Determination of optic nerve sheath diameter variability with age in pediatric groups and comparison of increased intracranial pressure and optic nerve sheath diameter in pediatric patients with head trauma

Ann Med Res. 2018; 25(3): 460-465

doi: 10.5455/annalsmedres.2018.05.099

Alper Burak Yagar, Nalan Kozaci, Mustafa Avci, Sevim Yildiz, Yasemin Karaman.

Abstract			Cited by 6 Articles
Aim: The aim of this study is to reveal thevariability of the optic nerve sheath diameter (ONSD) with age and to compare the ONSD with increasing intracranial pressure (ICP) findings incomputerised cranial tomography (CCT) images of pediatric patients presenting to the emergency department with head trauma. Material and Methods: The ONSD values of the patients were measured in the transverse sections of the CCT images. The patients who were found to have pathology in CCT images were taken into Group 1 and normal patients were taken in Group 2 as the control group. The data were recorded in the SPSS 21 program. The age, gender, Glasgow Coma Scale, and ONSD values of the groups and the difference between the ONSD values of both eyes were compared. Results: A total 294 patients were included in the study. Sixty eight patients (23%) were enrolled in Group 1 and 226 (77%) patients were enrolled in Group 2. The mean ONSD value of Group 1 was 5.5±1.08 mm whereas that of Group 2 was measured as 4.1±0.69 mm (p Key words: Emergency Department; Pediatric Trauma; Optic Nerve Sheath Diameter.