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The Relationship between Lumbar Puncture Opening Pressure and Retinal Nerve Fiber Layer Thickness in the Diagnosis of Idiopathic Intracranial Hypertension: Is a Lumbar Puncture Always Necessary?
The Neurologist ( IF 1.2 ) Pub Date : 2023-08-25 , DOI: 10.1097/nrl.0000000000000528
Nurhan Kaya Tutar 1 , Nilufer Kale
Affiliation  

Idiopathic intracranial hypertension (IIH), is characterized by elevated intracranial pressure (ICP) without an identified cause. Today, lumbar puncture (LP) is the most common method used for diagnosis by measuring cerebrospinal fluid (CSF) pressure to reflect intracranial pressure. This invasive examination has significant disadvantages, such as complications and negative experiences for patients. Therefore, noninvasive methods for ICP measurement are desired. Optical coherence tomography (OCT) is widely used for the diagnosis and follow-up of IIH patients as it reflects papilledema. The aim of this study is to investigate the relationship between CSF pressure and OCT parameters and the ability of OCT in the diagnostic approach.

中文翻译:

腰椎穿刺开放压力与视网膜神经纤维层厚度在特发性颅内高压诊断中的关系:是否一定需要腰椎穿刺?

特发性颅内高压 (IIH) 的特点是颅内压 (ICP) 升高,但原因不明。如今,腰椎穿刺(LP)是最常用的诊断方法,通过测量脑脊液(CSF)压力来反映颅内压。这种侵入性检查具有显着的缺点,例如并发症和给患者带来负面体验。因此,需要一种非侵入性的 ICP 测量方法。光学相干断层扫描(OCT)广泛用于 IIH 患者的诊断和随访,因为它反映了视乳头水肿。本研究的目的是探讨脑脊液压力与 OCT 参数之间的关系以及 OCT 在诊断方法中的能力。
更新日期:2023-08-25
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