Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension
Background: Increased intracranial pressure without a tumor or other disorders is a hallmark of the neurological condition known as idiopathic intracranial hypertension [IIH]. The major concern among patients with this condition is the hazardous effects on the optic nerve; so, prediction of optic ne...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2022-10-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_282428_18cb5e3a1a1586b93632403be364199d.pdf |
| _version_ | 1827389380643258368 |
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| author | Abd-Elrahman Hamed Mahmoud Monzer Elsayed Fathi Hamed Akram Elgazar |
| author_facet | Abd-Elrahman Hamed Mahmoud Monzer Elsayed Fathi Hamed Akram Elgazar |
| author_sort | Abd-Elrahman Hamed |
| collection | DOAJ |
| description | Background: Increased intracranial pressure without a tumor or other disorders is a hallmark of the neurological condition known as idiopathic intracranial hypertension [IIH]. The major concern among patients with this condition is the hazardous effects on the optic nerve; so, prediction of optic nerve involvement is a priority for those individuals.Aim of the work: To assess the predictive value of the optical coherence tomography [OCT] in the follow up of optic disc edema in patients with idiopathic intracranial hypertension, measuring the thickness of the retinal nerve fiber layer [RNFL] and optic disc, and therefore warrant more expedited evaluation and treatment.Patients and methods: A prospective cohort study included 30 patients with IIH. Optical coherence tomography was completed at baseline and follow-up for six months.Results: The mean RNFL thickness was 107.84 ± 21.65 µm with mean ganglion cell complex [GCC] thickness of 89.94 ± 9.33 µm and mean optic nerve head [ONH] thickness was 615 ± 189 µm. There is a significant decrease in intracranial pressure [ICP] associated with a decrease in RNFL thickness and ONH thickness.Conclusion: OCT imaging can be done as non-invasive quantitative method instead of opening pressure in follow up of patients. |
| first_indexed | 2024-03-08T16:34:55Z |
| format | Article |
| id | doaj.art-0e230de462b74ccf912418dba240f47a |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-03-08T16:34:55Z |
| publishDate | 2022-10-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-0e230de462b74ccf912418dba240f47a2024-01-05T19:38:04ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802022-10-014102756276210.21608/ijma.2023.172274.1541282428Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial HypertensionAbd-Elrahman Hamed0Mahmoud Monzer1Elsayed Fathi Hamed2Akram Elgazar3Department of Neurology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Neurology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptBackground: Increased intracranial pressure without a tumor or other disorders is a hallmark of the neurological condition known as idiopathic intracranial hypertension [IIH]. The major concern among patients with this condition is the hazardous effects on the optic nerve; so, prediction of optic nerve involvement is a priority for those individuals.Aim of the work: To assess the predictive value of the optical coherence tomography [OCT] in the follow up of optic disc edema in patients with idiopathic intracranial hypertension, measuring the thickness of the retinal nerve fiber layer [RNFL] and optic disc, and therefore warrant more expedited evaluation and treatment.Patients and methods: A prospective cohort study included 30 patients with IIH. Optical coherence tomography was completed at baseline and follow-up for six months.Results: The mean RNFL thickness was 107.84 ± 21.65 µm with mean ganglion cell complex [GCC] thickness of 89.94 ± 9.33 µm and mean optic nerve head [ONH] thickness was 615 ± 189 µm. There is a significant decrease in intracranial pressure [ICP] associated with a decrease in RNFL thickness and ONH thickness.Conclusion: OCT imaging can be done as non-invasive quantitative method instead of opening pressure in follow up of patients.https://ijma.journals.ekb.eg/article_282428_18cb5e3a1a1586b93632403be364199d.pdfpapilledemaintracranial hypertensionheadacheoptical coherence tomography |
| spellingShingle | Abd-Elrahman Hamed Mahmoud Monzer Elsayed Fathi Hamed Akram Elgazar Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension International Journal of Medical Arts papilledema intracranial hypertension headache optical coherence tomography |
| title | Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension |
| title_full | Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension |
| title_fullStr | Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension |
| title_full_unstemmed | Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension |
| title_short | Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension |
| title_sort | prognostic value of optical coherence tomography in idiopathic intracranial hypertension |
| topic | papilledema intracranial hypertension headache optical coherence tomography |
| url | https://ijma.journals.ekb.eg/article_282428_18cb5e3a1a1586b93632403be364199d.pdf |
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