Pengukuran Diameter Selubung Nervus Optikus (Optic Nerve Sheath Diameter) Berbasis Ultrasonografi: Metode Pemantauan Tekanan Intrakranial Non-invasif Selanjutnya?

Andy Santoso Hioe

Abstract

Pemantauan tekanan intrakranial dibutuhkan sebagai upaya untuk menghindari kerusakan otak sekunder. Pemeriksaan baku emas untuk pemantauan ini masih bersifat invasif dan meningkatkan risiko infeksi dan perdarahan. Oleh karena itu, diperlukan pemeriksaan non-invasif yang dapat menggambarkan tekanan intrakranial secara kontinu. Salah satu pemeriksaan tersebut adalah pengukuran diameter selubung nervus optikus berbasis ultrasonografi. Pemeriksaan ini telah terbukti mempunyai sensitivitas dan spesifisitas yang baik dan berkorelasi baik dengan tekanan intrakranial. Pemeriksaan ini juga murah, aman, cepat, dan dapat diulang.

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References

Kristiansson H, Nissborg E, Bartek J, Andresen M, Reinstrup P, Romner B. Measuring elevated intracranial pressure through noninvasive methods: A review of the literature. J Neurosurg Anesthesiol. 2013;25:375-85

Evensen KB, Elde PK. Measuring intracranial pressure by invasive, less invasive or non-invasive means: Limitations and avenues for improvement. Fluids Barriers CNS. 2020;17:34

Robba C, Santori G, Czosnyka M, Corradi F, Bragazzi N, Padayachy L, et al. Optic nerve sheath diameter measured sonographically as non-invasive estimator of intracranial pressure: A systematic review and meta-analysis. Intensive Care Med. 2018;44(8):1284-94

Robba C, Goffi A, Geeraerts T, Cardim D, Via G, Czosnyka M, et al. Brain ultrasonography: Methodology, basic and advanced principles and clinical applications. A narrative review. Intensive Care Med. 2019;45(7):913-27

Rajajee V, Vanaman M, Fletcher J, Jacobs TL. Optic nerve ultrasound for the detection of raised intracranial pressure. Neurocrit Care. 2011;15:506-15

Killer HE, Laeng HR, Flammer J, Groscurth P. Architecture of arachnoid trabeculae, pillars, and septa in the subarachnoid space of the human optic nerve: anatomy and clinical considerations. Br J Ophthalmol. 2003;87:777-81

Standring S, editors. Gray's anatomy: The anatomical basis of clinical practice. 41st ed. UK: Elsevier Limited; 2016.

Hansen HC, Helmke K. The subarachnoid space surrounding the optic nerves. An ultrasound study of the optic nerve sheath. Surg Radiol Anat. 1996;18:323-8

Sekhon MS, Griesdale DE, Robba C, McGlashan N, Needham E, Walland K, et al. Optic nerve sheath diameter on computed tomography is correlated with simultaneously measured intracranial pressure in patients with severe traumatic brain injury. Intensive Care Med. 2014;40:1267-74

Jenjitraanant P, Tunlayadechanont P, Prachanukool T, Kaewlai R. Correlation between optic nerve sheath diameter measured on imaging with acute pathologies found on computed tomography of trauma patients. Eur J Radiol. 2020;125:108875

Cardim D, Robba C, Bohdanowicz M, Donney J, Cabella B, Liu X, et al. Non-invasive monitoring of intracranial pressure using transcranial doppler ultrasonography: Is it possible? Neurocrit Care. 2016;25(3):473-91

Robba C, Cardim R, Tajsic T, Pietersen J, Bulman M, Donnely J, et al. Ultrasound non-invasive measurement of intracranial pressure in neurointensive care: A prospective observational study. PLoS Med. 2017;14(7):e1002356

del Saz-Saucedo P, Redondo-Gonzales O, Mateu-Mateu A, Huertas Arroyo R, Garcia-Ruiz R, Botia-Paniagua E. Sonographic assessment of the optic nerve sheath diameter in the diagnosis of idiopathic intracranial hypertension. J Neurol Sci. 2016;261:122-7

Jeon JP, Lee SU, Kim SE, Kang SH, Yang JS, Choi HJ, et al. Correlation of optic nerve sheath diameter with directly measured intracranial pressure in korean adults using bedside ultrasonography. PLoS One. 2017;12(9):e0183170

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