چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده ثبت کننده مقاله | دانیال فدایی فولادی |
| مرحله جاری مقاله | تایید نهایی |
| دانشکده/مرکز مربوطه | مرکز تحقیقات علوم اعصاب |
| کد مقاله | 58528 |
| عنوان فارسی مقاله | The diagnostic performance of ultrasonographic optic nerve sheath diameter and color Doppler indices of the ophthalmic arteries in detecting elevated intracranial pressure |
| عنوان لاتین مقاله | The diagnostic performance of ultrasonographic optic nerve sheath diameter and color Doppler indices of the ophthalmic arteries in detecting elevated intracranial pressure |
| ناشر | 7 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ | خیر |
| عنوان نشریه (خارج از لیست فوق) | |
| نوع مقاله | Original Article |
| نحوه ایندکس شدن مقاله | ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت | http://www.sciencedirect.com/science/article/pii/S0303846715300949 |
| Objectives: To assess the diagnostic accuracy of ultrasonographic optic nerve sheath diameter (ONSD)measurement and color Doppler indices of the ophthalmic arteries in detecting elevated intracranialpressure (ICP).Patients and methods: A total 60 patients with (cases, n = 30) and without (controls, n = 30) acute clinicaland computed tomographic findings of elevated ICP due to intracranial mass/hemorrhage were recruitedfrom a teaching hospital. The mean binocular and maximum ultrasonographic ONSDs, as well as themean binocular Doppler ultrasound waveform indices of the ophthalmic arteries including pulsatilityindex (PI), resistive index (RI), end-systolic velocity (ESV), peak systolic velocity (PSV) and end-diastolicvelocity (EDV) were compared between the two groups.Results: Compared to controls, the case group had significantly higher mean binocular ONSD(5.48 ± 0.52 mm vs. 4.09 ± 0.22 mm, p < 0.001), maximum ONSD (5.63 ± 0.55 mm vs. 4.16 ± 0.23 mm,p < 0.001), mean PI (1.53 ± 0.16 vs. 1.45 ± 0.20, p = 0.01), and mean RI (0.76 ± 0.07 vs. 0.73 ± 0.04,p = 0.01). The mean EDV, in contrast, was significantly higher in controls (8.55 ± 3.09 m/s vs.7.17 ± 2.61 m/s, p = 0.01). The two groups were comparable for the mean PSV (30.73 ± 7.93 m/s in casesvs. 32.27 ± 10.39 m/s in controls, p = 0.36). Among the mentioned variables, the mean binocular ONSDwas the most accurate parameter in detecting elevated ICP (sensitivity and specificity of 100%, cut-offpoint = 4.53 mm). The Doppler indices were only moderately accurate (sensitivity: 56.7 − 60%, specificity:63.3 − 76.7%).Conclusion: While the ultrasonographic mean binocular ONSD (>4.53 mm) was completely accurate indetecting elevated ICP, color Doppler indices of the ophthalmic arteries were of limited value. |
| نویسنده | نفر چندم مقاله |
|---|---|
| محمد کاظم طرزمنی | اول |
| علی مشکینی | سوم |
| دانیال فدایی فولادی | پنجم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 22.pdf | 1395/05/25 | 1215010 | دانلود |
