Study of The Effectiveness of Ocular Ultrasonography in The Assessment of Intracranial Hypertension in Patients Presenting with Headache at The Emergency Department

Authors

Mohamed Fawzy Tantawy, Department of general surgery, Faculty of medicine, Menoufia university, Shibinelkom, Menoufia, Egypt
Magdi Lolah, Department of general surgery, Faculty of medicine, Menoufia university, Shibinelkom, Menoufia, Egypt
Shimaa Abdelhamid Hassanein, Department of radiology, Faculty of medicine, Menoufia university, Shibinelkom, Menoufia, Egypt
Ahmed Mahmoud Fayed, Department of general surgery, Faculty of medicine, Menoufia university, Shibinelkom, Menoufia, EgyptFollow

Abstract

Objectives: to evaluate the effectiveness of ocular ultrasonography in assessing elevated intracranial pressure (ICP) at emergency department (ED) patients with severe headache. Background: Assessment of elevated ICP in patients with headache is crucial for diagnosis and treatment. Measuring the optic nerve sheath diameter (ONSD) by Ocular ultrasonography is a non-invasive method to evaluate ICP. Methods: A total of 60 patients with acute alarming headache were included. Ocular ultrasonography was performed to measure ONSD, and brain computed topography (CT) scan was also done as reference modality to assess intracranial abnormalities and signs of elevated (ICP). Data analysis included demographic, clinical, laboratory findings, and ROC curve analysis to evaluate ONSD's predictive value. Results: The study included 60 patients with a mean age of 52.75 years. In this study the right ONSD mean±SD was 5.87±0.71. The left ONSD mean ± SD was 5.73±0.83. Elevated ICP was associated with higher ONSD measurements (right ONSD mean ± SD: 8.84±0.57 mm; left ONSD mean ± SD: 8.79 ± 0.58 mm). ROC curve analysis showed high sensitivity (98%) and specificity (98.2%) for ONSD in predicting elevated ICP at a cutoff value of 5.34mm for the right ONSD, and 5.28 mm for the left ONSD. Conclusion: Ocular ultrasonography is an effective non-invasive tool for assessing ICP in patients with headache at the ED

Subject Area

Emergency Medicine

Article Type

Original Study

Recommended Citation

Tantawy, Mohamed Fawzy; Lolah, Magdi; Hassanein, Shimaa Abdelhamid; and Fayed, Ahmed Mahmoud (2025) "Study of The Effectiveness of Ocular Ultrasonography in The Assessment of Intracranial Hypertension in Patients Presenting with Headache at The Emergency Department," Menoufia Medical Journal: Vol. 38: Iss. 1, Article 19.
DOI: https://doi.org/10.59204/2314-6788.3329

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