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362394

Short-term Prognosis of Vision in Idiopathic Intracranial Hypertension

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Neurology

Abstract

Background: Idiopathic intracranial hypertension (IIH) is a condition where intracranial pressure is raised in the absence of both abnormal neuroimaging and abnormal cerebrospinal fluid composition. The aim of the study was to evaluate the clinical and ophthalmological parameters that could influence short term poor outcome of vision in IIH patients. Patient and methods: A total of 18 IIH patients admitted to the department of Neurology, Zagazig University were included in this prospective cohort study. Complete clinical evaluation and ophthalmological assessment were done and included visual acuity, papilledema grading, field of vision, contrast sensitivity and color vision. Short term visual outcome was assessed after 3 months guided by visual field results and was correlated with clinical and ophthalmological parameters. Results: Visual acuity impairment from the onset was significant among patients with higher degrees of headache (p = 0.008), patients with impaired contrast sensitivity (p = 0.027 and 0.003 for RT and LT eye respectively) and patients with higher levels of serum cholesterol (p = 0.006). Short term visual outcome was assessed after 3 months and good prognosis was significantly correlated with young age (p = 0.004) and shunt operation (p = 0.038).

Conclusion: Young age and early intervention by lumboperitoneal shunt were significant factors for good outcome of vision in IIH. Doctors should recognize that in order to preserve vision and lower morbidity.

DOI

10.21608/zumj.2024.295947.3434

Keywords

Idiopathic intracranial hypertension, visual acuity, papilledema, Contrast sensitivity, shunt

Authors

First Name

Tamer

Last Name

ElSerafy

MiddleName

S.

Affiliation

Neurology department, Faculty of medicine, Zagazig university, Egypt

Email

tamer8811@yahoo.com

City

Zagazig

Orcid

-

First Name

Karam

Last Name

Amin

MiddleName

S.

Affiliation

Neurology department, Faculty of medicine, Zagazig university

Email

karam-fouda@yahoo.com

City

Zagazig

Orcid

-

First Name

Fatma

Last Name

Mohammed

MiddleName

K

Affiliation

Department of Neurology, Faculty of Medicine, Sirte University, Libya

Email

fatimakalifa85@gmail.com

City

sirte

Orcid

-

First Name

Shaimaa

Last Name

Elaidy

MiddleName

A.

Affiliation

Neurology department, Faculty of medicine, Zagazig University, Egypt

Email

shaimaaelaidy@yahoo.com

City

zagazig

Orcid

-

Volume

30

Article Issue

6

Related Issue

50059

Issue Date

2024-09-01

Receive Date

2024-06-10

Publish Date

2024-09-01

Page Start

2,475

Page End

2,482

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_362394.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=362394

Order

362,394

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Short-term Prognosis of Vision in Idiopathic Intracranial Hypertension

Details

Type

Article

Created At

30 Dec 2024