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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2025; 44(04): e279-e282
DOI: 10.1055/s-0045-1813720
Case Report

Optic Nerve Sheath Diameter Monitoring in Case of Blast Head Injury Complicated by Posttraumatic Occlusive Hydrocephaly: Case Report

Monitorização do diâmetro da bainha do nervo óptico em um caso de traumatismo craniano causado por explosão e complicado por hidrocefalia oclusiva pós-traumática: Relato de caso

Autor*innen

  • Myroslav Stupnytskyi 

    1   Department of Anesthesiology and Intensive Care, Neurosurgery and Neurology Clinic, Military Medical Clinical Center of the Western Region, Lviv, Ukraine

  • Ivan Banakh

    1   Department of Anesthesiology and Intensive Care, Neurosurgery and Neurology Clinic, Military Medical Clinical Center of the Western Region, Lviv, Ukraine

  • Andrii Hvozdovych

    1   Department of Anesthesiology and Intensive Care, Neurosurgery and Neurology Clinic, Military Medical Clinical Center of the Western Region, Lviv, Ukraine

  • Kvitoslava Radyk

    1   Department of Anesthesiology and Intensive Care, Neurosurgery and Neurology Clinic, Military Medical Clinical Center of the Western Region, Lviv, Ukraine

  • Iryna Semeniuk

    1   Department of Anesthesiology and Intensive Care, Neurosurgery and Neurology Clinic, Military Medical Clinical Center of the Western Region, Lviv, Ukraine

  • Iryna Stasiuk

    1   Department of Anesthesiology and Intensive Care, Neurosurgery and Neurology Clinic, Military Medical Clinical Center of the Western Region, Lviv, Ukraine
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Abstract

The presence of posttraumatic hydrocephaly signs and symptoms in conjunction with those of the primary injury sometimes makes diagnosis challenging. There is a paucity of literature about the correlation between optic nerve sheath diameter (ONSD) and the outcome of cerebral spinal fluid diversion procedures in adults with posttraumatic hydrocephaly. The present case report illustrates the efficacy of ONSD monitoring in evaluating intracranial hypertension after blast head injury complicated by occlusive hydrocephaly and in assessing the efficacy of cerebrospinal fluid diversion procedures.

Resumo

A presença de sinais e sintomas de hidrocefalia pós-traumática em conjunto com os da lesão primária torna por vezes o diagnóstico difícil. Existe uma escassez de literatura sobre a correlação entre o diâmetro da bainha do nervo óptico (DBNO) e o resultado dos procedimentos de desvio do líquido cefalorraquidiano em adultos com hidrocefalia pós-traumática. Este relato de caso ilustra a eficácia da monitorização do DBNO na avaliação da hipertensão intracraniana após traumatismo craniano causado por explosão e complicado por hidrocefalia oclusiva e na avaliação da eficácia dos procedimentos de desvio do líquido cefalorraquidiano.

Keywords

optic nerve sheath diameter - blast head injury - posttraumatic occlusive hydrocephaly - neuroendoscopic third ventriculostomy

Palavras-chave

diâmetro da bainha do nervo óptico - traumatismo cranioencefálico por explosão - hidrocefalia oclusiva pós-traumática - terceiroventriculostomia por via endoscópica


Publikationsverlauf

Eingereicht: 12. Januar 2025

Angenommen: 09. September 2025

Artikel online veröffentlicht:
29. Dezember 2025

© 2025. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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