The role of ONSD in the assessment of headache associated with Chiari malformation type 1
BackgroundCough associated headache is the most common symptom in Chiari malformation type 1 (CM1). However, its pathophysiology and treatment are not clear. The aim of this study was to investigate the relationship between optic nerve sheath diameter (ONSD), an indicator of intracranial pressure, a...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1127279/full |
| _version_ | 1811170255261663232 |
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| author | Mehmet Kürşat Karadag Mehmet Emin Akyuz Mehmet Hakan Sahin |
| author_facet | Mehmet Kürşat Karadag Mehmet Emin Akyuz Mehmet Hakan Sahin |
| author_sort | Mehmet Kürşat Karadag |
| collection | DOAJ |
| description | BackgroundCough associated headache is the most common symptom in Chiari malformation type 1 (CM1). However, its pathophysiology and treatment are not clear. The aim of this study was to investigate the relationship between optic nerve sheath diameter (ONSD), an indicator of intracranial pressure, and headache and to investigate its predictive value on postoperative outcome.MethodsIn symptomatic CM1 patients, craniovertebral junction morphometric measurements and ONSD measurements were made from preoperative MR images, and headache intensities and characteristics were evaluated. After different surgical procedures, the clinical characteristics of the patients were evaluated according to the Chicago Chiari Outcome Scale, the change in headache intensity was assessed and the relationship with ONSD was evaluated.ResultsPreoperative headache intensity was significantly correlated with ONSD measurement (p < 0.01). Modified clivoaxial angle and ONSD were independent predictors of postoperative clinical outcome (p < 0.01). The procedure that achieved the greatest surgical enlargement of the foramen Magnum stenosis provided the best clinical outcome. Postoperative reduction in headache intensity and ONS diameter were correlated (p < 0.01).ConclusionThe fact that ONSD is found to be wide in the preoperative period in CM1 patients indicates that the intracranial pressure is permanently high. This diameter increase is correlated with headache and is a valuable guide in the selection of the appropriate treatment method. |
| first_indexed | 2024-04-10T16:53:57Z |
| format | Article |
| id | doaj.art-43f70c092184489c83361e99a823b62f |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-10T16:53:57Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-43f70c092184489c83361e99a823b62f2023-02-07T08:53:39ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-02-011410.3389/fneur.2023.11272791127279The role of ONSD in the assessment of headache associated with Chiari malformation type 1Mehmet Kürşat KaradagMehmet Emin AkyuzMehmet Hakan SahinBackgroundCough associated headache is the most common symptom in Chiari malformation type 1 (CM1). However, its pathophysiology and treatment are not clear. The aim of this study was to investigate the relationship between optic nerve sheath diameter (ONSD), an indicator of intracranial pressure, and headache and to investigate its predictive value on postoperative outcome.MethodsIn symptomatic CM1 patients, craniovertebral junction morphometric measurements and ONSD measurements were made from preoperative MR images, and headache intensities and characteristics were evaluated. After different surgical procedures, the clinical characteristics of the patients were evaluated according to the Chicago Chiari Outcome Scale, the change in headache intensity was assessed and the relationship with ONSD was evaluated.ResultsPreoperative headache intensity was significantly correlated with ONSD measurement (p < 0.01). Modified clivoaxial angle and ONSD were independent predictors of postoperative clinical outcome (p < 0.01). The procedure that achieved the greatest surgical enlargement of the foramen Magnum stenosis provided the best clinical outcome. Postoperative reduction in headache intensity and ONS diameter were correlated (p < 0.01).ConclusionThe fact that ONSD is found to be wide in the preoperative period in CM1 patients indicates that the intracranial pressure is permanently high. This diameter increase is correlated with headache and is a valuable guide in the selection of the appropriate treatment method.https://www.frontiersin.org/articles/10.3389/fneur.2023.1127279/fullChiari malformation type 1optic nerve sheath diameterheadacheintracranial pressurenuchal pain |
| spellingShingle | Mehmet Kürşat Karadag Mehmet Emin Akyuz Mehmet Hakan Sahin The role of ONSD in the assessment of headache associated with Chiari malformation type 1 Frontiers in Neurology Chiari malformation type 1 optic nerve sheath diameter headache intracranial pressure nuchal pain |
| title | The role of ONSD in the assessment of headache associated with Chiari malformation type 1 |
| title_full | The role of ONSD in the assessment of headache associated with Chiari malformation type 1 |
| title_fullStr | The role of ONSD in the assessment of headache associated with Chiari malformation type 1 |
| title_full_unstemmed | The role of ONSD in the assessment of headache associated with Chiari malformation type 1 |
| title_short | The role of ONSD in the assessment of headache associated with Chiari malformation type 1 |
| title_sort | role of onsd in the assessment of headache associated with chiari malformation type 1 |
| topic | Chiari malformation type 1 optic nerve sheath diameter headache intracranial pressure nuchal pain |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1127279/full |
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