Normal measurements of size of optic nerve sheath complex using computed tomography. 2014

Arvemas Watcharakorn, and Suppavarch Ngamsirisuk

OBJECTIVE To establish normal value of optic nerve sheath complex on computed tomography. METHODS This prospective study was approved by the institutional ethics committee. Measurement of the optic nerve sheath complex at retrobulbar and waist regions was done on volunteers who came for cranial computed tomography examination at Thammasat University Hospital during May 2013-November 2013. There were 138 volunteers (75 males and 63 females) with average age of 57 years. Volunteers were excluded if they have eye symptoms or known related disease that affected optic nerves such as endocrinopathy, or if they have metallic object or prostheses that might confound the measurement. Size of optic nerve sheath complex was measured at retrobulbar and waist regions on reconstructed orbital CT images in a plane parallel to the optic nerve sheath complex. Two measurements were performed separately at 1-month intervals to evaluate reliability and reproducibility of the measurement. Then normal size and range of the optic nerve sheath complex were evaluated. Correlation between age, gender and size of the optic nerve sheath complex were also evaluated as well as difference in size of the complex between both eyes. RESULTS Normal value of the optic nerve sheath complex (mean ± 2SDs) at retrobulbar and waist regions are 5.6±1.8 (3.8- 7.4) mm and 3.7± 0.8 (2.9-4.5) mm. There is no correlation between age, gender and size of the optic nerve sheath complex. No difference in size of the optic nerve sheath complex between both eyes was found. CONCLUSIONS Normal value of optic nerve sheath complex at retrobulbar and waist regions in Thai population was established. This information might be useful in diagnosis of some diseases or excluding some conditions.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009900 Optic Nerve The 2nd cranial nerve which conveys visual information from the RETINA to the brain. The nerve carries the axons of the RETINAL GANGLION CELLS which sort at the OPTIC CHIASM and continue via the OPTIC TRACTS to the brain. The largest projection is to the lateral geniculate nuclei; other targets include the SUPERIOR COLLICULI and the SUPRACHIASMATIC NUCLEI. Though known as the second cranial nerve, it is considered part of the CENTRAL NERVOUS SYSTEM. Cranial Nerve II,Second Cranial Nerve,Nervus Opticus,Cranial Nerve, Second,Cranial Nerves, Second,Nerve, Optic,Nerve, Second Cranial,Nerves, Optic,Nerves, Second Cranial,Optic Nerves,Second Cranial Nerves
D009929 Organ Size The measurement of an organ in volume, mass, or heaviness. Organ Volume,Organ Weight,Size, Organ,Weight, Organ
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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