<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0187-8433</journal-id>
<journal-title><![CDATA[Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Asoc. Mex. Med. Crít. Ter. Intensiva]]></abbrev-journal-title>
<issn>0187-8433</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica y Terapia Intensiva A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0187-84332016000400249</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diámetro de la vaina del nervio óptico. Una herramienta para el monitoreo dinámico de la hipertensión intracraneana]]></article-title>
<article-title xml:lang="en"><![CDATA[Diameter of the optic nerve sheath. A tool for dynamic monitoring of intracranial hypertension]]></article-title>
<article-title xml:lang="pt"><![CDATA[Diâmetro da bainha do nervo óptico. Uma ferramenta para a monitorização dinâmica da hipertensão intracraniana]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo Esper]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojo del Moral]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Santana]]></surname>
<given-names><![CDATA[Julio Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero González]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Clínica Médica Sur  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>4</numero>
<fpage>249</fpage>
<lpage>252</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0187-84332016000400249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0187-84332016000400249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0187-84332016000400249&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La elevación de la presión intracraneal (PIC) es una complicación grave que a menudo conduce a resultados adversos. Realizar estudios de neuromonitoreo, ya sea tomografía computarizada y/o resonancia magnética, implica la movilización del paciente fuera de la Unidad de Cuidados Intensivos (UCI), además son herramientas poco prácticas para la valoración periódica de acuerdo con la necesidad del paciente. El uso del catéter intraventricular o intraparenquimatoso se considera el estándar de oro para realizar la medición de la PIC y para adecuar el tratamiento del paciente con lesión cerebral traumática; sin embargo, no puede aplicarse en todos los enfermos y/o implementar en diferentes escenarios. La dilatación de la vaina del nervio óptico (VNO) ha demostrado ser la manifestación previa a la elevación de la PIC. La medición del diámetro de la VNO es bastante fácil de visualizar con ultrasonografía mediante la insonación a través de la órbita. El diámetro de la VNO medido a una distancia establecida por debajo de la retina se ha empleado para evaluar y diagnosticar la hipertensión intracraneana en la lesión cerebral traumática, hemorragia intracraneal, e infartos cerebrales extensos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Raised intracranial pressure (ICP) is a severe complication that often leads to adverse outcomes. In the critically ill neuroimaging by computed tomography or magnetic resonance imaging scans entail transfer of a critically ill patient out of the Intensive Care Unit (ICU), besides being an impracticable tool for repeat examinations at frequent intervals as may be necesary. Invasive measurement by an intraventricular or intraparenchymal catheter is the gold standard and used extensively in the management of traumatic brain injury; however, it may not be fesaible in a heterogeneous group of medical patients. Dilatation of the optic nerve sheat (ONS) has been shown to be a much earlier manifestation of ICP rise. The ONS is fairly easy to visualize by ultrasonography by insonation across the orbit. The optic nerve sheat diameter (ONSD), measured at a fixed distance behind the retina has been evaluated to diagnose and measure intracranial hypertension in traumatic brain injury, intracranial hemorrhage, and extense cerebral infarcts.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A elevação da pressão intracraniana (PIC) é uma complicação grave que frequentemente conduz a resultados adversos. Os estudos de monitorização neurológica, tomografia computadorizada e/ou ressonância magnética envolve a mobilização do paciente fora da unidade de terapia intensiva (UTI), também são ferramentas pouco práticas &#8203;&#8203;para a avaliação periódica de acordo com a necessidade do paciente. O uso de cateter intraventricular ou intraparenquimatoso é considerado o padrão de ouro para a medição da PIC e para adequar o tratamento de pacientes com lesão cerebral traumática, no entanto, não pode ser realizada em todos os pacientes e/ou implementar em diferentes cenários. A dilatação da bainha do nervo óptico (DBNO) provou ser uma manifestação prévia a elevação da PIC. A medida do diâmetro da BNO é facilmente visualizada por ultrassom mediante insonação através da órbita. A DBNO medida a uma distância definida abaixo da retina tem sido usado para avaliar e diagnosticar a pressão intracraniana no traumatismo crânio-encefálico, hemorragia intracraniana, e extensos infartos cerebrais.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Diámetro de vaina de nervio óptico]]></kwd>
<kwd lng="es"><![CDATA[presión intracraneal]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido]]></kwd>
<kwd lng="en"><![CDATA[Optic nerve sheat diameter]]></kwd>
<kwd lng="en"><![CDATA[intracranial pressure]]></kwd>
<kwd lng="en"><![CDATA[ultrasound]]></kwd>
<kwd lng="pt"><![CDATA[Diâmetro da bainha do nervo óptico]]></kwd>
<kwd lng="pt"><![CDATA[pressão intracraniana]]></kwd>
<kwd lng="pt"><![CDATA[ultrassom]]></kwd>
</kwd-group>
</article-meta>
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<page-range>2207-13</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
