Online ISSN: 2515-8260

Keywords : intracranial pressure


A Comparitive Study of CT Features of Raised Intracranial Pressure in Post Covid Patients & General Population

Dr. Bellamkonda Santh Kumar, Dr. Kondragunta Chandrasekhar Rao, Dr. Madala Venkata Phalgun, Dr. Jeldi Blandina Deepthi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 432-439

Headache is a commonly reported complaint among Covid19 patients, and cases of chronic head aching have lately been documented several weeks after illness recovery. Raised intracranial pressure (ICP) plays a key role in the causation of head ache, Raised ICP if not timely treated leads to brain complications. The study aims to compare the incidence of elevated ICP in post-covid populations to that of the general population, and the objective of study is to assess the features of raised intracranial pressure in post covid and in general population by using CT
Method:
Current study was conducted on 150 subjects who have headache symptoms, in which 75 had Covid history and other 75 from general population. The brain CT image of this 150 subjects evaluated to assess ICP And for identifying the comparison between post covid subject with normal subject. This is study done at DR. PSIMS&RF,Gannavaram,AndhraPradesh.CT brain examinations were performed on 16slice SEIMENS CT machine in the department of radiodiagnosis. CT brain images of patients with headache complaints were evaluated.
Results:
CT Brain images of 150 subjects who came with complaints of headache were evaluated.75 patients among them had past covid history, rest 75 were taken as general population group. In the post covid group 32 patients (42%) had raised ICP features&18 patients (24%) in general population had raised ICP features. Bilateral tortuous optic nerve sheaths were found in 34 patients (45%) in post covid group as opposed to 21 patients (28%) in the general population group. Partial empty sella was found in 35 patients (46%) of post covid group as opposed to patients 21(28%)in the general population group. Patients who had both partial empty sella and bilateral optic nerve sheath dilatation were considered to be of raised ICP to rule out other etiologies

MEASUREMENT OF OPTIC NERVE SHEATH DIAMETER AS A NON-INVASIVE TOOL FOR MONITORING OF INTRACRANIAL PRESSURE DURING PRE-OPERATIVE AND POST-OPERATIVE PERIOD IN PATIENTS WITH SUPRATENTORIAL INTRACRANIAL SPACE OCCUPYING LESIONS

Dr Tathagata Datta, Dr Shahid Iftekhar Sadique, Dr Subhasish Ghosh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1928-1936

Aim: To measure optic nerve sheath diameter as a non-invasive tool for monitoring of intracranial pressure during pre-operative, intra-operative and post-operative period in patients with supratentorial intracranial space occupying lesions.
Material and methods: The present prospective nonrandomised observational study was conducted in the Department of Neurosurgery, Bangur Institute of Neurosciences & SSKM hospital, IPGME & R, Kolkata from February 2020 to February 2022. Adult patients undergoing operation for supratentorial intracranial space occupying lesions during the time period were included in the study. A total of 50 cases were recruited during the study period. We measured the ONSD in the preoperative, intraoperative and postoperative period. Clinical findings suggestive of raised ICP, Cranial computed tomography or magnetic resonance imaging finding of shift, edema, mass effect, collapse of ventricles, compression of cisterns or effacement suggestive of elevated intracranial pressure was used to evaluate optic nerve sheath diameter accuracy.
Results: Most common symptom among the study subjects was headache (84%) followed by vomiting (66%). There was decrease in ONSD among the study subjects in right and left eye after the surgery as compared to baseline with statistical significant difference. No significant difference was found between USG and CT technique w.r.t. ONSD before and after surgery among the study subjects.
Conclusion: In patients with supratentorial intracranial space occupying lesions undergoing surgery, we found a significant reduction in the ONSD diameters measured by USG and CT scan after the surgery. We suggest that bedside USG is a valuable tool for detecting the ONSD during surgery, which may minimize the exposure to radiation.

THE EFFECT OF HYPERTONIC SALINE SOLUTION (7%) ON INTRACRANIAL PRESSURE AND CEREBRAL PERFUSION PRESSURE IN PATIENTS WITH ISOLATED TRAUMATIC BRAIN INJURY

Murotov Temur Malik Nizomovich; Avakov Vyacheslav Ervandovich; Boymurodov Hasan Abdurahmon o’g’li; Saidov Olmos Shukir o’g’li; Mamatqulov Islom G’ayrat o’g’li

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 3071-3081

TBI is a complex pathophysiological process that includes primary and secondary brain damage that affects the structure and function of the nervous system. The incidence of TBI is 3 times higher than the population growth and the cost of treatment is more than 33 billion euros per year. Recently, there has been a growing interest in hypertonic saline solutions, which act in the same way, exerting an osmotic effect, increasing the movement of water from the tissues into the circulatory system. The present study was to study the efficacy and safety of using 7% NaCl in the treatment of intracranial hypertension in patients with isolated traumatic brain injury in the adult population. This group consisted of 35 patients with isolated traumatic brain injury at the age of 21-80 years (42.6 ± 13.2 years).