Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.

<h4>Introduction</h4>Measurement of optic nerve sheath diameter (ONSD) by ultrasound is increasingly used as a marker to detect raised intracranial pressure (ICP). ONSD varies with age and there is no clear consensus between studies for an upper limit of normal. Knowledge of normal ONSD...

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Main Authors: Rapeephan R Maude, Md Amir Hossain, Mahtab Uddin Hassan, Sophie Osbourne, Katherine Langan Abu Sayeed, Mohammed Rezaul Karim, Rasheda Samad, Shyamanga Borooah, Bal Dhillon, Nicholas P J Day, Arjen M Dondorp, Richard J Maude
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0081013&type=printable
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author Rapeephan R Maude
Md Amir Hossain
Mahtab Uddin Hassan
Sophie Osbourne
Katherine Langan Abu Sayeed
Mohammed Rezaul Karim
Rasheda Samad
Shyamanga Borooah
Bal Dhillon
Nicholas P J Day
Arjen M Dondorp
Richard J Maude
author_facet Rapeephan R Maude
Md Amir Hossain
Mahtab Uddin Hassan
Sophie Osbourne
Katherine Langan Abu Sayeed
Mohammed Rezaul Karim
Rasheda Samad
Shyamanga Borooah
Bal Dhillon
Nicholas P J Day
Arjen M Dondorp
Richard J Maude
author_sort Rapeephan R Maude
collection DOAJ
description <h4>Introduction</h4>Measurement of optic nerve sheath diameter (ONSD) by ultrasound is increasingly used as a marker to detect raised intracranial pressure (ICP). ONSD varies with age and there is no clear consensus between studies for an upper limit of normal. Knowledge of normal ONSD in a healthy population is essential to interpret this measurement.<h4>Methods</h4>In a prospective observational study, ONSD was measured using a 15 MHz ultrasound probe in healthy volunteers in Chittagong, Bangladesh. The aims were to determine the normal range of ONSD in healthy Bangladeshi adults and children, compare measurements in males and females, horizontal and vertical beam orientations and left and right eyes in the same individual and to determine whether ONSD varies with head circumference independent of age.<h4>Results</h4>136 subjects were enrolled, 12.5% of whom were age 16 or under. Median ONSD was 4.41 mm with 95% of subjects in the range 4.25-4.75 mm. ONSD was bimodally distributed. There was no relationship between ONSD and age (≥4 years), gender, head circumference, and no difference in left vs right eye or horizontal vs vertical beam.<h4>Conclusions</h4>Ultrasonographic ONSD in Bangladeshi healthy volunteers has a narrow bimodal distribution independent of age (≥4 years), gender and head circumference. ONSD >4.75 mm in this population should be considered abnormal.
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spelling doaj-art-cd80d515a5ba4965aecf9783e60e12052025-08-20T02:34:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01812e8101310.1371/journal.pone.0081013Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.Rapeephan R MaudeMd Amir HossainMahtab Uddin HassanSophie OsbourneKatherine Langan Abu SayeedMohammed Rezaul KarimRasheda SamadShyamanga BorooahBal DhillonNicholas P J DayArjen M DondorpRichard J Maude<h4>Introduction</h4>Measurement of optic nerve sheath diameter (ONSD) by ultrasound is increasingly used as a marker to detect raised intracranial pressure (ICP). ONSD varies with age and there is no clear consensus between studies for an upper limit of normal. Knowledge of normal ONSD in a healthy population is essential to interpret this measurement.<h4>Methods</h4>In a prospective observational study, ONSD was measured using a 15 MHz ultrasound probe in healthy volunteers in Chittagong, Bangladesh. The aims were to determine the normal range of ONSD in healthy Bangladeshi adults and children, compare measurements in males and females, horizontal and vertical beam orientations and left and right eyes in the same individual and to determine whether ONSD varies with head circumference independent of age.<h4>Results</h4>136 subjects were enrolled, 12.5% of whom were age 16 or under. Median ONSD was 4.41 mm with 95% of subjects in the range 4.25-4.75 mm. ONSD was bimodally distributed. There was no relationship between ONSD and age (≥4 years), gender, head circumference, and no difference in left vs right eye or horizontal vs vertical beam.<h4>Conclusions</h4>Ultrasonographic ONSD in Bangladeshi healthy volunteers has a narrow bimodal distribution independent of age (≥4 years), gender and head circumference. ONSD >4.75 mm in this population should be considered abnormal.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0081013&type=printable
spellingShingle Rapeephan R Maude
Md Amir Hossain
Mahtab Uddin Hassan
Sophie Osbourne
Katherine Langan Abu Sayeed
Mohammed Rezaul Karim
Rasheda Samad
Shyamanga Borooah
Bal Dhillon
Nicholas P J Day
Arjen M Dondorp
Richard J Maude
Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.
PLoS ONE
title Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.
title_full Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.
title_fullStr Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.
title_full_unstemmed Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.
title_short Transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in Bangladesh.
title_sort transorbital sonographic evaluation of normal optic nerve sheath diameter in healthy volunteers in bangladesh
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0081013&type=printable
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