The magnetic resonance imaging assessment of optic nerve sheath diameter in pediatric acute liver failure patients

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dc.authoridARSLAN, Ahmet Kadir/0000-0001-8626-9542
dc.authoridOkut, Gokalp/0000-0002-3641-5625
dc.authorwosidOkut, Gokalp/GRE-9040-2022
dc.authorwosidcicek, egemen/HJY-0590-2023
dc.authorwosidARSLAN, Ahmet Kadir/AAA-2409-2020
dc.contributor.authorDogan, G. M.
dc.contributor.authorSigirci, A.
dc.contributor.authorOkut, G.
dc.contributor.authorCicek, E.
dc.contributor.authorDogan, S. M.
dc.contributor.authorYilmaz, S.
dc.contributor.authorArslan, A. K.
dc.date.accessioned2024-08-04T20:51:44Z
dc.date.available2024-08-04T20:51:44Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVE: To evaluate the di-agnostic value of optic nerve sheath diameter (ONSD) using brain MRI in the pretransplantation period in the pediatric acute liver failure patients, and correlate the ONSD with clinical grade of hepatic encephalopathy (HE) and MRI findings. PATIENTS AND METHODS: Forty acute liver failure patients and 40 control group patients were retrospectively analyzed. The high signal intensities in T2W (T2-weighted image), FLAIR (Fluid Attenuated Inversion Recovery) and DWI (diffusion-weighted imaging) sequences were evaluated and ONSD were measured. The patients were grouped first into 5 according to their West Haven score, and HE grade 0 and grade 1 were accepted as low grade HE, HE grade 2, 3 and 4 were accepted as high grade HE. The patients were grouped to 2 according to the MRI findings as low grade and high grade MRI group. RESULTS: The mean value of ONSD was 6.0 +/- 1.80 and 4.94 +/- 1.27 in all the patients and in the control group, respectively. There was statistically significant difference between both the ONSD and the low grade-high grade HE groups (p=0.01), and between the ONSD and the low grade-high grade MRI groups (p<0.001). CONCLUSIONS: Although high ONSD values do not make the diagnosis of cerebral edema, it may cause suspicion in the early period. MRI can be helpful in the diagnoses of increased intracranial pressure like ultrasound. Our study is the first study to compare ONSD and MRI findings in addition to HE grades. The widespread use of MRI in children in recent years may help determine the normal range of ONSD values.en_US
dc.identifier.endpage859en_US
dc.identifier.issn1128-3602
dc.identifier.issue3en_US
dc.identifier.pmid35179751en_US
dc.identifier.scopus2-s2.0-85125002151en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage853en_US
dc.identifier.urihttps://hdl.handle.net/11616/100496
dc.identifier.volume26en_US
dc.identifier.wosWOS:000759707100015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOptic nerveen_US
dc.subjectMagnetic resonance imagingen_US
dc.subjectHepatic encephalopathyen_US
dc.subjectAcute liver failureen_US
dc.subjectUltrasounden_US
dc.titleThe magnetic resonance imaging assessment of optic nerve sheath diameter in pediatric acute liver failure patientsen_US
dc.typeArticleen_US

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