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Journal of Child Neurology
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Spectral Doppler Imaging of Vessels in the Optic Nerve of Children

Marijean Miller, MD

Department of Pediatric Ophthalmology and Strabismus Children's National Medical Center, Washington, DC, mmiller{at}cnmc.org

Craig Sable, MD

Department of Cardiology Children's National Medical Center, Washington, DC

Taeun Chang, MD

Department of Neurology Children's National Medical Center, Washington, DC

Elevation and blur of the optic disc margin with hyperemia and flame hemorrhages are classic features of papilledema that may not be present with mild elevations of the cerebral spinal fluid pressure. In children, the disc can be dramatically elevated with indistinct margins in pseudopapilledema. Children with equivocal disc features are sedated for neuroimaging and lumbar puncture to measure opening intracranial pressure.

Key Words: optic nerve • blood flow velocities • spectral Doppler

Journal of Child Neurology, Vol. 22, No. 7, 809-811 (2007)
DOI: 10.1177/0883073807304192


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M. M. Miller, T. Chang, R. Keating, E. Crouch, and C. Sable
Blood Flow Velocities Are Reduced in the Optic Nerve of Children with Elevated Intracranial Pressure
J Child Neurol, January 1, 2009; 24(1): 30 - 35.
[Abstract] [PDF]