Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension

Head injuries are defined as anatomo-functional damage of the skull and its structures, produced by direct or indirect trauma of variable energy. Among its complications, intracranial hypertension is one of the factors that favor the appearance of secondary damage; its severity and duration have bee...

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Main Authors: Yuliel Varona-Rodríguez, Julio Michel Arias-Manganelly
Format: Article
Language:Spanish
Published: Universidad de Ciencias Médicas de Las Tunas 2024-02-01
Series:Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
Subjects:
Online Access:https://revzoilomarinello.sld.cu/index.php/zmv/article/view/3678
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author Yuliel Varona-Rodríguez
Julio Michel Arias-Manganelly
author_facet Yuliel Varona-Rodríguez
Julio Michel Arias-Manganelly
author_sort Yuliel Varona-Rodríguez
collection DOAJ
description Head injuries are defined as anatomo-functional damage of the skull and its structures, produced by direct or indirect trauma of variable energy. Among its complications, intracranial hypertension is one of the factors that favor the appearance of secondary damage; its severity and duration have been correlated with a fatal prognosis, being the main cause of death. We present the case of a white male patient, 57 years old, with a history of chronic ethylism, who after three hours of admission because of a mild cranioencephalic trauma, begins with tonic-clonic convulsion and degradation of the level of consciousness. In the absence of more specific examinations, the diameter of the sheath of the optic nerve was determined by ultrasonography, which was increased (left 7.3 mm; right 8.0 mm, respectively). As an initial behavior and faced with indirect confirmation of traumatic intracranial hypertension, the airway was secured with mechanical respiratory support, 20% mannitol perfusion and cardiovascular support. Finally, the patient was referred to a center with the possibility of providing urgent neurosurgical treatment.
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spelling doaj.art-eb231a0810e2473892e2888241831e172024-04-12T18:48:35ZspaUniversidad de Ciencias Médicas de Las TunasRevista Electrónica Dr. Zoilo E. Marinello Vidaurreta1029-30272024-02-01491e3678e36781392Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertensionYuliel Varona-Rodríguez0Julio Michel Arias-Manganelly1Hospital General Docente “Martin Chang Puga”. Nuevitas. Camagüey.Hospital General Docente “Martin Chang Puga”. Nuevitas. Camagüey.Head injuries are defined as anatomo-functional damage of the skull and its structures, produced by direct or indirect trauma of variable energy. Among its complications, intracranial hypertension is one of the factors that favor the appearance of secondary damage; its severity and duration have been correlated with a fatal prognosis, being the main cause of death. We present the case of a white male patient, 57 years old, with a history of chronic ethylism, who after three hours of admission because of a mild cranioencephalic trauma, begins with tonic-clonic convulsion and degradation of the level of consciousness. In the absence of more specific examinations, the diameter of the sheath of the optic nerve was determined by ultrasonography, which was increased (left 7.3 mm; right 8.0 mm, respectively). As an initial behavior and faced with indirect confirmation of traumatic intracranial hypertension, the airway was secured with mechanical respiratory support, 20% mannitol perfusion and cardiovascular support. Finally, the patient was referred to a center with the possibility of providing urgent neurosurgical treatment.https://revzoilomarinello.sld.cu/index.php/zmv/article/view/3678traumatismos craneocerebraleshipertensión intracranealultrasonografíatraumatismos del nervio ópticoneurocirugía.
spellingShingle Yuliel Varona-Rodríguez
Julio Michel Arias-Manganelly
Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
traumatismos craneocerebrales
hipertensión intracraneal
ultrasonografía
traumatismos del nervio óptico
neurocirugía.
title Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
title_full Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
title_fullStr Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
title_full_unstemmed Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
title_short Optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
title_sort optic nerve sheath diameter as an indirect diagnosis of traumatic intracranial hypertension
topic traumatismos craneocerebrales
hipertensión intracraneal
ultrasonografía
traumatismos del nervio óptico
neurocirugía.
url https://revzoilomarinello.sld.cu/index.php/zmv/article/view/3678
work_keys_str_mv AT yulielvaronarodriguez opticnervesheathdiameterasanindirectdiagnosisoftraumaticintracranialhypertension
AT juliomichelariasmanganelly opticnervesheathdiameterasanindirectdiagnosisoftraumaticintracranialhypertension