MedPath

Optic Nerve Sheath Diameter: A Non-Invasive Indicator of Intracranial Pressure in the Intensive Care Unit Monitoring

Not Applicable
Completed
Conditions
Intracranial Hypertension
ICP (Intracranial Pressure) Increase
Optic Nerve Sheath Diameter
Registration Number
NCT06367868
Lead Sponsor
Istanbul University - Cerrahpasa (IUC)
Brief Summary

Determination of high intracranial pressure (ICP) is necessary for the treatment of patients with raised ICP to improve long-term neurological outcomes. Ultrasonographic optic nerve sheath diameter (ONSD) measurement is a noninvasive, easily performed and cost effective technique for detecting high ICP.

Detailed Description

ICP measurements via ventricular catheters provide CSF drainage and ICP reduction. The normal ICP value is less than 15 mmHg in adults. In the literature the correlation of ONSD and invasive ICP measurements were determined. The aim of study is to evaluate the correlation of ONSD and direct ICP measurements and to determine cut off ONSD value to detect ICP ≥15 mmHg.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • 18-80 aged patients
  • With an external ventricular drainage catheter due to intracranial pathology
Exclusion Criteria
  • Under the age of 18
  • Orbital tumors
  • Graves' disease
  • Exophthalmos
  • Sarcoidosis
  • Optic neuropathy
  • Meningitis
  • Ocular trauma
  • Lung diseases

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Intracranial Pressure-1 (ICP-1)baseline time

Measurement of intracranial pressure before cerebrospinal fluid (CSF) drainage

Optic Nerve Sheath Diameter-1 (ONSD-1)baseline time

Measurement of optic nerve sheath diameter before cerebrospinal fluid drainage

Secondary Outcome Measures
NameTimeMethod
Intracranial Pressure-2 (ICP-2)2 minutes after CSF drainage

Measurement of intracranial pressure 2 minutes after cerebrospinal fluid (CSF) drainage

Optic Nerve Sheath Diameter-2 (ONSD-2)2 minutes after CSF drainage

Measurement of optic nerve sheath diameter 2 minutes after cerebrospinal fluid drainage

Trial Locations

Locations (1)

Istanbul University-Cerrahpasa

🇹🇷

Istanbul, Fatıh, Turkey

Istanbul University-Cerrahpasa
🇹🇷Istanbul, Fatıh, Turkey

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.