Optic Nerve Ultrasound Evaluation in Children: A Review
Managing patients with neurocritical illness requires monitoring and treating elevated intracranial pressure (ICP), especially in cases in children. In terms of precise and real-time measurements, invasive ICP measurements are presently the gold standard for the initial diagnosis and follow-up ICP a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/3/535 |
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| author | Giulia Abbinante Livio Vitiello Alessia Coppola Giulio Salerno Vincenzo Gagliardi Alfonso Pellegrino |
| author_facet | Giulia Abbinante Livio Vitiello Alessia Coppola Giulio Salerno Vincenzo Gagliardi Alfonso Pellegrino |
| author_sort | Giulia Abbinante |
| collection | DOAJ |
| description | Managing patients with neurocritical illness requires monitoring and treating elevated intracranial pressure (ICP), especially in cases in children. In terms of precise and real-time measurements, invasive ICP measurements are presently the gold standard for the initial diagnosis and follow-up ICP assessments. As a rapid and non-invasive way to detect elevated ICP, point-of-care ultrasonography (POCUS) of optic nerve sheath diameter (ONSD) has been proposed. The utility of bedside POCUS of ONSD to detect elevated ICP with excellent diagnostic test accuracy in adults has already been demonstrated. Nonetheless, data on the relationship between POCUS of ONSD and ICP in children are scarce. Therefore, the purpose of this review is to point out the most recent findings from the pediatric published literature and briefly discuss what was assessed with ONSD ultrasound examination, and also to describe and discuss the diagnostic procedures available for optic nerve ultrasound appraisal. A search of the medical databases PubMed and Scopus was carried out. The terms such as “ocular ultrasonography”, “ICP assessment”, “children”, “point-of-care ultrasound”, and “POCUS” were searched. In conclusion, the use of the standardized A-scan technique coupled with the B-scan technique should be suggested to provide data that are as accurate, precise, repeatable, and objective as possible. |
| first_indexed | 2024-03-11T09:48:22Z |
| format | Article |
| id | doaj.art-bb0570a5793146779233379d7d17dcbe |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T09:48:22Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-bb0570a5793146779233379d7d17dcbe2023-11-16T16:26:10ZengMDPI AGDiagnostics2075-44182023-02-0113353510.3390/diagnostics13030535Optic Nerve Ultrasound Evaluation in Children: A ReviewGiulia Abbinante0Livio Vitiello1Alessia Coppola2Giulio Salerno3Vincenzo Gagliardi4Alfonso Pellegrino5Eye Unit, “Luigi Curto” Hospital, Azienda Sanitaria Locale Salerno, Polla, 84035 Salerno, ItalyEye Unit, “Luigi Curto” Hospital, Azienda Sanitaria Locale Salerno, Polla, 84035 Salerno, ItalyEye Unit, “Luigi Curto” Hospital, Azienda Sanitaria Locale Salerno, Polla, 84035 Salerno, ItalyEye Unit, “Luigi Curto” Hospital, Azienda Sanitaria Locale Salerno, Polla, 84035 Salerno, ItalyEye Unit, “Luigi Curto” Hospital, Azienda Sanitaria Locale Salerno, Polla, 84035 Salerno, ItalyEye Unit, “Luigi Curto” Hospital, Azienda Sanitaria Locale Salerno, Polla, 84035 Salerno, ItalyManaging patients with neurocritical illness requires monitoring and treating elevated intracranial pressure (ICP), especially in cases in children. In terms of precise and real-time measurements, invasive ICP measurements are presently the gold standard for the initial diagnosis and follow-up ICP assessments. As a rapid and non-invasive way to detect elevated ICP, point-of-care ultrasonography (POCUS) of optic nerve sheath diameter (ONSD) has been proposed. The utility of bedside POCUS of ONSD to detect elevated ICP with excellent diagnostic test accuracy in adults has already been demonstrated. Nonetheless, data on the relationship between POCUS of ONSD and ICP in children are scarce. Therefore, the purpose of this review is to point out the most recent findings from the pediatric published literature and briefly discuss what was assessed with ONSD ultrasound examination, and also to describe and discuss the diagnostic procedures available for optic nerve ultrasound appraisal. A search of the medical databases PubMed and Scopus was carried out. The terms such as “ocular ultrasonography”, “ICP assessment”, “children”, “point-of-care ultrasound”, and “POCUS” were searched. In conclusion, the use of the standardized A-scan technique coupled with the B-scan technique should be suggested to provide data that are as accurate, precise, repeatable, and objective as possible.https://www.mdpi.com/2075-4418/13/3/535childrenoptic nerve sheath diameterONSDPOCUSultrasound |
| spellingShingle | Giulia Abbinante Livio Vitiello Alessia Coppola Giulio Salerno Vincenzo Gagliardi Alfonso Pellegrino Optic Nerve Ultrasound Evaluation in Children: A Review Diagnostics children optic nerve sheath diameter ONSD POCUS ultrasound |
| title | Optic Nerve Ultrasound Evaluation in Children: A Review |
| title_full | Optic Nerve Ultrasound Evaluation in Children: A Review |
| title_fullStr | Optic Nerve Ultrasound Evaluation in Children: A Review |
| title_full_unstemmed | Optic Nerve Ultrasound Evaluation in Children: A Review |
| title_short | Optic Nerve Ultrasound Evaluation in Children: A Review |
| title_sort | optic nerve ultrasound evaluation in children a review |
| topic | children optic nerve sheath diameter ONSD POCUS ultrasound |
| url | https://www.mdpi.com/2075-4418/13/3/535 |
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