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Does IIH Alter Brain Microstructures? - A DTI-Based Approach

delete2017-02-09
delete12
PRE
AI
C
C. G. Schmidt
E
Edzard Wiener
L
Lutz Lüdemann
H
Hagen Kunte
N
Nils Becker
L
Lutz Harms
R
Randolf Klingebiel
DOI:10.1111/head.13039delete
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摘要

摘要

En 中文
IntroductionTo investigate the correlation of microstructural parameters with CSF pressure and macroscopic changes assessed by diffusion tensor imaging (DTI) in patients with idiopathic intracranial hypertension (IIH). MethodsTwenty-three patients with IIH as well as age-, sex-, and body mass index (BMI)-matched controls underwent high resolution MR imaging of the optic nerve sheaths (ONS), pituitary gland, and ventricles. For DTI data a voxelwise permutation analysis was performed for the whole brain and ROI analysis was performed for the optic nerve and optic radiation. DTI measurements were correlated to morphometric measurements, CSF opening pressure, and headache intensity. The reliability of diagnostic performance of DTI parameters was assessed using ROC analysis. ResultsAnalysis of DTI metrics revealed a significant reduction in the fractional anisotropy (FA) of the optic nerve in patients with IIH. In contrast, systematic regional variations between IIH patients and controls were neither observed in the whole brain analysis nor in the optic radiation. FA values of the optic nerve show significant correlations with the optic nerve sheath diameter (P=.003, r=-.589). The correlation of the alterations of the FA values of the optic radiation and the whole brain do not show a significant association to morphometric alterations in the ONS diameter and hypophysis height as well as to CSF opening pressure and headache intensity. ConclusionsThe results indicate that IIH is associated with microstructural changes in the optic nerve. These alterations may be the direct consequence of chronically elevated intracranial pressure.
Keyword:
headache
idiopathic intracranial hypertension
pain
MRI
DTI
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H
Headache
IF:
4
论文数:
6.0K
被引数:
1.0W

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B
Berlin Institute of Health
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3.9W
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被引数: 6.6K
C
Charite Universitatsmedizin Berlin
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1.6W
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被引数: 29
H
Humboldt University of Berlin
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3.2W
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被引数: 47
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