrasonographic measurement of optic nerve sheath diameter
Registration Number
NCT02663947
Lead Sponsor
Yonsei University
Brief Summary

Hydrocephalus is a disturbance of cerebrospinal fluid production, flow and absorption leading to intracranial hypertension. Assessment of the change in intracranial pressure after ventriculoperitoneal shunt surgery is important in guiding appropriate postoperative management. The optic nerve sheath diameter measured using ultrasonography has been verified as a non-invasive indicator of intracranial hypertension in various clinical studies. The investigators hypothesized that a change in optic nerve sheath diameter detected through ultrasonography could help ascertain a reduction in intracranial pressure following ventriculoperitoneal shunt surgery in adult patients without the risk of serious complications.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Adult patients (20-90 years of age, ASA physical status 3 or less) who are scheduled for elective ventriculoperitoneal shunt surgery with non-communicating hydrocephalus and communicating hydrocephalus except for normal-pressure hydrocephalus
  • Non-communicating hydrocephalus is defined as a pattern of ventricular system or at the level of the fourth ventricle's outlets by lesions including tumor, giant aneurysm, or aqueductal stenosis.
  • Communicating hydrocephalus is defined as paraventricular enlargement resulting from postoperative complication after cranial surgery, meningitis, subarachnoid or intracerebral hemorrhage.
Read More
Exclusion Criteria
  • Patients with previous history of shunt operation, ocular disease and ocular surgery
  • Patients with anatomical or functional abnormality of optic nerve
  • emergency patient
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
ultrasound groupultrasonographic measurement of optic nerve sheath diameterultrasonographic measure for optic nerve sheath diameter
Primary Outcome Measures
NameTimeMethod
ultrasonographic measurement of optic nerve sheath diameter30 minutes
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Associate Professor Department of Anesthesiology and Pain Medicine

🇰🇷

Seoul, Korea, Republic of

© Copyright 2025. All Rights Reserved by MedPath