Real Time Optic Nerve Sheath Diameter Measurement During Lumbar Puncture

Authors

Getaw Hassen, New York Medical CollegeFollow
Mohammed Al-Juboori, New York Medical CollegeFollow
Barbara Koppel, New York Medical CollegeFollow
Gokhan Akfirat, New York Medical CollegeFollow
Hossein Kalantari, New York Medical CollegeFollow

DOI

10.1016/j.ajem.2018.01.037

Journal Title

The American Journal of Emergency Medicine

First Page

736.e1

Last Page

736.e3

Document Type

Case Report

Publication Date

4-1-2018

Department

Emergency Medicine

Abstract

Measurement of optic nerve sheath diameter (ONSD) using point of care ultrasound has been used to indirectly assess the intracranial pressure (ICP) particularly in conditions where it is raised. Direct pressure measurements using probes reaching the ventricle system correlated with ONSD using ultrasound. Attempts were made to measure the ONSD pre and post lumbar puncture (LP) after draining cerebrospinal fluid (CSF) as well as post ventricular shunt placement. We report ONSD measurement and demonstrate dynamic changes during LP in a patient with known idiopathic intracranial hypertension (IIH).

Recommended Citation

Hassen, G., Al-Juboori, M., Koppel, B., Akfirat, G., & Kalantari, H. (2018). Real Time Optic Nerve Sheath Diameter Measurement During Lumbar Puncture. The American Journal of Emergency Medicine, 36 (4), 736.e1-736.e3. https://doi.org/10.1016/j.ajem.2018.01.037