Status:

ACTIVE_NOT_RECRUITING

Diagnostic Accuracy of the Optic Nerve Deformability Index and Optic Nerve Sheath Diameter as a Noninvasive Predictor of Intracranial Pressure

Lead Sponsor:

Benha University

Conditions:

Increase Intra Cranial Pressure

Traumatic Brain Injury

Eligibility:

All Genders

18-65 years

Brief Summary

The study will be carried out on 50 patients, dichotomized into high and normal ICP groups, and we will assess both ONSD and DI in all patients.

Detailed Description

Operational Design: Preparation: Awake and alert patients should be briefed on the procedure. Obtunded, intubated, or heavily sedated patients should undergo a basic eye evaluation for signs and sym...

Eligibility Criteria

Inclusion

  • age 18 to 65 years
  • increased ICP (e.g., TBI, sub arachnoid hemorrhage, intracranial hemorrhage)
  • a Glasgow Coma scale=3-12 and requiring ICP monitoring via invasive methods (e.g. extra ventricular drain, lumber drain)

Exclusion

  • chronic hydrocephalus
  • extensive local orbit trauma
  • a pre-existing ocular disease affecting the optic nerve and/or orbital cavity
  • hyperthyroidism with exophthalmia
  • facial trauma affecting the orbits and/or eyeballs
  • optic nerve trauma
  • signs of critically raised ICP, needing urgent surgery.
  • hemodynamically unstable between ONSD acquisition and ICP measurement.
  • receiving medication that would decrease ICP between ultrasound imaging and ICP measurement, i.e. mannitol, hypertonic saline or steroids.

Key Trial Info

Start Date :

March 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

January 30 2027

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT06884319

Start Date

March 1 2025

End Date

January 30 2027

Last Update

April 9 2025

Active Locations (1)

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1

Benha university hospital

Banhā, Egypt