Journal article

Publication year: 2013

Pages: 237-239

Journal: Journal of Neuroimaging

Volume number: 23

Issue number: 2

ISSN: 1051-2284

eISSN: 1552-6569

DOI Link: https://doi.org/10.1111/j.1552-6569.2011.00640.x

Publisher: Wiley

Abstract: 
OBJECTIVE To investigate the potential of the ultrasound-based evaluation of the optic nerve sheath in a patient with spontaneous intracranial hypotension due to cervical cerebrospinal fluid (CSF) leakage. METHODS Repeated measurements of the optic nerve sheath diameter (ONSD) using B-mode sonography were performed before treatment initiation, during medical treatment, and during a course of repeated placement of epidural blood patches. RESULTS On admission, transorbital sonography revealed a decreased ONSD of 4.1 mm on the right and 4.3 mm on the left side. After 8 months of treatment with caffeine and computed tomography-guided epidural blood patches a gradual distension of the ONSD into the normal range was bilaterally observed (right: 5.2 mm; left: 5.3 mm). CONCLUSIONS The ultrasound-based evaluation of the optic nerve sheath may be helpful in detecting CSF hypovolemia and for determination of treatment effects. This report should be seen as a basis for future investigations on the sonographic assessment of the optic nerve sheath in diagnosis and treatment of intracranial hypotension.

Harvard Citation style: Baeuerle, J., Gizewski, E., von Stockhausen, K., Rosengarten, B., Berghoff, M., Grams, A., et al. (2013) Sonographic Assessment of the Optic Nerve Sheath and Transorbital Monitoring of Treatment Effects in a Patient with Spontaneous Intracranial Hypotension: Case Report, Journal of Neuroimaging, 23(2), pp. 237-239. https://doi.org/10.1111/j.1552-6569.2011.00640.x

APA Citation style: Baeuerle, J., Gizewski, E., von Stockhausen, K., Rosengarten, B., Berghoff, M., Grams, A., Kaps, M., & Nedelmann, M. (2013). Sonographic Assessment of the Optic Nerve Sheath and Transorbital Monitoring of Treatment Effects in a Patient with Spontaneous Intracranial Hypotension: Case Report. Journal of Neuroimaging. 23(2), 237-239. https://doi.org/10.1111/j.1552-6569.2011.00640.x