The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study
Objective: This study aimed to evaluate the usability of the optic nerve sheath diameter (ONSD) in the differential diagnosis of headache. Materials and Methods: This study included non-traumatic patients with headache. Patients were divided into three groups. Primary headache was assigned to group...
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| Format: | Article |
| Language: | English |
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Türkiye Acil Tıp Vakfı
2025-04-01
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| Series: | Global Emergency and Critical Care |
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| Online Access: | https://globemcc.com/articles/the-role-of-optic-nerve-sheath-diameter-in-differential-diagnosis-in-patients-with-headache-a-prospective-randomized-controlled-study/doi/globecc.galenos.2024.91300 |
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| author | Ayşegül İşlek Yüksel Fatih Selvi Serkan Yüksel Mustafa Avcı Gülsüm Çalışkan Günay Nalan Kozacı |
| author_facet | Ayşegül İşlek Yüksel Fatih Selvi Serkan Yüksel Mustafa Avcı Gülsüm Çalışkan Günay Nalan Kozacı |
| author_sort | Ayşegül İşlek Yüksel |
| collection | DOAJ |
| description | Objective: This study aimed to evaluate the usability of the optic nerve sheath diameter (ONSD) in the differential diagnosis of headache.
Materials and Methods: This study included non-traumatic patients with headache. Patients were divided into three groups. Primary headache was assigned to group 1, secondary headache to group 2, and healthy volunteers to group 3. ONSD was measured by ultrasonography before computed cranial tomography imaging.
Results: A total of 50 patients in groups 1 and 2 and 50 healthy volunteers in group 3 were included. The mean ONSD of healthy volunteers was 4.2 mm, and the mean ONSD difference between eyes was 0.2 mm. The mean ONSD for the primary headache was 4.5 mm, and the mean ONSD difference for both eyes was 0.2 mm. The ONSD of the secondary headache was measured as 6.2 mm, and the ONSD difference between the eyes was 0.3 mm. The ONSD difference in both eyes and the ONSD of patients with secondary headache were higher than those in groups 1 and 3 (p<0.001). The ONSD cutoff value, which was positive on CT imaging, was 5.2 mm.
Conclusion: The ONSD and difference in ONSD can be used in the differential diagnosis of primary and secondary headache. |
| format | Article |
| id | doaj-art-a36b507ecf5e435fb087581d3960d4b4 |
| institution | Kabale University |
| issn | 2822-4078 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Türkiye Acil Tıp Vakfı |
| record_format | Article |
| series | Global Emergency and Critical Care |
| spelling | doaj-art-a36b507ecf5e435fb087581d3960d4b42025-08-20T03:52:32ZengTürkiye Acil Tıp VakfıGlobal Emergency and Critical Care2822-40782025-04-0141232910.4274/globecc.galenos.2024.91300The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled StudyAyşegül İşlek Yüksel0https://orcid.org/0000-0002-3524-1758Fatih Selvi1https://orcid.org/0000-0002-9701-9714Serkan Yüksel2https://orcid.org/0000-0002-6165-6455Mustafa Avcı3https://orcid.org/0000-0002-5018-9070Gülsüm Çalışkan Günay4https://orcid.org/0000-0001-8660-8970Nalan Kozacı5https://orcid.org/0000-0001-7758-3839Kahta State Hospital, Clinic of Emergency Medicine, Adıyaman, TürkiyeUniversity of Health Sciences Türkiye, Antalya Training and Research Hospital, Clinic of Emergency Medicine, Antalya, TürkiyeKahta State Hospital, Clinic of Radiology, Adıyaman, TürkiyeUniversity of Health Sciences Türkiye, Antalya Training and Research Hospital, Clinic of Emergency Medicine, Antalya, TürkiyeAtatürk State Hospital, Clinic of Emergency Medicine, Antalya, TürkiyeAlanya Alaaddin Keykubat University, Alanya Training and Research Hospital, Clinic of Emergency Medicine, Antalya, TürkiyeObjective: This study aimed to evaluate the usability of the optic nerve sheath diameter (ONSD) in the differential diagnosis of headache. Materials and Methods: This study included non-traumatic patients with headache. Patients were divided into three groups. Primary headache was assigned to group 1, secondary headache to group 2, and healthy volunteers to group 3. ONSD was measured by ultrasonography before computed cranial tomography imaging. Results: A total of 50 patients in groups 1 and 2 and 50 healthy volunteers in group 3 were included. The mean ONSD of healthy volunteers was 4.2 mm, and the mean ONSD difference between eyes was 0.2 mm. The mean ONSD for the primary headache was 4.5 mm, and the mean ONSD difference for both eyes was 0.2 mm. The ONSD of the secondary headache was measured as 6.2 mm, and the ONSD difference between the eyes was 0.3 mm. The ONSD difference in both eyes and the ONSD of patients with secondary headache were higher than those in groups 1 and 3 (p<0.001). The ONSD cutoff value, which was positive on CT imaging, was 5.2 mm. Conclusion: The ONSD and difference in ONSD can be used in the differential diagnosis of primary and secondary headache.https://globemcc.com/articles/the-role-of-optic-nerve-sheath-diameter-in-differential-diagnosis-in-patients-with-headache-a-prospective-randomized-controlled-study/doi/globecc.galenos.2024.91300computed cranial tomographyemergency medicineheadacheoptic nerve sheath diameterultrasonography |
| spellingShingle | Ayşegül İşlek Yüksel Fatih Selvi Serkan Yüksel Mustafa Avcı Gülsüm Çalışkan Günay Nalan Kozacı The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study Global Emergency and Critical Care computed cranial tomography emergency medicine headache optic nerve sheath diameter ultrasonography |
| title | The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study |
| title_full | The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study |
| title_fullStr | The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study |
| title_full_unstemmed | The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study |
| title_short | The Role of Optic Nerve Sheath Diameter in Differential Diagnosis in Patients with Headache, A Prospective, Randomized Controlled Study |
| title_sort | role of optic nerve sheath diameter in differential diagnosis in patients with headache a prospective randomized controlled study |
| topic | computed cranial tomography emergency medicine headache optic nerve sheath diameter ultrasonography |
| url | https://globemcc.com/articles/the-role-of-optic-nerve-sheath-diameter-in-differential-diagnosis-in-patients-with-headache-a-prospective-randomized-controlled-study/doi/globecc.galenos.2024.91300 |
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