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Báo cáo y học: "Optic nerve sonography in the diagnostic evaluation of adult brain injury"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Optic nerve sonography in the diagnostic evaluation of adult brain injury. | Available online http ccforum.eom content 1 2 3 R67 Research Optic nerve sonography in the diagnostic evaluation of adult brain injury Theodoros Soldatos1 Dimitrios Karakitsos2 Katerina Chatzimichail1 Matilda Papathanasiou1 Athanasios Gouliamos1 and Andreas Karabinis2 1Second Department of Radiology Attikon University Hospital 1 Rimin st 124 62 Athens Greece 2Department of Intensive Care General State Hospital of Athens 154 Mesogeion ave 115 27 Athens Greece Corresponding author Andreas Karabinis akarabinis@ath.forthnet.gr Received 20 Feb 2008 Revisions requested 2 Apr 2008 Revisions received 16 Apr 2008 Accepted 13 May 2008 Published 13 May 2008 Critical Care 2008 12 R67 doi 10.1186 cc6897 This article is online at http ccforum.com content 12 3 R67 2008 Soldatos et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction The optic nerve sheath diameter ONSD may be increased in brain-injured patients especially children with intracranial hypertension. We investigated whether measurements of ONSD correlated with simultaneous noninvasive and invasive measurements of the intracranial pressure ICP in brain-injured adults. Methods Seventy-six critical care patients 58 males 47 18 years old were included in the study. Fifty patients suffered from brain injury whereas 26 had no intracranial pathology and served as control individuals. Initially brain-injured patients were evaluated clinically Glasgow Coma Scale and using a semiquantitative I to VI neuroimaging scale Marshall Scale . Thereafter the patients were divided into those with moderate Marshall Scale I and Glasgow Coma Scale 8 n 18 and severe Marshall Scale II to VI and Glasgow Coma Scale 8 n 32 brain injury. All patients underwent noninvasive