Defining the phenotype and prognosis of people with idiopathic intracranial hypertension after cerebrospinal fluid diversion surgery.
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Author
Hyder, Yousef FHomer, Victoria
Thaller, Mark
Byrne, Marian
Tsermoulas, Georgios
Piccus, Rachel
Mollan, Susan P
Sinclair, Alexandra J
Publication date
2023-01-20
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Fifty-one patients without previous surgical interventions were included (92% female, mean age 28.1 years [SD 8.4], body mass index 37.4 kg/m2 [SD 9.7], mean days of follow-up 330 [SD 209]). Measurements before surgery showed mean PMD -11.4 dB (SD 9.7), RNFL 364 µm (SD 128), Frisén grade papilledema 4.3 (SD 0.9). and MHD 23 (SD 10.6). At 1 month postoperatively, RNFL and PMD had improved by 38% and 4%, respectively. At 4 months postoperatively, papilledema had resolved. GCL declined by 13% over 12 months. MHD reduced by 75% 3 months postoperatively before returning to baseline levels by 12 months. Five patients (9.8%) required revision surgeries.Citation
Hyder YF, Homer V, Thaller M, Byrne M, Tsermoulas G, Piccus R, Mollan SP, Sinclair AJ. Defining the Phenotype and Prognosis of People With Idiopathic Intracranial Hypertension After Cerebrospinal Fluid Diversion Surgery. Am J Ophthalmol. 2023 Jun;250:70-81. doi: 10.1016/j.ajo.2023.01.016. Epub 2023 Jan 20. PMID: 36682516.Type
ArticleAdditional Links
https://www.ajo.com/article/S0002-9394(23)00026-0/fulltextPMID
36682516Publisher
Elsevierae974a485f413a2113503eed53cd6c53
10.1016/j.ajo.2023.01.016