Evaluation of increased intracranial pressure with the optic nerve sheath diameter by ultrasound in epiduroscopic neural laser discectomy procedures

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dc.authoridSerbülent Gökhan Beyaz / 0000-0001-9263-7823en_US
dc.authorscopusidSerbülent Gökhan Beyaz / 36623282200
dc.authorwosidSerbülent Gökhan Beyaz / D-7095-2011
dc.contributor.authorBeyaz, Serbülent Gökhan
dc.contributor.authorKaya, Burak
dc.contributor.authorÜlgen, Ali Metin
dc.contributor.authorŞahin, Fatih
dc.contributor.authorKocayiğit, Havva
dc.contributor.authorIssı, Zeynep Tuncer
dc.date.accessioned2021-08-02T08:08:27Z
dc.date.available2021-08-02T08:08:27Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: In order to clarify the camera image and open the adhesions mechanically during epiduroscopy, saline is injected continuously in the epidural area. As a result, an increase in intracranial pressure is to be expected in theory. Increased intracranial pressure can be evaluated by measuring by optic nerve sheath diameter. Objectives: This study was designed to evaluate the relationship between optic nerve sheath diameter measurements and intracranial pressure, after injecting fluid to the epidural area during epiduroscopy procedures performed in our clinic. Study Design: Retrospective study. Setting: Sakarya University Training and Research Hospital. Methods: During the epiduroscopy procedure, pre and postoperative bilateral optic nerve sheath diameters were measured with an ultrasonography probe. With the patients' eyelids closed, the probe was placed on the orbita in the sagittal plane, measuring 3 mm posterior of the papilla. Results: While there was a statistically significant difference between pre- and post-operative optic nerve sheath diameter measurements, there was no significant correlation with processing time, amount of fluid delivered, or fluid delivery rates. Limitations: One of the limitations of this study is the retrospective collection of data. A second limitation is that repetitive measurements were not performed, instead of a single postoperative measurement. Conclusion: We think more prospective randomized controlled studies are required to examine the increase in the diameter of the optic nerve sheath, which is an indirect indicator of increased intracranial pressure after epiduroscopy applications, in order to determine whether the pressure increase is associated with the rate of fluid delivery, the total fluid amount, or the processing time.en_US
dc.identifier.citationBeyaz SG, Kaya B, Ulgen AM, Sahin F, Kocayigit H, Issi ZT. Evaluation of Increased Intracranial Pressure with the Optic Nerve Sheath Diameter by Ultrasound in Epiduroscopic Neural Laser Discectomy Procedures. Pain Physician. 2021 Aug;24(5):E595-E600. PMID: 34323446.en_US
dc.identifier.endpageE600en_US
dc.identifier.issn1533-3159en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE595en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1971
dc.identifier.volume24en_US
dc.identifier.wosWOS:000674553100007en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorBeyaz, Serbülent Gökhan
dc.language.isoenen_US
dc.publisherAM SOC INTERVENTIONAL PAIN PHYSICIANSen_US
dc.relation.ispartofPAIN PHYSICIANen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpiduralen_US
dc.subjectEpiduroscopic Laser Neural Decompressionen_US
dc.subjectFluid Volumeen_US
dc.subjectIntracranial Pressureen_US
dc.subjectOptic Nerve Sheath Diameteren_US
dc.subjectUltrasonographyen_US
dc.subjectRateen_US
dc.titleEvaluation of increased intracranial pressure with the optic nerve sheath diameter by ultrasound in epiduroscopic neural laser discectomy proceduresen_US
dc.typeArticleen_US

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