Evaluation of Postoperative Intracranial Pressure in Patients Undergoing Intracranial Tumor Surgery

N/ANot Yet RecruitingNCT06559566

Sezen Kumaş Solak50 enrolled

Overview

Ultrasonography(USG)-guided optic nerve sheath diameter measurement and its correlation with brain computed tomography in the evaluation of intracranial pressure in patients who underwent intracranial brain tumor surgery.

Optic Nerve Sheath Diameter (ONSD) Measurement is a non-invasive diagnostic method used to detect increased intracranial pressure, and in general, ONSD measurement over 5 mm has been found to be associated with increased intracranial pressure.ONSD will be measured using an USG device within the specified time periods. T0: Before anesthesia induction T1: First 5 minutes immediately after induction of anesthesia T2: At the end of the surgery before extubation /minute T3: Within the first hour/minute after extubation T4: 12 hours/minute after tumor resection T5. 24 hours/minute after tumor resection ONSD measurement in brain computer tomography (BCT); Eyeball diameter and optic nerve diameter measurements will be made on BCT transverse images at the optic nerve level and recorded.In patients, USG and BCT correlation comparison is planned before the operation (T0), in the first hour after the end of post-operative surgery (T3) and at the 24th hour after post-operative surgery (T5). T0: ONSD measurement in pre-operative Brain CT T3: BCT ONSD measurement/minute within the first hour following the postoperative period T5: BCT ONSD measurement/minute 24 hours following the postoperative period

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

Conditions

INTRACRANIAL TUMOR INTRACRANIAL PRESSURE OPTIC NERVE

Interventions

USGPROCEDURE

The aim of this study is to measure the intracranial pressure of patients planned for brain tumor surgery by measuring the optic nerve sheath diameter (ONSD) under USG guidance and compare its correlation with the computed brain tomography.

BCTPROCEDURE

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients over 18 -65 years * Brain malignant neoplasm tumor * Brain benign neoplasm supratentorial * Brain benign neoplasm infratentorial information Exclusion Criteria: * Patients who cannot provide adequate image quality in ocular ultrasonography * Who are unconscious or have a Glasgow coma scale of less than 15 * Pseudotumor cerebri * Optic nerve arachnoid cyst * Patients with open injuries involving the eyelid and surrounding area * Optic nerve malignant neoplasm * Injury of the optic nerve and its pathways * Systemic Lupus Erythematosis, * Scleroderma * Multiple Sclerosis, sarcoidosis * Thyrotoxicosis (hyperthyroidism)

Outcomes

Primary Outcomes

intracranial pressure

To compare the optic nerve diameter measurement ,USG and BBT values used to measure intracranial pressure in patients with brain tumor surgery

Time frame: T0: Before anesthesia induction T1: peroperative5. minutes T2: At the end of the surgery 6.hours T3:after extubation 1 hours T4: postoperative 12.hours T5. postoperative 24.hours

Secondary Outcomes

Heart Rate

To compare the heart rate measurement

Time frame: T0: Before anesthesia induction T1: preoperative 5.minutes T2: At the end of the surgery 6.hoursT3:after extubation 1 hours T4: postoperative 12.hours T5. postoperative 24.hours

Blood pressure

To compare the blood pressure measurement

Time frame: T0: Before anesthesia induction T1: preoperative 5.minutes T2: At the end of the surgery 6.hours T3 extubation 1 hours T4: postoperative 12.hours T5. postoperative 24.hours

Central Contacts

SEZEN KUMAS SOLAK, MD

CONTACT

+905055729494 sezenkumassolak@gmail.com

Data from ClinicalTrials.gov

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