Messerer M, Berhouma M, Messerer R, Dubourg J
Service de neurochirurgie, département des neurosciences cliniques, centre hospitalier universitaire Vaudois, Lausanne, Suisse.
Neurochirurgie. 2013 Apr;59(2):55-9. doi: 10.1016/j.neuchi.2013.02.001. Epub 2013 Mar 21.
Intracranial hypertension is an emergency suspected from clinical symptoms, imaging data and ophthalomologic signs. Intracranial hypertension is confirmed by invasive intracranial monitoring, which is the gold standard technique to measure intracranial pressure (ICP). Because of complications, hemorrhage or infection, non-invasive methods have been developed such as neuroimaging, transcranial Doppler sonography and optic nerve sheath diameter (ONSD) ultrasonography. We have reviewed ONSD technique that detects intracranial hypertension related volume variations of subarachnoid space along the retro bulbar segment of the optic nerve. Technique, indications and prospects are discussed.
颅内高压是一种根据临床症状、影像学数据和眼科体征怀疑的急症。颅内高压通过有创颅内监测得以确诊,有创颅内监测是测量颅内压(ICP)的金标准技术。由于存在并发症、出血或感染等问题,已开发出非侵入性方法,如神经影像学、经颅多普勒超声和视神经鞘直径(ONSD)超声检查。我们回顾了检测与蛛网膜下腔沿视神经球后段容积变化相关的颅内高压的ONSD技术。对该技术、适应证及前景进行了讨论。