Hohmann, Christopher, Koch, Konrad R., Pfister, Roman and Michels, Guido (2017). Sonography of the Optic Nerve: a New Bedside Tool in Intensive Care? Dtsch. Med. Wochenschr., 142 (24). S. 1858 - 1862. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

Full text not available from this repository.

Abstract

History and clinical findings Here, we present the case history of a 76-year old man with out-of-hospital cardiac arrest due to a cardiogenic shock and a consecutive no-flow-time of approximately 10 minutes. After 25 minutes of resuscitation procedures a spontaneous return of circulation could beestablished. The patient was admitted to our center for emergency coronary angiography. After coronary stenting the patient was admitted to our intensive care unit and treated in accordance with the guidelines on cardiogenic shock due to myocardial infarction. Therapy and course After therapeutic hypothermia and subsequent termination of analgosedation a delayed wake-up reaction could be remarked. In the laboratory chemistry the initial parameter of neuron-specific enolase, a marker for cerebral hypoxia, was increased. Measurement of the optic nerve sheath diameter with a maximum diameter of 7mm indicated an increased intracranial pressure. In the subsequent CT scan of the brain signs of hypoxic encephalopathy with breakup of grey and white matter differentiation were present. Conclusions In case of clinical and/or laboratory-chemical indications for hypoxic encephalopathy and/or increased intracranial pressure the bedside-based sonography examination at the intensive care unit should imply an evaluation of the optic nerve in order to initiate early apparative neurological diagnostics.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hohmann, ChristopherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koch, Konrad R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfister, RomanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michels, GuidoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-209432
DOI: 10.1055/s-0043-121607
Journal or Publication Title: Dtsch. Med. Wochenschr.
Volume: 142
Number: 24
Page Range: S. 1858 - 1862
Date: 2017
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-4413
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
POST-CARDIAC ARREST; SHEATH DIAMETER; INTRACRANIAL-PRESSURE; COMPUTED-TOMOGRAPHY; PHYSICIANS; ULTRASOUND; INJURYMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20943

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item