Traumatic Brain Injury Clinical Trial
Official title:
Measurement of Optic Nerve Sheath in Traumatic Raised Intracranial Pressure
Trauma patients are at risk for serious head trauma. The consequences of serious head trauma
are often life altering. Currently, the only method available to rapidly assess the severity
of head injury and need for neurosurgical intervention is the CT scan. This time consuming
test requires transportation of a potentially unstable patient to the CT scanner.
The investigators goal in traumatic brain injury is to identify early those patients who may
require neurosurgical intervention. Brain swelling (elevated intracranial pressure) is
transmitted to the eye and this can be measured with ultrasound. The investigators
hypothesis is that this test will rule out significant elevations in intracranial pressure
and perform as well as CT scan in doing this.
The investigators study aims to demonstrate that ultrasound of the optic nerve is as good as
CT scan in ruling out clinically significant elevations in pressure within the brain. After
consent has been obtained, any trauma patient who has an indication to undergo CT scan of
the brain will also undergo ultrasound of the eye. A radiologist will then review the CT
scans to determine if signs of elevated intracranial pressure are present. The investigators
hope to demonstrate that a bedside ultrasound performed in the trauma suite is reliable for
ruling out the possibility of elevated intracranial pressure.
**Update August 2009** Currently, deferred consent has been obtained from our REB allowing
us to defer consent for this intervention of minimal risk. As well, REB has also approved
phone consent in the interim.
n/a
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