Correlation of diameter of the optic nerve sheath and clinical outcomes in patients with intracerebral hemorrhage based on the intracerebral hemorrhage score

Rizkidawati Rizkidawati; Farida Farida; Sri Hastuti; Fauzul Husna; Syahrul Syahrul; Nur Astini; Zulkarnain Zulkarnain

Makale detayları

Correlation of diameter of the optic nerve sheath and clinical outcomes in patients with intracerebral hemorrhage based on the intracerebral hemorrhage score

Yazarlar:

Rizkidawati Rizkidawati | Farida Farida | Sri Hastuti | Fauzul Husna | Syahrul Syahrul | Nur Astini | Zulkarnain Zulkarnain

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Neurology and Neuromuscular Diseases | Neurosciences (Other)

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.234-241

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359811

pISSN:

1309-4483

Anahtar kelimeler:

Özet:

 Hemorrhagic stroke is classified according to its anatomical location into intracerebral, subarachnoid, and intraventricular hemorrhages. Increased intracerebral pressure ICP can result in poor outcomes in patients with hemorrhagic stroke. Ultrasonography USG of the optic nerve sheath diameter ONSD has been suggested as a noninvasive method for detecting elevated ICP. Previous studies have indicated that an ONSD greater than 5 mm correlates with an ICP  20 mmHg. This study aimed to examine the relationship between ONSD and clinical outcomes in intracerebral hemorrhagic stroke patients with ICH according to the intracerebral hemorrhage ICH score. This observational cross-sectional study was conducted from March to June 2021 at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, and included 52 patients with acute intracerebral hemorrhage stroke patients. Each patient underwent brain CT, and ICH scores were obtained upon admission. ONSD sonography was performed 48 h after admission. Fishers exact test was used to examine the relationship between ONSD and clinical outcomes, whereas Spearmans rank correlation coefficient was used to assess the strength of the correlation. A strong positive correlation was found between ONSD and ICH scores r  0.618, p  0.000. The significant components of the ONSD-associated ICH score were the GCS score p  0.001, ICH volume p  0.000, and the presence of IVH p  0.009. This study concluded that ONSD was a non-invasive and cost-effective method to assess increased ICP in patients with intracerebral hemorrhagic stroke, showed a correlation with clinical outcomes according to the ICH score.

 Hemorrhagic stroke is classified according to its anatomical location into intracerebral, subarachnoid, and intraventricular hemorrhages. Increased intracerebral pressure ICP can result in poor outcomes in patients with hemorrhagic stroke. Ultrasonography USG of the optic nerve sheath diameter ONSD has been suggested as a noninvasive method for detecting elevated ICP. Previous studies have indicated that an ONSD greater than 5 mm correlates with an ICP  20 mmHg. This study aimed to examine the relationship between ONSD and clinical outcomes in intracerebral hemorrhagic stroke patients with ICH according to the intracerebral hemorrhage ICH score. This observational cross-sectional study was conducted from March to June 2021 at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, and included 52 patients with acute intracerebral hemorrhage stroke patients. Each patient underwent brain CT, and ICH scores were obtained upon admission. ONSD sonography was performed 48 h after admission. Fishers exact test was used to examine the relationship between ONSD and clinical outcomes, whereas Spearmans rank correlation coefficient was used to assess the strength of the correlation. A strong positive correlation was found between ONSD and ICH scores r  0.618, p  0.000. The significant components of the ONSD-associated ICH score were the GCS score p  0.001, ICH volume p  0.000, and the presence of IVH p  0.009. This study concluded that ONSD was a non-invasive and cost-effective method to assess increased ICP in patients with intracerebral hemorrhagic stroke, showed a correlation with clinical outcomes according to the ICH score.

 Hemorrhagic stroke is classified according to its anatomical location into intracerebral, subarachnoid, and intraventricular hemorrhages. Increased intracerebral pressure ICP can result in poor outcomes in patients with hemorrhagic stroke. Ultrasonography USG of the optic nerve sheath diameter ONSD has been suggested as a noninvasive method for detecting elevated ICP. Previous studies have indicated that an ONSD greater than 5 mm correlates with an ICP  20 mmHg. This study aimed to examine the relationship between ONSD and clinical outcomes in intracerebral hemorrhagic stroke patients with ICH according to the intracerebral hemorrhage ICH score. This observational cross-sectional study was conducted from March to June 2021 at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, and included 52 patients with acute intracerebral hemorrhage stroke patients. Each patient underwent brain CT, and ICH scores were obtained upon admission. ONSD sonography was performed 48 h after admission. Fishers exact test was used to examine the relationship between ONSD and clinical outcomes, whereas Spearmans rank correlation coefficient was used to assess the strength of the correlation. A strong positive correlation was found between ONSD and ICH scores r  0.618, p  0.000. The significant components of the ONSD-associated ICH score were the GCS score p  0.001, ICH volume p  0.000, and the presence of IVH p  0.009. This study concluded that ONSD was a non-invasive and cost-effective method to assess increased ICP in patients with intracerebral hemorrhagic stroke, showed a correlation with clinical outcomes according to the ICH score.

 Hemorrhagic stroke is classified according to its anatomical location into intracerebral, subarachnoid, and intraventricular hemorrhages. Increased intracerebral pressure ICP can result in poor outcomes in patients with hemorrhagic stroke. Ultrasonography USG of the optic nerve sheath diameter ONSD has been suggested as a noninvasive method for detecting elevated ICP. Previous studies have indicated that an ONSD greater than 5 mm correlates with an ICP  20 mmHg. This study aimed to examine the relationship between ONSD and clinical outcomes in intracerebral hemorrhagic stroke patients with ICH according to the intracerebral hemorrhage ICH score. This observational cross-sectional study was conducted from March to June 2021 at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, and included 52 patients with acute intracerebral hemorrhage stroke patients. Each patient underwent brain CT, and ICH scores were obtained upon admission. ONSD sonography was performed 48 h after admission. Fishers exact test was used to examine the relationship between ONSD and clinical outcomes, whereas Spearmans rank correlation coefficient was used to assess the strength of the correlation. A strong positive correlation was found between ONSD and ICH scores r  0.618, p  0.000. The significant components of the ONSD-associated ICH score were the GCS score p  0.001, ICH volume p  0.000, and the presence of IVH p  0.009. This study concluded that ONSD was a non-invasive and cost-effective method to assess increased ICP in patients with intracerebral hemorrhagic stroke, showed a correlation with clinical outcomes according to the ICH score.

Makale detayları

Correlation of diameter of the optic nerve sheath and clinical outcomes in patients with intracerebral hemorrhage based on the intracerebral hemorrhage score

Yazarlar:

Rizkidawati Rizkidawati | Farida Farida | Sri Hastuti | Fauzul Husna | Syahrul Syahrul | Nur Astini | Zulkarnain Zulkarnain

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Neurology and Neuromuscular Diseases | Neurosciences (Other)

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.234-241

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359811

pISSN:

1309-4483

Optic nerve sheath diameter

intracerebral hemorrhagic stroke

USG

clinical outcome

ICH score

Sayı

Makale detayları

Correlation of diameter of the optic nerve sheath and clinical outcomes in patients with intracerebral hemorrhage based on the intracerebral hemorrhage score

Yazarlar: Rizkidawati Rizkidawati | Farida Farida | Sri Hastuti | Fauzul Husna | Syahrul Syahrul | Nur Astini | Zulkarnain Zulkarnain

Yayıncı: Ondokuz Mayıs University

Ana Başlıklar: Neurology and Neuromuscular Diseases | Neurosciences (Other)

Dergi: Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.234-241

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001359811

pISSN: 1309-4483

Optic nerve sheath diameter

intracerebral hemorrhagic stroke

USG

clinical outcome

ICH score

Sayı

Yazarlar:

Rizkidawati Rizkidawati | Farida Farida | Sri Hastuti | Fauzul Husna | Syahrul Syahrul | Nur Astini | Zulkarnain Zulkarnain

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Neurology and Neuromuscular Diseases | Neurosciences (Other)

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.234-241

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359811

pISSN:

1309-4483