Abstract
Rise in intracranial pressure (ICP) after the severe traumatic brain injury (TBI) has been associated with poor outcomes in patients. Measuring ONSD on ultrasonography is an emerging noninvasive bedside tool that can reliably and rapidly detect raised ICP. 30-year-old patient sustained a head injury in a road traffic accident. On examination it was found that GCS was 7/15, 4 mm bilaterally fixed pupils, negative corneal response and ONSD was 6.38 mm on the ultrasound. The raised intracranial pressure was detected and management was immediately started. Patient was immediately taken up for surgery after a CT scan was done. This case report highlights the potential of rapidly identifying raised intracranial pressure at the patients’s bedside by measuring ONSD by ultrasonography.
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