Journal of Translational Critical Care Medicine

: 2020  |  Volume : 2  |  Issue : 1  |  Page : 21-

Optic Nerve Ultrasonography for Noninvasive Monitoring of Intracranial Pressure in COVID-19 Patients

Luis Rafael Moscote-Salazar1, Tariq Janjua2, Amit Agrawal3,  
1 Paracelsus Medical University, Salzburg, Austria
2 Regions Hospital, Saint Paul, MN, USA
3 Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Luis Rafael Moscote-Salazar
Paracelsus Medical University, Salzburg

How to cite this article:
Moscote-Salazar LR, Janjua T, Agrawal A. Optic Nerve Ultrasonography for Noninvasive Monitoring of Intracranial Pressure in COVID-19 Patients.J Transl Crit Care Med 2020;2:21-21

How to cite this URL:
Moscote-Salazar LR, Janjua T, Agrawal A. Optic Nerve Ultrasonography for Noninvasive Monitoring of Intracranial Pressure in COVID-19 Patients. J Transl Crit Care Med [serial online] 2020 [cited 2022 Jan 21 ];2:21-21
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Full Text

Dear Editor,

The novel coronavirus, i.e., severe acute respiratory syndrome coronavirus-2, is among the one of the major pandemics in the 21st century.[1],[2],[3] Increasing evidence suggests that COVID-19 infection can lead to serious neurological complications, including cerebral hemorrhage, stroke, and encephalitis among others.[4],[5] In the past, it is being suggested that viral meningitis can potentially cause elevated intracranial pressure.[6] Recent case reports support the occurrence of intracranial cranial hypertension in COIVD-19 cases.[7],[8] It has been suggested that COVID-19–related thrombophilic disorders have the potential to present as headache and it is further suggested that there is a need for low threshold to investigate for cerebral venous sinus thrombosis and associated secondary idiopathic intracranial hypertension to avoid its complications.[9] Magnetic resonance imaging scan of the brain can show the structural and anatomical changes in patients with raised intracranial pressure (i.e., details of brain parenchyma, cerebrospinal fluid spaces, and course of the optic nerve).[8] Invasive methods can be used to monitor and manage these patients.[7],[9] We take this opportunity to suggest to expand the scope optic nerve ultrasound to monitor the fundoscopic changes[10] and thus to monitor intracranial pressure[11] in patients where invasive monitoring is not available or because of hemodynamic instability it is difficult to shift these patients for Magnetic Resonance (MR) investigations.

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