Bedside Ultrasound Measurement of Optic Nerve Sheath Diameter for Detecting Raised Intracranial Pressure
NCT07799714 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 85
Last updated 2026-09-02
Summary
Raised intracranial pressure (ICP) is a serious medical emergency that requires prompt recognition to prevent brain damage. While invasive pressure monitoring and brain CT scans are commonly used, bedside transorbital ultrasonography to measure optic nerve sheath diameter (ONSD) offers a rapid, non-invasive alternative.
The purpose of this study is to evaluate the diagnostic accuracy of bedside ultrasound measurement of ONSD in detecting raised ICP in adult patients, using brain CT scan findings as the reference standard.
Adult patients clinically suspected of having elevated intracranial pressure and referred for a brain CT scan will undergo a non-invasive bedside ocular ultrasound examination. The optic nerve sheath diameter will be measured in both eyes and compared with independent CT brain interpretations to assess sensitivity, specificity, and the optimal diagnostic cut-off value.
Conditions
- Intracranial Hypertension
- Increased Intracranial Pressure
- Brain Edema
- Traumatic Brain Injury
Sponsors & Collaborators
-
Assiut University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-10-31
- Primary Completion
- 2027-10-31
- Completion
- 2027-11-30
More Related Trials
-
Sonography of the Optic Nerve Sheath Diameter for Detection of Elevated Intracranial Pressure (ICP)
NCT03529370 ·Status: COMPLETED
-
Diagnosis of Intracranial Hypertension Using TCCD, ONSD and ODH by Bedside Ultrasound
NCT07151287 ·Status: NOT_YET_RECRUITING
-
Measurement of the Optic Nerve Diameter in Different Healthcare Operators
NCT06830460 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Ultrasonographic Diameter of Optic Nerve Sheath in Fluid Assessment in Severe Preeclamptic Patients
NCT05176652 ·Status: UNKNOWN
-
Non-invasive Intracranial Pressure Monitoring in Brain Tumor Patients
NCT07286396 ·Status: NOT_YET_RECRUITING
-
Optic Nerve Sheath Diameters in Idiopathic Intracranial Hypertension Patients
NCT04603118 ·Status: COMPLETED ·Phase: NA
-
Optic Nerve Sheath Diameter in Preeclampsia
NCT04004897 ·Status: COMPLETED ·Phase: NA
-
The Effects of Lateral 45° Downward Position on the Optic Nerve Sheath Diameter
NCT05185908 ·Status: COMPLETED
-
Optic Nerve Sheath Diameter / Eyeball Transverse Diameter Ratio and Prognosis of Sepsis Associated Encephalopathy
NCT05918705 ·Status: COMPLETED
-
Optical Nerve Sheath Changes During Head Down Laparoscopy
NCT03957837 ·Status: COMPLETED
-
Optic Nerve Sheath Diameter for Prediction of Outcome After Cardiac Arrest
NCT02513628 ·Status: COMPLETED
-
Optic Nerve Sheath Diameter in Hypertensive Emergency
NCT06286696 ·Status: NOT_YET_RECRUITING
-
Comparison of Optic Nerve Sheath Diameter Measured by Ultrasonography Before and After Ventriculoperitoneal Shunt Surgery in Adult Patients With Hydrocephalus
NCT02663947 ·Status: WITHDRAWN
-
Transcranial Doppler, Optic Nerve Envelope Diameter and Quantitative Pupillometry Measurements
NCT05843214 ·Status: RECRUITING
-
Non Invasive Measurement With Trans Cranial Doppler Versus Invasive Measurement in Pediatric Age
NCT05340062 ·Status: RECRUITING
-
Prospective Ocular Imaging for Intracranial Pressure Evaluation
NCT06855342 ·Status: RECRUITING
-
Perioperative Evaluation of Intracranial Hypertension by Ultrasound Measurement of Variations in the Diameter of the Sheath of the Optic Nerve in the Excision of a Tumor or Biopsy Supratentorial Brain
NCT01864499 ·Status: COMPLETED ·Phase: NA
-
Effect of Pressure Regulation on Optic Nerve Sheath Diameter
NCT04339244 ·Status: COMPLETED ·Phase: NA
-
Transcranial Ultrasound Assessment of Cerebral Pulsatility in Shunt Decision-making for Suspected Idiopathic Normal Pressure Hydrocephalus: a Prospective Cohort Study
NCT07285928 ·Status: NOT_YET_RECRUITING
-
Brain PERfusion Evaluation by Contrast-Enhanced UltraSound
NCT05893407 ·Status: RECRUITING
-
The Effect of Pneumoperitoneum and Trendelenburg Position on Intracranial Pressure: Ultrasonographic Measurement of Optic Nerve Sheath Diameter
NCT01641302 ·Status: COMPLETED
-
ONSD Changes and Treatment Response After Epidural Blood Patch in Spontaneous Intracranial Hypotension
NCT07085260 ·Status: COMPLETED
-
Optic Nerve Sheath Diameter Difference Between Different Injection Volume
NCT04412109 ·Status: COMPLETED ·Phase: NA
-
Timing of Invasive Intracranial Pressure Monitoring Between Neurosurgeons and Intensive Care Physicians
NCT05045105 ·Status: UNKNOWN
-
Brain Skull Deformation as a Non-invasive Intracranial Pressure (ICP) Measure
NCT05121155 ·Status: COMPLETED