Prognostic Value of Optical Coherence Tomography in Idiopathic Intracranial Hypertension | ||||
| International Journal of Medical Arts | ||||
| Article 9, Volume 4, Issue 10, October 2022, Page 2756-2762 PDF (995.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2023.172274.1541 | ||||
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| Authors | ||||
Abd-Elrahman Sultan Hamed  1; Mahmoud Abd-Elmoety Monzer2; Elsayed Fathi Ali Hamed1; Akram Fekry Elgazar3
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| 1Department of Neurology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| 2Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 3Department of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| Abstract | ||||
| 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. | ||||
| Keywords | ||||
| Papilledema; Intracranial Hypertension; Headache; Optical coherence tomography | ||||
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