Point-of-care ultrasound of optic nerve sheath diameter to detect elevated intracranial pressure : Ultrasound in the eye of the beholder ?

N S Tjahjadi, W Van De Bergh, P W G Elbers, D Gommers, P R Tuinman

Research output: Contribution to journalArticleAcademicpeer-review


Raised intracranial pressure (ICP) is a frequent complication in neurocritically-ill patients. Current diagnostic methods are invasive and have ample drawbacks. Ultrasound of ONSD can be an alternative modality to diagnose and monitor a raised ICP. A thorough search in PubMed/EMBASE was applied to find relevant articles. Two reviewers independently evaluated the relevant articles and extracted the data. The optimal cutoff value of ONSD to detect a raised ICP ranged from 4.7-5.7 mm with corresponding sensitivity and specificity rates ranging from 70%-100% and 31.9%-100%, respectively.
Original languageEnglish
Pages (from-to)81-86
Number of pages6
JournalNetherlands Journal of Critical Care
Issue number2
Publication statusPublished - 2019


  • - ultrasound
  • intracranial pressure
  • onsd
  • optic nerve sheath diameter

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