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Invited Commentary
April 2017

Optical Coherence Tomography for the Noninvasive Detection of Elevated Intracranial Pressure: A New Role for the Ophthalmologist?

Author Affiliations
  • 1Departments of Ophthalmology and Neurology, Mayo Clinic, Rochester, Minnesota
  • 2Departments of Neurosurgery and Pediatrics, Mayo Clinic, Rochester, Minnesota
 

Copyright 2017 American Medical Association. All Rights Reserved.

JAMA Ophthalmol. 2017;135(4):329-330. doi:10.1001/jamaophthalmol.2017.0021

Lumbar puncture is the usual confirmatory procedure for the diagnosis of idiopathic intracranial hypertension. However, the lumbar cerebrospinal fluid pressure does not always reflect the intracranial pressure (ICP), especially in children.1 Therefore, direct ICP monitoring is the gold standard for ascertainment of ICP. However, this procedure is more invasive, requiring general anesthesia and hospital admission to monitor ICP over a period of days. It also carries low risk for central nervous system infection or injury. Consequently, newer techniques are being devised to noninvasively monitor ICP.2

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