Vaner KÖKSAL, Özcan YAVAŞİ, Kamil KAYAYURT, Özlem BİLİR, Erhan UĞRAŞ

Arrest Hidrosefalide Artmış İntrakraniyel Basıncın Optik Sinir Ultrasonografisi ile Doğrulanması

Giriş: Arrest hidrosefali, beyin-omurilik sıvı basıncının normale döndüğü ve serebral ventriküller ile beyin parenkimi arasında basınç gradiyentinin olmadığı, hafif ventrikül genişlemesinin eşlik ettiği bir kronik hidrosefali durumudur. Olgu Sunumu: Bu olgu sunumunda, acil servise başağrısı, fotofobi ve tekrarlayan kusma ile başvuran 37 yaşında bir kadın hastayı sunmaktayız. Hasta beş yıl önce arrest hidrosefali tanısı almış ve o zamandan beri radyolojik olarak takip edilmekteydi. Hidrosefalinin akut alevlenmesini değerlendirmek ve tanı koymak için göz ultrasonografisi başarılı bir şekilde kullanıldı. Sonuç: Arrest hidrosefali farzedilen hastalar hayatlarının herhangi bir döneminde hidrosefali atağı geçirebilirler. Ultrasonografi, hidrosefalinin izlenmesinde güvenilir bir araç olarak görev alabilir, özellikle de, optik sinir kılıf çapının sonografik olarak görülmesi, bu vakalarda intrakraniyel basınç artışının doğrulanmasına yardımcı olabilir.

Anahtar Kelimeler:

Hidrosefali, optik sinir kılıfı, ultrasonografi

Confirmation of Elevated Intracranial Pressure in Arrested Hydrocephalus by Optic Nerve Ultrasonography

Introduction: Arrested hydrocephalus is a state of chronic hydrocephalus with mild dilatation of the ventricles in which the cerebrospinal fluid pressure has returned to normal, and there is no pressure gradient between the cerebral ventricles and brain parenchyma.Case Report: In this case report, we present a 37-year-old female patient who was admitted to emergency department with complaints of headache, photophobia, and recurrent vomiting. She had been diagnosed with arrested hydrocephalus 5 years ago and was being followed radiologically since. Ocular ultrasonography was successfully utilized to assess and diagnose acute exacerbation of hydrocephalus.Conclusion: Patients who are presumably assumed to have arrested hydrocephalus may experience an episode of hydrocephalus in any period of life. Ultrasonography can serve as a reliable tool in monitoring hydrocephalus; more specifically, sonographic visualization of the optic nerve sheath diameter may help to confirm increased intracranial pressure in such cases

Keywords:

Hydrocephalus, optic nerve sheath, ultrasonography,

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